HomeMy WebLinkAboutKIMLEY-HORN AND ASSOCIATES INC - INSURANCE CERTIFICATE (4)A`� �® CERTIFICATE OF LIABILITY INSURANCE
3i27/20 4"'
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
Greyling Insurance Brokerage
450 Northridge Parkway
Suite 102
Atlanta GA 30350
CONTACT Jerry y Jer NO Old
NAME:
PNE (770)552-4225 FAR (866)550-9082
HONo,
EMAIL . jerry.noyolaCgreyling.com
INSURERS AFFORDING COVERAGE
NAIC0
INSURERA:National Union Fire Ins Co
19445
INSURED
&imley-Horn and Associates, Inc.
P.O. Box 33068
[Raleigh NC 27636
INSURER B:CCQ=erCe & Industry Insurance
17410
INSURERC New Hampshire Insurance Company
23841
INSURER D:LlO d's of London
085202
NSURER E
INSURERF:
COVERAGES CERTIFICATE NUMBER: 14-IS (Kimley LuAas) 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.
1�TR
TYPE OF INSURANCE
ADDL
UB
POLICY NUMBER
POLICVEFF
PMMUDDNYYYI OLICY YEXP
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 11000,000
A
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE ®OCCUR
L 9645227
/1/2014
/1/2015
PREMISES I I- n
$ 500,000
MED EXP (Any oneperson)
$ 25,000
PERSONAL S ADV INJURY
$ 1,000,000
X Contractual Liability
GENERAL AGGREGATE
$ 2,000,000
GEN'L AGGREGATE
LIMIT APPLIES PER:
PRODUCTS -COMPIOP AGG
$ 2,000,000
$
POLICY
X PRO- X LOC
AUTOMOBILE UABILRY
COMBINED SINGLE LIMIT
11000,00
BODILY INJURY (Per person)
$
A
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
NON.OWNED
HIRED AUTOS X AUTOS
Ix
A 4982985
/l/2014
/l/2015
BODILY INJURY(Per accident)
$
PROPERTY DAMAGE
P
$
X
UMBRELLA UAS
X
OCCUR
EACH OCCURRENCE
$ 5,000.000
AGGREGATE
$ 5, OOO,000
B1
EXCESSLIAB
CLAIMS -MADE
DED X RETENTION 10,000
$
PZ58430948
/1/2014
/1/2015
C
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIEfOWPARTNEWEXECUTIVE
DFFICEWMEMBER EXCLUDED?
(Mandatory In NH)
N/A
NO 018112556 (ADS)
C 018112557 (G1)
/1/2014
/1/2014
/1/2015
/1/2015
X WC STATU- OTH-
Y LIMIT. PR
E.L. EACH ACCIDENT
$ 11000,000
E.L. DISEASE -EA EMPLOYE
$ 1,000,000
If yes, deecdbe no.,
DESCRIPTION OF OPERATIONS below
E.L. DISEASE -POLICY LIMIT
$ 1 00G 000
D
Professional Liability
B0979PO70831401
/1/2014
11
Per Claim $2,000,000
Aggregate $2,000,000
DESCRIPnON OF OPERATIONS I LOCATIONS I VEHICLES (Anach ACORD 101, Addl6onal Remarks Schedule, 8 more apace Is required)
Res LOB - TOD Parking Study for the City of Fort Collins. The City of Fort Collins is named as an
Additional Insured on the above referenced liability policies with the exception of workers compensation
a professional liability. Should any of the above described policies be cancelled by the issuing insurer
before the expiration date thereof, 30 days written notice (except 10 days for nonpayment of premium) to
the Certificate Holder named below will be provided.
City of Fort Collins
Purchasing Division
215 North Mason
P.O. 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
Collings/JBRRY
ACORD 25 (20101051
INS025 (201005t0l The ACORD name and logo are registered marks of ACORD