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Home My WebLink About450906 MULLER ENGINEERING COMPANY INC - INSURANCE CERTIFICATE (3)CERTIFICATE OF LIABILITY INSURANCE I ,OA,TEMM^ODIYYYY) 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 PRODUCER JSI Colorado LLC 1515 Wynkoop, Suite 200 Denver CO 80202 INSURED Muller Engineering Company, Inc. 777 S. Wadsworth, Suite 100 Lakewood CO 80226-3118 MULENG 45ojo6 COVERAGES CERTIFICATE NUMBER: 112RR71FI723 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. HIM TR TYPE OF INSURANCEADDL SUM POUCYNUMBER POLICY EFF MMID POLICY ESP M LIMITS GENERAL LIABILITY EACH OCCURRENCE $ REMI a $ COMMERCVIL GENERAL LIABILITY MED EXP (Any one parson) $ CLAIMS -MADE ❑OCCUR PERSONAL B ADV INJURY $ GENERAL AGGREGATE S GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO- LOC $ AUTOMOBILE LABILITY ESac Ut BODILY INJURY (Par person) S ANY AUTO AUTOS SCHEDULED AUTOS O BODILY INJURY(Per acadeM) $ HIRED AUTOS NAUTOSWNED PROPERTDAMAGE accidentil Is _(Par $ UMBRELLA LUMB OCCUR EACH OCCURRENCE S AGGREGATE S EXCESS LIAR CLAIMS -MADE DED I I RETENTIONS $ WORKERS COMPENSATION WC STATU- OTH- ANDEMPLOYERS'LIABIUTY YIN ANY PROPRIETOR/PARTNERIEXECUTNE OFFICER/MEMBER EXCLUDED? ❑ N/A E.L. EACH ACCIDENT $ EX DISEASE - EA EMPLOYEE S (Mandatory In NH) If ye deacr.be under DESCRIPTION OF OPERATIONS below 1 E.L. DISEASE -POLICY LIMIT $ A Professional Liability Claims Made DPR9710743 W11/2014 VI 1/2015 Per Claim $2,000,000 Annual Aggregate $2,000,000 DESCRIPTION OF OPERATIONS / LOCATONS I VEHICLES (Attach ACORD 101, Additional Remarks Scbadule, N mom apace b mcpAmd) If required by written contractor written agreement, City of Fort Collins is included as Additional Insured for ongoing operations under General Liability with respect to the above referenced. City of Fort Collins Attn: James O'Neil 215 North Mason Street, 2nd Floor Fort 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 U 19UU-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD ACORO• CERTIFICATE OF LIABILITY INSURANCE DATE (RAM/DD/YYVY) 3/10/2014 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 endorsemen s . PRODUCER USI Colorado LLC 1515 Wynkoap, Suite 200 Denver CO 80202 CONTACT NAME: Kathy Star PHONE I FA No: -MIL A ADDRESS:k ar i. ' INSURER(S) AFFORDING COVERAGE NNCS INSURERA: INSURED M U LENG INSURERS: Muller Engineering Company, Inc. 777 S. Wadsworth, Suite 100 Lakewood CO 80226-3118 INSURERC: INSURER D: — INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 1146234367 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. IIN �TR TYPE OF INSURANCE WIL ADN MMD POLICY NUMBER MPOLICY EFF MPS Y EKPrrrfy) UNITS GENERAL LIABILITY EACH OCCURRENCE S DAMAGE TO RENTED S COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR MED EXP (Any oneperson) s PERSONAL S ADV INJURY S GENERAL AGGREGATE S GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S POLICY PRO- LOC S AUTOMOBILE LIABILITY Ee U,'%rs BODILY INJURY (Per person) S ANY AUTO ALL OWNED AUTOS SCHEDULEDSULED BODILY INJURY (Par accident) S HIRED AUTOS NON -OWNED AUT PROPERTY DAMAGE (Per socidano S $ UMBRELLA UAS OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS UAB CLAIMSWADE DEO RETENTIONS S WORKERS COMPENSATION VYC STATII- OT)(• AND EMPLOYERS' LJABIUTY YIN E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERNEMBER EXCLUDED? N/A E.L. DISEASE - EA EMPLOYE S (Mandatory in NH) K yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT -- - S A Professional Liability Claims Made DPR9710743 /11/2014 V1112015 Per Claim $2,000,000 Annual Aggregate $2,000,000 DESCRIPTION OF OPERATIONS r LOCATIONS / VEHICLES (AMach ACORD 101, Additional Remarks Schedule, H more apace Is r"ulred) As required by written contract or written agreement, a Waiver of Subrogation applies to Professional Liability. City of Fort Collins Purchasing Department 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 CORPORATION_ All rinhts reserved ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD