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HomeMy WebLinkAboutTHE HARBOR GROUP INC - INSURANCE CERTIFICATE (2)1,52N1e280e2 A� �® CERTIFICATE OF LIABILITY INSURANCE D/DDI 08/26 08/26/201313 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 1-800-247-7756 CONTACT NAME: Holmes Murphy & Assoc - MDM PHONE FAX [(AIC,No);__.—_._ (AIC.N,r,ExO:-- __— --__ PO Box 9207 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAICIf Des Moines, IA 50306-9207 - _ _—_ INSURERA: Employers Mutual Casualty Co. INSURED INSURERS: St. Paul Fire & Marine The Harbor Group, Inc. INSURER C_ Employers. Mutual Casualty Co_— (See Attached Named Insured List) l Attn: Scott Peterson INSURERD: Great American Insurance Company of NY P.O. Box 260 Sioux Center, IA 51250-0260 - INSURER E:__ INSURER F COVERAGES CERTIFICATE NUMBER: 35338581 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. IADOUSUBR POLICY EFF POLICY EXP ILTR TYPE OF INSURANCE POLICY NUMBER MMIDDIYYYY MM/DOIYYYV LIMITS A GENERAL LIABILITY 3D1894914 09/01/1 09/01/14 EACH OCCURRENCE $ 1,000,000 L GENERAL LIABILITY X COMMERCIAL —_- �I _ _ I CLAIMS -MADE I I OCCUR (RENTED DAMAGE TO PREMISES MED E_X_P (Any one person) $ 500,000 $ 10, 000 $ 1,000,000 X WU Included I ADV INJURY ___ _ ___ _PERSONAL _B GENERAL AGGREGATE _ _ $ 2,000,000 $2,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMPIOPAGG IFCT POLICY X1 PRO- LOC -- - _ $ --- A AUTOMOBILE LIABILITY 09/01 09/01/14 COMBINED SINGLE LIMIT _(Ea accident)___-_ $1,000,000 _- $ X ANY AUTO �3EI894914 BODILY INJURY (Per person) ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ $ X _ X NON -OWNED HIRED AUTOS AUTOS — PROPERTY DAMAGE------ _(Per aakenq._________ $ 11 UMBRELLA LIAR _1 X OCCUR ZUP14S6402913NF 09/01/13 09/01/14 EACH OCCURRENCE 51000,000 AGGREGATE _$ $ 5, 00_0_ , 000 JX EXCESS LIAR_ CLAIMS -MADE __ ON _ DED I X RETENTI$ 10, 000 _ _ $ A C WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERrEXECUTN YIN OFFICERIMEMBER EXCLUDED? N 1 A I3Y1894914 3P1894914 09/01/13' 09/01/1 09/01/14 09/01/14 X WC STATU- DTH- _- TORY-LIMITS. _ER- EL EACH ACCIDENT ---- _— $ 500, 000 --- E L DISEASE - EA EMPLOYE - ----- $ 500,000 (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below — ---- E.L. DISEASE - POLICY LIMIT $ 500, 000 A Rented/Leased Equipment 3C1894914 1 09/01/1 09/01/14 $2,500 Deductible 500,000 D Installation Floater IMP592488107 09/01/1' 09/01/14 $2,500 Deductible 2,500,000 DESCRIPnON OF OPERATIONS I LOCA1IONS I VEHICLES (Attach ACORD 101, Addmonal Remarks Schedule, If more space Is required) Cancellation Clause: 30 Days Notice Except for Non Payment of Premium vcri i irl1,A I C 11VLUCM L AnHL rLLA I IVIV SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522-0580 1 USA 41L, ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD ABlackwdsm 35338581 m M 7 z W P526 2"2 0 r SUPPLEMENT TO CERTIFICATE OF INSURANCE DATE 08/26/2013 I NAME OF INSURED: The Harbor Group, Inc. I (See Attached Named Insured List) 14he Harbor Group, Inc.- 21nterstates Engineering, Inc.- 3lnterstates Control Systems, Inc.- 49interstates Electric & Engineering Co.- Sinterstates Construction Services, Incorporated- 61EEC of California, Inc.- 71BEC Transportation & Leasing Co.- 81BEC Enterprises Co.- 93Enterstates Foundation- 10interstates Electric & Engineering Co., Inc. dba IEEC of Texas, Inc.- 111nterstates Electric & Engineering Co., Inc. dba IEEC of Illinois, Inc.- 121nterstates Electric E Engineering Co., Inc. dba IEEC of Oregon, Inc.- 131nterstates Electric & Engineering Co., Inc. dba IEEC of Arizona- 141BEC International, Ltd.- 151BEC International, Inc.- 16Harbor Engineering Group, LLC- 17Harbor Group Investments, LLC- 18Harbor Management, LLC- 191nterstates Construction Services, Inc. dba IC of Nebraska, Inc.- 201nterstates Construction Services, Inc. dba IC of Arizona, Inc.- 211nterstates Construction Services, Inc. dba IC of Texas, Inc.- 221nterstates Instrumentation, Inc.- 231nterAir, LLC- 24Harbor Consulting Group, Inc.- 25Harbor Engineering Group, PLC- 26interstates Construction Services, Inc. dba IC of Illinois, Inc.- 27interstates Construction Services, Inc. dba IC of Oregon, Inc.- 281C of Wyoming, L.L.C.- 291nterPab, L.L.C.- 30Besert View Electric Services, LLC- 31Harbor Insurance Trust, Inc.- 32 Interstates Engineering, Inc. dba IEI of TX Inc- 33 Interstates Engineering, Inc. dba CA IEI, Inc- 34 Interstates Engineering, Inc. dba Iowa Interstates Eng- 35 Interstates Engineering, Inc. dba IEI of Minnesota -