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Home My WebLink About465997 MICHAEL BAKER JR INC - INSURANCE CERTIFICATE (5)CERTIFICATE OF LIABILITY INSURANCE DAT O]r01J12D0113 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 pollcy(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 endomemerd(s). PRODUCER ,on Risk Services Central, Inc. Pittsburgh PA office ACT COW NAME: _ PHONE (86fi) 283-7122 FAX (800) 363-0105 (NC. No. Eaq: NC. No.: Dominion Tower, loth Floor 625 Liberty Avenue EJ.1NL ADORES$: INSURER(S)AFFORDING COVERAGE NAICM Pittsburgh PA 15222-3110 USA / S INSUREO INSURER A Liberty Mutual Fire Ins CO 23035 Ml Chael Baker Jr., Inc. 165 S. Union Blvd, Suite 200 NOf t1111rOOk co 80228 USA INSURER B: Liberty Insurance Corporation 42404 INSURER C: National Union Fire Ins Co of Pittsburgh 19445 INSURER D: Ll Oyd's Syndicate NO. 2623 AA1128623 NSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570050567684 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. Limits shown are as requested LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/OD MMDUUGY LAP LIMITS A GENERAL LIABILITY TBUb/30/21)11 EACHOCCURRENCE $2,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea oacem,en $1,000,000 CLAIMS -MADE FXJ OCCUR MED EXP(Any one person) $5,000 PERSONAL& ADV INJURY $2,000,005 GENERAL AGGREGATE $4,000,000 GEN'L AGGREGATELIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $4,000,000 POLICY % PRO % LOG A AUTOMOBILE LIABILITY AS2-681-004145-723 06 30 201306 30 2014 COMBINED SINGLE LIMIT Ea accidentl $1,000,000 BODILY INJURY( Per pawn) X ANY AUTO BODILY INJURY (Per accident) ALL OWNED SCHEDULED AUTOS AUTOS NONdWNED PROPERTY DAMAGE HIRED AUTOS AUTOS PoTamdenl C X UNIRELLALIAB % OCCUR BE018085867 06/30/2013 06/30/2014 EACH OCCURRENCE $10,000,000 EXCESS LLIO CLAIMS -MADE SIR applies per policy ter is & condi ions AGGREGATE $10,000,000 DEO X RETENTION SID.000 B WORKERS COMPENSATION AND WA768DO04145693 06/30/2013 06/30/2014 X WC STATU- OTH S ER EMPLOYERS' LIABILITY YIN ADS E.L. EACH ACCIDENT $1,000,000 B ANYPROPRIETOR I PARTNER I EXECUTIVE NIA WC7681004145703 06/30/2013 Ofi/30/2014 OFFICERIMEMBER EXCLUDED] (Mende ry In NH) wI EL DISEASE -EA EMPLOYEE $1,000,000 UseUs describe once, . OF OPERATIONS below EL DISEASE -POLICY LIMIT $1,000,000 D E&O-PL-Primary QCI3D2fi75 06/30/2013 06/30/2014 Per Claim $5,000,000 Professional & Pollution Aggregate $5,000,000 SIR applies per policy ter s & condi ions DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101. Additional Remarks Schedule, if more apace is repuirad) For Named insured Only: Attn: Dwight 5chock. City of Fort Collins, its officers, agents and employees are included as Additional insured with respect to the General Liability and Automobile Liability policies, per written contract with the Named Insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED W ACCORDANCE WITH THE POLICY PROVISIONS. City Of Fort Collins AUTHORIZED REPRESENTATIVE Attn: Steve MCQuilkin PO BOX Fort Collinsli CO 80522 USA 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD 3