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Home My WebLink About214608 ATKINS NORTH AMERICA INC - INSURANCE CERTIFICATE (3)A`iR0® CERTIFICATE OF LIABILITY INSURANCE page 1 of 2 DATE (MM1DDNYYY� 03/27/2014 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 endorsement(s). PRODUCER CONTACT Willis of New York, Inc. c/o 26 Century Blvd. P. O. Box 305191 PHONE FAX ' -MAIL ifica illi - Nashville, IN 37230-5191 INSURER(S)AFFORDING COVERAGE NAICa INSURERA: Grsanwich Insurance company 22322-001 INSURED Atkins North America, Inc. / INSURER B: Amsricaa Guazantas a Liability Iasuraacs 26247-001 INSURERQUndererriter's at Lloyds 15792-001 I� 2001 NW 107th Avenue 2 rI V �g Miami, FL 33172-2507 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:21355525 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 DD' NM SUB JIM POLICY NUMBER POLICY EFF POLICY EXPAM LIMITS A GENERALLIHBILITY y CGG740901603 /1/2014 4/1/2015 EACHOCCURRENCE $ 11000,000 FA RNOON EQrenaas $ 300,000 X COMMERCIAL GENERAL LIABILITY CLAIMS-MADEFX7OCCUR MED EXP (Aay one parson) $ 10,000 PERSONAL& ADV INJURY $ 11000,000 Contractual Liability GENERALAGGREGATE $ 2 ,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 $ 17 POLICY 7M LOC A AUTOMOBILELIABILRY CAH740901703 /1/2014 4/1/2015 Ea MBINEDSINGLEUMIT axlmnl S 2,000,000 BODILY INJURY(Per person) $ X ANYAUTO $ ALLOWNED AUAUTOS OSCHEDULED BODILY INJURY(Pereccieera) $ X HIRED AUTOS X NON-0WNED AUTOS Is Peracciaent $ $ B % UMBRELLALIAB X OCCUR AVC924234902 4/l/2014 4/l/2015 EACH OCCURRENCE $ 1 1000,000 AGGREGATE § 1.000,000 EXCESS UAB CLAIMS -MADE DED RETENTION$ Is A WORKERS COMPENSATION EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? e1Wndid In NHb 4eacri n N/A CWG740901503 4/1/2014 4/1/2015 Da1$ !AND E.L.EACRACCIDENT 1,000,000 E.L. DISEASE -EA EMPLOYEES 1,000,000 E.L. DISEASE - POLICY LIMIT IS 1,000,000 un or DEBCRIPTIONOF OPERATIONS balm p C Professional B0801112091`14 1 2014 4/1/2015 $1,000,000 Each Claim a Liability -Claims Made $1,000,000 Annual Aggregate 11/11/1961 Retrodate DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (AMcN Acorn 101, ACditonel Remerte Sehe4ule, 11 more apace Is requi rea) Greenwich Insurance Companies Best Rating A XV American Guarantee and Liability Insurance Company Best Rating A+ XV XL Specialty Insurance Company Best Rating A XV Underwriters at Lloyd's London AM Best Rating: A XV. Professional Liability policy written on claims -made basis. There1- r Retentions on the r l Liability. Automobile City of Fort Collins Attn: James O'Neill 215 N. Mason Street, 2nd Floor 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 ACORD 25 (2010/05) rnll-4114 n 4 7 Tn1 r17A g4-tR r•prt Z SSS95 (C)1GRR_9n1n Ar0P1Cr)RD(1RATRIN Allrinhterpear,,.d The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: LOCS: `'� ADDITIONAL REMARKS SCHEDULE Paged of 7 Willis of New York, Inc. POLICY NUMBER See First Page CARRIER NAIC CODE See First Page NAMED INSURED Atkins North America, Inc. 2001 NW 107th Avenue Miami, FL 33172-2507 EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Liability, Workers Compensation and Umbrella coverages. !Re: 7307 Transpportation Planning & Engineering Consultant On -Call - Purchase Order: 9117628 for Work Order 901003-01-11 City of Fort Collins is included as an Additional Insured as respects to General Liability. ACORD 101(2008/01) Coll:4374047 Tpl:1789438 Cert:21355525®2008ACORD CORPORATION. All rightsreserved. The ACORD name and logo are registered marks of ACORD