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HomeMy WebLinkAboutKIMLEY-HORN AND ASSOCIATES INC - INSURANCE CERTIFICATE (3),4� �® CERTIFICATE OF LIABILITY INSURANCE 3/21/2013""' 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 endorsements . PRODUCER GreylingInsurance-Brokerage 450 Northridge Parkway Suite 102 Atlanta GA 30350 CONTACT Jerry Noyola PHONE (770)552-4225 FAXAIC Noll (866)550-4082 EA�-M�A�'L�ss.jerry.noyola@greyling.com INSURERS AFFORDING COVERAGE NAIL# INSURER A:National Union Fire Ins. Co. 19445 INSURED Ximley-Horn and Associates, Inc. P.O. Box 33068 Ralei h NC 27636 INSURERB:Commerce & Industry Insurance 19410 INSURERC:New Hampshire Insurance Company 23841 INSURER D:Lexia ton Insurance Company19437 INSURER E INSURERF: COVERAGES CERTIFICATE NUMBER:13-14 (&imley LuAnn) 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 LTR TYPE OF INSURANCE ADDL SUBR POLICYNUMBER POLICY EFF MM D/Yfff) POLICY EXP (NINI LIMITS GENERAL LIABILITY X Y EACH OCCURRENCE $ 11000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR GL 9645227 /1/2013 /1/2014 DAMAGEPREMISETO RENTfa �dd'ED n $ 500,000 MILD UP (My one person) $ 25,000 PERSONAL B ADV INJURY $ 1,000,000 X Contractual Liability GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 2,000,000 - - POLICY FX7 PF'CT X LOC $ AUTOMOBILE LIABILITY X Y COMBINED SINGLE LIMIT Ea accident 11000,000 X BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS 4982985 /1/2013 /1/2014 BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident) $ X NON -OWNED HIRED AUTOS AUTOS X UMBRELIALIAS X OCCUR X Y EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 B EXCESS LIAR CLAIMS -MADE DED I X I RETENTION 10,00 $ E 016395110 /1/2013 /1/2014 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETORIPARTNEWEXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory, In NH) N I A y 018112556 /1/2013 /1/2014 X I WC STATU- OTH- ON,11 E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 11000,000 If Yes. tlescrioe u�tler GESCniPTION OF OPERATIONS below I EL DISEASE -PUUCY LIMIT I $ 1,000,000 D Professional Liability Y 016017332 12/1/2012 /1/2014 Per Claim $2,000,000 Aggregate $2, 000, 000 DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is mqulmd) Re: LDB - 7235 Parking Plan for the City of Fort Collins. The City of Fort Collins is named as an Additional Insured on the above referenced liability policies with the exception of workers compensation & professional liability. Should any of the above described policies be cancelled by the issuing insurer before the expiration date thereof, 30 days written notice (except 10 days for nonpayment of premium) to the Certificate Holder named below will be provided. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. Purchasing Division 215 North Mason AUTHORIZED REPRESENTATIVE P.O. Box 580 Fort Collins, CO 80522 David Collings/JERRY----�- ) 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved INS025 (2010051 01 The ACORD name and logo are registered marks of ACORD