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Home My WebLink About214608 ATKINS NORTH AMERICA INC - INSURANCE CERTIFICATE (2)CERTIFICATE OF LIABILITY INSURANCE page 1 of 2 03/(26/220 3 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME Willis of New York, Inc. c/o 26 Century Blvd. PHONE FAX N EX) 877-945-7378 ABC N 888-467-2378 ADM RIE certificates@willis.com P. O. Box 305191 Nashville, IN 37230-5191 O INSURER(S)AFFORDING COVERAGE NAICR INSURERA: Greenwich Insurance Company 22322-001 INSURED Atkins NOith AmeriCII, Inc. INSURERB: American Guarantee 8 Liability Insurance 26247-001 INSURER C: Underwriter's at Lloyds 15792-001 2001 NW 107th Avenue Miami, FL 33172-2507 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 19543928 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I TYPE OF INSURANCE DD' SUB POLICY NUMBER POLICY EFF POLICVEXPLTR LIMITS A GENERAL LIABILITY Y CGG740901602 4/1/2013 4/1/2014 EACH OCCURRENCE IS 1,000,000 DAMAGETORENTED PREMISES Ea occurence S 300,000 X COMMERCIAL GENERAL LIABILITY MED EXP(My one person) $ 10,000 CLAIMS -MADE OCCUR PERSONALS ADV INJURY $ 1,000,000 X Contractual Liability GENERALAGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X I PROT X LOC PRODUCTS-COMP/OPAGG S 2,000,000 S A AUTO MOBILELIABILITY CAH740901702 4/1/2013 4/1/2014 COMBINED MBI accident) LIMIT $ 2,000,000 X BODILY INJURV(Per person) $ ANVAUTO ALL OWNED SCHEDULED AUTOS AUTOS X BODILY INJURY Perecadent) $ X HIREDAUTOS X NON -OWNED AUTOS PROPERTYDAMAGE Per accident $ IS B X OCCUR AUC924234901 4/1/2013 4/1/2014 EACHOCCURRENCE $ 11000,000 NUMBRELLALIAB AGGREGATE $ 1,000,000 EXCESS LIAB CLAIMS -MADE DED I X RETENTIONS2ero IS A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/NER ANY PROPRIETOR/PARTNEWEXECUTIVE rX-1 OFFICER/MEMSER EXCLUDED? V(Mandatory In NH) lo". describe under N/A CWG740901502 4/1/2013 4/l/2014 X I TOCYTAT IMIU En E.L. EACH ACCIDENT S 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below C Professional B080111209P13 4/1/2013 4/l/2014 $1,000,000 Each claim & Liability -Claims Made $1,000,000 Annual Aggregate 11/11/1961 Retrodate DESCRIPTION OF OPERATIONS/ LOCATIONS VEHICLES (Attach Acord 101, Additonal Remarks Schedule,11 more space is required) Greenwich Insurance Companies Best Rating A XV American Guarantee and Liability Insurance Company Best Rating A+ XV XL Specialty Insurance Company Best Rating A XV Underwriters at Lloyd's London AM Beat Rating: A XV. Professional Liability policy written on claims -made basis. There are no Deductibles or elf -Insured Retentions on the General Liability. Automobile SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins Attn: James O'Neill 215 N. Mason Street, 2nd Floor Fort Collins, CO 80522 Coll:4047437 Tpl:1610603 Cert:19543928 01988-2010ACORD CORPORATION. All rights reserved ACUHU 20 (2ut UAID) I ne ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 33004588 LOC#: '' ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED Atkins North America, Inc. Willis of New York, Inc. 2001 NW 107th Avenue Miami, FL 33172-2507 POLICY NUMBER See First Page CARRIER NAIC CODE EFFECTIVEDATE: See First Pag e See First Page ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, Fnnu NIIMRFR• 25 cnQU TITI F• CERTIFICATE OF LIABILITY INSURANCE and Umbrella coverages. Re: 7307 Transportation Planning & Engineering Consultant On -Call - Purchase Order: 9117628 for Work Order 901003-01-11 City of Fort Collins is included as an Additional Insured as respects to General Liability. ACORD 101(2008/011 Coll:4047437 Tn1:1610603 Cert:19543 The ACORD name and logo are registered marks of ACORD TION. All rights reserved