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HomeMy WebLinkAbout143797 ANDERSON CONSULTING ENGINEERS INC - INSURANCE CERTIFICATE(MMID A ROC " CERTIFICATE OF LIABILITY INSURANCE 1/25/2014 Div 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 endorsements . PRODUCER A CT NAME: Michael J Hall & Company Michael J Hall & Company PHONE FAX -360-598-4701 ac � -fall & Company E-MAIL 19660 10th Ave NE ADDRESS: Doulsbo WA 98370 INSURE S AFFORDING COVERAGE NAIC9 INSURER A:Navigators Insurance Company 49307 INSURED /l 739 INSURER B : Anderson Co'nssu ling n neers Inc INSURERC: 375 E Horsetooth Rd, Bldg 5 INSURERD: Fort Collins CO 80525 COVERAGES CERTIFICATE NUMBER:372578176 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 LTR TYPE OF INSURANCE INSR WVO POLICYNUMBER POLICY EFF MMID POLICY EXP MMIDWYWY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES EaEoccurrence $ CLAIMS -MADE F—IOCCUR MED EXP (Any oneperson) $ PERSONAL &ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMPIOP AGG $ $ POLICY PRO- LOC AUTOMOBILE LWBILM Ea accident BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Par accident) $ ALL OWNED SCHEDULED AUTOS AUTOS PROPERTYDAMAGE Peraocid nt $ NON -OWNED HIRED AUTOS AUTOS a UMBRELLA LUAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- TORY LIMITS FIR AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE❑ E.L. EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? NIA (Mandatory In NH) E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ I} Yas, describe under DESCRIPTION OF OPERATIONS below A Professional Liab;Claims Made M14DPLO226841V /11/2014 /11/2015 $2,000,000 Per Claim $3,000,000 Aggregate DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if mom space is required) Attn to: Pat Johnson Project/Job Name: RFP 7084 Future Water, Wastewater and Stormwater Facilities Capital Improvements Projects L:tR I It -ILA I t SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE � %sue 1 G_ �}/_ _ © 19BU-2010 AGORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD ACORO® CERTIFICATE OF LIABILITY INSURANCE lila�1 DA 'MMIDDM YV) /2512014 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 CONNTAD PHONE AIC NoI:360-598-3703 Michael J Hall & Company Hall & Company 19660 10th Ave NE EMAIL ADDRE s. INSURE S AFFORDING COVERAGE NAICa Poulsbo WA 98370 INSURER A:Nay'aato[s Insurance Company 2107 _ INSURED 739 INSURERB: INSURERC: Anderson Consulting Engineers Inc INSURERD: 375 E Horsetooth Rd, Bldg 5 Fort Collins CO 80525 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 1A1g4570?3 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 LTR TYPE OF INSURANCE IN WVD POLICY NUMBER POLICYEFF MM/D POLICY EXP MMIDDIVYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP oneperson) $ CLAIMS -MADE ❑ OCCUR PERSONAL &ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMPIOP AGG $ $ POLICY PR0. LOC AUTOMOBILE LIABILITY Ea eccitlent BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS OS NON -OWNED HIREDAUTOS AUTOS (Per DAMAGE $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABIUTY YIN ANY PROPRIETOR/PARTNERIEXECUTIVE E.L. EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? 17 (Mandatory In NH) NIA E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT I $ If Yes, describe under DESCRIPTION OF OPERATIONS below A Professional Liab;Claims Made M14DPLO226841V 1112014 11/2015 $2,000,000 Per Claim $3,000,000 Aggregate DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, A men apace Is required) Individual/Attn to: John Stephens Project/Job Name: 7490 Poudre River Downtown Project GtK I IFIGA 1 t KULULK I..HNIiCLLM I IVIY City of Fort Collins PO Box 580 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. AUTHORIZED REPRESENTATIVE V 196S-ZU1U ACUKU t:UKPUKA I IUIN. All rlgnLs re5erveo. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD