HomeMy WebLinkAbout307110 HDR ENGINEERING INC - INSURANCE CERTIFICATE (3)RfX
1. o / CERTIFICATE OF LIABILITY INSURANCE6n/zola
5/24/2013 DATE(MMIDD
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 Lockton Companies, LLC-1 Kansas City
444 W. 47th Street, Suite 900
Kansas Cityy MO 64112-1906
(816)960-9000
` O t�
CONTACT
Whit
WC No Ezt :INC,FAX
No
E-MAIL
ADDRESS-
c
19682
INSURER A: Hartford Fire Insurance Company
INSURED HEIR ENGINEERING, INC.
1013472 8404INDIAN HILLS DRIVE
OMAHA NE 681144049
INSURERB: Sr. Paw Fire end Med.,InnuanaCompany
24767
INSURER C: Sentinel Insurance Company, Ltd.
11000
INSURER ;Zurich American Insurance Company
16535
N
COVERAGES HDRINOI CERTIFICATE NUMBER: 10794993 REVISION NIIMRFR- XXXXXXX
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
7ypE OF INSURANCE
ADDL
SUBR
POLICY NUMBER
POLICY EFF
POLICY EXPLTR
LIMITS
A
GENERAL LIABILITY
N
N
37CSE000950 -
6/1/2013
6/1/2014
EACH OCCURRENCE
1000000
X COMMERCIAL GENERAL LIABILITY
C[AIMS-MADE Is:] OCCUR
PRE ME MG Toe o�nence
1000000
MED EXP (Any oneperson)
10,000
PERSONAL & ADV INJURY
$ 1 000 000
X Contractual Liab.
GENERAL AGGREGATE
$ 2,000,000
GEML AGGREGATE LIMIT APPLIES PER.
P LI Y X JR8 X OC
PRODUCTS-COMP/OP AGG
$ 2000000
-
$
A
A
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
N
N
37CSE000951 (AOS)
37CSE0Q0095O(Ffil)
37MCPQUI160(MA)
6/1/2013
6/1/2013
6/1/2013
6/1/2014
6/l/2014
6/l/2014
COMBINED CdNtl SINGLE LIMIT
$ 2 000 000
X
BODILY INJURY (Per person)
$XXXXXXX
BODILY INJURY(Peraooident
$ XXXXXXX
X
HIRED AUTOS X AUUTOSWNEO
PeOPCEcitlTYenl AMAGE
S XXXXXXX
$XXXXXXX
B
}{
UMBRELLA LIAB
X
OCCUR
N
N
ZUP-IOR64084-13-NF
6/1/2013
6/1/2014
EACH OCCURRENCE
$ 1,000,000
EXCESS LIAR
CLAIMS -MADE
(EXCLUDES PROF. FLAB)
AGGREGATE
$ 1000 000
DED I X I RETENTION$O
1
$ XXXXXXX
C
C
WORKERS COMPENSATION
AND EMPLOYERSLIABILITY
ANY PROPRIETORIPARTNER/EXECUTIVE YIN
R EXCLUDED? N
OFFIOER,in NH)❑
If yes dtoryin and
byes UwcnUN OF
DESCRIPTION OF OPERATIONS �Iqv
NIA
N
91WEOH1000 AOS
S )
91WBGH1760 \HI)
7/1/2013
7/l/2013
7/1/2014
7/1/2014
WC STATU- OTH-
X T RYLIMIT
E.L. EACH ACCIDENT
$ 1,000,000
E.L.DISE45E-EA EMPLOYEE
]000000
EL.DISEASE -POLICY LIMIT
1000000
D
ARCHS&ENGS
PROFESSIONAL
LIABILITY
N
N
EOC9260026-06
6/1/2013
6/1/2014
PERCLMNI $1,000,000. AGG:
$I,000,000.
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES /(Anach ACORD 101, Additional Remarks Schedule, if more space is required)
RE: LINDEN STREET STREETSCAPES PROJECT - REPLACEMENT INS CERTIFICATE. CITY OF FORT COLLINS AND COLORADO
DEPARTMENT OF TRANSPORTATION ARE NAMED AS ADDITIONAL INSURED ON GENERAL LIABILITY AS PER WRITTEN CONTRACT, ON A
PRIMARY, NON-CONTRIBUTORY BASIS. WAIVER OF SUBROGATION APPLIES WHERE APPLICABLE BY LAW.
10794883
CITY OF FORT COLLINS
ATTN: JOHN STEPHENS
215 NORTH MASON STREET, 2ND FLOOR
FORT COLLINS CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
25 (2010/05)
The ACORD name and logo are registered marks of ACORD