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Home My WebLink About507583 BARKER RINKER SEACAT ARCHITECTURE - INSURANCE CERTIFICATEACORO® CERTIFICATE OF LIABILITY INSURANCE DATE IMM/oomrrl 8/21 /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 endorsement(S). PRODUCER CONTACT NAME: PHONE FAX - - NC. 0 No: - 1- 2 Van Gilder Insurance Corp. 1515 Wynkoop, Suite 200 Denver CO 80202 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIL p n ..� INSURER A: A R INS CID OF THE MIDWEST 37478 INSURED INSURER B:Hartford Casualty -Ins CO. 29424 Barker Rinker Seacat Architecture, P.C. INSURER C: 3457 Ringsby Court, Unit 200 Denver CO 80216 INSURER D: INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 1637810815 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 TYPE OF INSURANCE ADOL SUBR POLICY EFF POLICY EXP LTR INSR MD POLICY NUMBER MMIDDNYYV) (MM/DDNYYYI LIMITS B GENERAL LIABILITY Y Y 34SBWPA9978 8/20/2013 /20/2014 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ITI OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $1,000,000 MED EXP(My one person) $10.000 PERSONAL B ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000 POLICY PR I^ O F LOC $ B OMOBILE ABIDTY Y Y 14SBWPA9971 1/20/2013 /20/2014 Ea accident s1000000 BODILY INJURY (Per person) $ AUTO ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Par.ceident $ NON-O MED HIRED AUTOS X AUTOS B X UMBRELLA LIAR X OCCUR Y Y 34SBWPAS978 '8/20/2013 /20/2014 EACH OCCURRENCE $2,000,000 AGGREGATE $2,000,000 EXCESS LIAR CLAIMS -MADE DED X RETENTION $ 10,000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY V / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? NIA y 34WEGNX3138 /20/2013 /20/2014 X T. WC STATA TU- OTH- E.L. EACH ACCIDENT $1,000,000 E.L. DISEASEEAEMPLOYE $1,000,000 (Mandatory In NH) If yyes describe under OE$CRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 A Professional Liability 34WEGNX3138 /20/2013 /20/2014 Per Claim $1,000,000 Claims Made Annual Aggregate $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Adddional Remarks Schedule, if more apace la required) As required by written contract or written agreement, the following provisions apply subject to the policy terms, conditions, limitations and exclusions: The Certificate Holder and Owner are included as Additional Insureds for ongoing and completed operations under General Liability; Designated Insured under Automobile Liability; and Additional Insured under Umbrella / Excess Liability but only with respect to liability arising out of the Named Insured's work performed on behalf of the certificate holder and owner. This insurance will apply on a primary, non-contributory basis. A Blanket Waiver of Subrogation applies for General Liability, Automobile Liability, Umbrella/Excess Liability and Workers' Compensation. Limited Contractual Liability is included. The Umbrella / Excess Liability policy provides excess coverage over See Attached... .L.1i n City of Fort Collins 215 N. Mason 2nd Floor Fort Collins CO 80524 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2010 ACORD CORPORATION. All rights reserved ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: LOC #: A aR ® ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY Van Gilder Insurance Corp. NAMED INSURED Barker Rinker Seacat Architecture, P.C. 3457 Ringsby Court, Unit 200 Denver CO 80216 POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Liability, Automobile Liability and Employers Liability. sured: City of Fort Collins, Fort Collins, Colorado ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD