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HomeMy WebLinkAbout307110 HDR ENGINEERING INC - INSURANCE CERTIFICATE (4)i. o � CERTIFICATE OF LIABILITY INSURANCE6n201a L2013 5/24//24/OADD/YYYY) 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 0 CONTACT A/C No Est): A FAX No EMAIL INSURERA: Hanford Fire Insurance Company 19682 INSURED HDR ENGINEERING, INC. 1013472 8404 INDIAN HILLS DRIVE OMAHA NE 68114-4049 INSURER B: St. Paul Fire and Marine beinnca Company 24767 INSURER C: Sentinel Insurance Company, Ltd. 11000 Zurich American Insurance CompanyCompauty 16535 INSURER F COVERAGES HDRINOI CERTIFICATE NUMBER: 10796277 REVISION NUMBER: 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A GENERAL LIABILITY N N 37CSE000950 6/I/2013 6/1/2014 EACH OCCURRENCE 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FRI OCCUR PAMAGEE TO RRERNTED n 1,000,000 MED EXP (Any one arson 10,000 S ADV INJURY $ 1,000,000 X Contractual Liab. GGREGATE $ 2 000 0" GENL AGGREGATE LIMIT APPLIES PER: - COMPIOP AGG $ 2,000,000 P Y X JE� X LOG S A A AUTOMOBILE LIABILITY ANY AUTO UTOWNESCHEDULED N N 37CSE000951 (ADS) 37CSL000952(HI)) 37MCPQU 1160I A) 6/12013 6/12013 6/1/2013 6/1/2014 6/1/2014 6/I/2014XXXXXXXAUTUSAUTOSURY COMBINEDSINGLE LIMIT M s2000 W)n X URY (Per person) $AALL (Per accitlent $XXXXXXXX HIREDAUTOS X AUT SWNED DAMAGE of 8 XXXXXXX $XXXXXXX B X UMBRELLA LIAB X OCCUR N N ZUP-IOR64084-13-NF 6/1/2013 6/12014 EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS -MADE (EXCLUDES PROF. LIAB) AGGREGATE $ 1000 000 DEO I X I RETENTION$O $ XXXXXXX 1 G C WORKERS COMPENSATION ANDEMPLOYERS' LIABILITY PROPRIETOR/PARTNEWEECUTIVE ANY R/M❑ OFFICE EMBER EXCLUDED? N IMande., in NH) DESCRIPTION OF OPERATIONS W. NIA N 91WC-OHI000 S(ADS) 91 WBOH 1760(Hl) 7/1/2013 7/1/2013 7/I/2014 7/1/2014 WCSTATU- OH X y E.L. EACH ACCIDENT $I000 000 E.L. DISEASE - EA EMPLOYEE 1000000 EL DISE>SF- POLICV LIMIT c 1000.000 D ARCH$&ENGS PROFESSIONAL LIABILITY N N FOC9260026-06 6/12013 6/1/2014 PER CLAIM: S 1000,000, AGG: $1,000,000. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I(Anach ACORD 101, Additional Remarks Schedule, if more space is required) RE: 7077 LINDEN STREET S'I'RGETSCAPFS PROJECT. CITY OF PORT COLLINS IS 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. $.CK I INAIC KULUCK UANUELLA I IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 10786277 AUTHORIZED REPRESENTATIVE . CITY OF FORT COLLINS ATTN: JAMES O'NEIL 215 NORTH MASON STREET, 2ND FLOOR PO BOX 580 FORT COLLINS CO 80522 0 YA*OLO ACORD 25 (2010106) ©9 8-2010 ACCVFDVORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD 6. o CERTIFICATE OF LIABILITY INSURANCE �i 6/uzola DA5/24/DD13 5/24/2013 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(les) 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 endomement(s). PRODUCER Lockton Conpanies, LLC-1 Kansas City 444 W. 47th Street, Suite 900 Kansas Cityy MO 64112-1906 (816) 960-9000 CONTACT A/ No Ext : FAX A/C No E-MAIL INSURER A: Hartford Fire Insurance Company 19682 INSURED HDR ENGINEERING, INC. 1013472 8404 INDIAN HILLS DRIVE OMAHA, NE 681144049 DENVER/R. BRADLEY MARTIN INSURER B: Sr Paul Fire and Mani lnsua ComPfnr 24767 INSURER C: Sentinel Insurance Company, Ltd. 11000 .Zurich American Insurance Company 16535 COVERAGES HDRINOI CERTIFICATE NUMBER: 1916422 REVISION NUMBER- 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 TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICDY EFF POLICY EXP LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fx1 OCCUR X Contractual Liah. N N 37CSE000950 6/l2013 6/1/2014 EACH OCCURRENCE 1,000,000 PR MGSESfEsE TO RENTED ]DDD DDD MED EXP (Any oneperson) 10,000 PERSONALS AOV INJURY s 1,000,000 GENERAL AGGREGATE s 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: P LI Y X JECTPRO X L PRODUCTS - COMP/OP AGG s 2,000,000 $ A A A AUTOMOBILE LIABILITY ANY AUTO p AUTOS NED SCHEDULED HIRED AUTOS X q�NOSWNED N N 37CSE000951 (AOS) 37CSE0Q00952(HI) 37MCPQU1160 (MA) 6/1/2013 6/1/2013 6/1/2013 6/1/2014 6/12014 6/1/2014 E MBIN eD SINGLE LIMIT $ 2000000 X BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY (Per accident $XXXXXXX X Pe�accitlenl AMAGE $ XXXXXXX $XXXXXXX B X UMBRELLA LIAR EXCESS LIAB X, OCCUR CLAIMS -MADE N N 1 ZUP-IOR64084-13-NF (EXCLUDES PROF. LIAB) 6/1/2013 6/1/2014 1 EACH OCCURRENCE s 11000,000 AGGREGATE s 11000,000 DED I X I RETENTION$O s XXXXXXX C C' WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICER/MEMBER EXCLUDED? (Myandator, In NH) If OE CRIPTION OF OPERATIONS feelmv N/A N 9I WEOH 1000 (AOS) 91 WBOH 1760(H1) 7/1/2013 7/l/2013 7/I/2014 7/l/2014 WC STATU- OTH X TORYSTLIMAIT EL EACH ACCIDENT $ ]DDDDDD EL. DISEASE - EA EMPLOYEE ]DDDDDD ELDISEASE- POLICVLWIT ]DDDDDD D ARCHS&FNGS PROFESSIONAL LIABILITY N N EOC9260026-06 6/1/2013 6/1/2014 PERCLAIM:$1,000,000. AGG: $1,000,000. DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES /(Attach ACORD 101, Additional Remarks Schedule, if more space is required) 1916422 CITY OF FORT COLLINS ATTN: PURCHASING P.O. BOX 580 FORT COLLINS CO80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. The ACORD name and logo are registered marks of ACORD rights reserved