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HomeMy WebLinkAbout450906 MULLER ENGINEERING CO INC - INSURANCE CERTIFICATE (3)OP ID: BH All R CERTIFICATE OF LIABILITY INSURANCE —DATE010'°DMYYY, 09I04113 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 800-338-1391 SH 888-621-3173 01 Markeett St., Ste. 1100 701 Mar St. Louis, MO 63101 CONTACT NAME : PHONE FAX (A)C, No, EXn: _ (AIC, No): EMAIL ADDRESS: PRODUCER MULLE-1 CUSTOMER ID M: WB S AFFORDING COVERAGE NAIC0 INSURED Muller Engineering Co., Inc. 777 S.Wadsworth Blvd., Ste 100 /I t 4 6 Lakewood, CO 80226 INSURER A: Hartford Accident 8: Indemnity INSURERS: INSURER C : NaamRD: INSURER E : INSURER F: COVERAGES CERTIFICATE NUMBER: RPVISInM MLIMRCR- 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. ILTR NSR TYPE OF INSURANCE A L POLICY NUMBER MMIDD/YYYY MOEiD YEVY�Y LIMITS GENERAL LIABILITY EACH OCCURRENCE S 2,000,00 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I ^ J OCCUR 84SBWCT1563 11/01/13 11/01/14 PREMISES Ea occurrence S 2,00000 MED FXP (Any one person) $ 10,00 X XCU PERSONAL BADV INJURY S 2,000,00 GENERAL AGGREGATE $ 4,000,00 PROFESSIONAL LIAR EXCL GENI AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMPA)P AGO $ 4,000,00 POLICY X PRP LOC - $ A AUTOMOBILE LIANLITV AAUTO ALL LLOWNED AUTOS 84UEGNS8431 11/01/13 11/01/14 COMBINED SINGLE LIMIT (Ea acldden) $ 2,000,00 $ X BODILY INJURY (Per person) BODILY INJURY(PeracchlerM SCHEDULEDAUTOS HIREDAUTOS S X PROPERTYDAMAGEAGE (PerxnMnt) S X $ NON-OWNEDAUTOS $ X UMBRELLA LIAR X OCCUR i EACH OCCURRENCE $ 1,000,00 AGGREGATE A EXCESS LAB CLAIM6-MADE 84SBWCT1553 11/01/13 11101114 a 1,000,00 DEDUCTIBLE - S X $ RETENTION S 10,000 A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PgRTNERIEXECUTNE YIN IN EDO FICERNEMBER EXCLUDMandatory in NH) If DESCRIPTION under Dy SCRIP'TION OF O OPERATIONS Debw NIA 64WEGPM0143 11/0V13 11/01114 X WCSTATU- OTH- E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 E.L. DISEASE -POUCY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If mom space IS required) RE: P1147 SIGNAL TIMING PROGRAM. THE CITY, ITS OFFICERS AND EMPLOYEES IN ACCORDANCE WITH COLORADO LAW ARE INCLUDED AS ADDITIONAL INSURED FOR ABOVE COVERAGES EXCEPT W/C. CTYFTCO CITY OF FT. COLLINS ATTN: JAMES B. O'NEILL PO BOX 580 FT. COLLINS, CO 80522-0580 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 © 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD