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HomeMy WebLinkAbout532500 TOOLE DESIGN GROUP LLC - INSURANCE CERTIFICATE'% O CERTIFICATE OF LIABILITY INSURANCE `/ DATE 3 OD013 12/23/2013 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 endomement(s). PRODUCER Klein Agency, LLC. P.Q. BOX 219 Timonium MD 21094 CONTACT Linda Wille NAME: PHONE (410) 832-7600 FAX . (410)832-1849 EMA -ILEss lwille@kleinagencyllc.com INSURE S AFFORDING COVERAGE NAIC4 INSURER AVati Onal Surety CO INSURED Toole Design Group, LLC 532500 8484 Georgia Avenue, Suite 800 ,Silver Spring I-M 20910-5609 1 INSURER B:American Automobile Ins. CO. INSURERC:Trumbull Insurance Cc INSURERD:Continental Casualty Company INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:14-15 All 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. INSIR LTR TYPE OF INSURANCE ADM SUM POLICY NUMBER POLICY EFF POLICY EXP UNITS GENERAL LIABILITY EACH OCCURRENCE S 2,000,000 UAMAUI, FU KEN HED PREMISES(Ea Qccunrce) $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 7OCCUR FLBCS0893362 /1/2014 /1/2015 IVIED EXP (Any oneperson) $ 10,000 PERSONAL S ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 4,000,000 POLICY X PIrr.TRO- LOC $ AUTOMOBILE LIABILITY COMBINED n SINGLE LIMIT 11000,000 X BODILY INJURY (Per person) S B ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS 80302068 /1/2014 /1/2015 BODILY INJURY (Per accident) $ PROPERTY DAMAGE n $ No HIRED AUTOS AUTOS $ X UMBRELLA UAB X OCCUR EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 2, 000, 000 A EXCESS OAS CLAIMS -MADE DED RETENTIONS $ CS0893362 /1/201a /1/2015 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE X VIC STATU- OTH- E.L. EACH ACCIDENT $ 1,000F000 OFFICERIMEMSER EXCLUDED? (Mandatory in NH) NIA OWECCN9232 /1/2014 /1/2015 E.L DISEASE -EA EMPLOYE $ 11000,000 8 Yes. describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICYUMIT S 1 000 000 D Professional Liability /1/2014 /1/2015 Par Clam $2,000,000 rH5911168157 Aggregate $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, U more space Is required) RE: 7559 Bike Plan Update and TDG Project 13001. 30 days notice of cancellation is provided, 10 days for non-payment. See attached for specific additional insured wording. 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 Justin Klein/LISA �_o' —r"� ACORD 25 (2010/05) INS025 i201005) 01 © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD COMMENTS/REMARKS If required under an insured written contract, executed prior to any loss, City of Fort Collins is an Additional Insured under the General Liability Policy, but only with respects to liability arising from work performed by or on behalf of Toole Design Group, LLC. If required under an insured written contract, executed prior to any loss, City of Fort Collins is an Additional Insured under the Automobile Policy, but only with respects to liability arising from the operation of vehicles by employees of Toole Design Group, LLC. If required under an insured written contract, executed prior to any loss, Waiver of Subrogation is provided for City of Fort Collins under the General Liability, Automobile Liability and Workers Compensation Policies. It is further understood that coverage provided the Additional Insured under the General Liability and Automobile Liability shall be primary and non-contributory to any other coverage available to the Additional Insured. OFREMARK COPYRIGHT 2000, AMS SERVICES INC.