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HomeMy WebLinkAbout307110 HDR ENGINEERING INC - INSURANCE CERTIFICATE (5)ncoRo• CERTIFICATE OF LIABILITY INSURANCE 111%.� 6/1/2015 DATE(MWDD/YYYY) 1 5/28/2014 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(les) 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 Lockton Companies 444 W. 47th Street, Suite 900 Kansas City MO 64112-1906 (816)960-9000RESS CONTACT offfii FAX A/c No, Est : A/C ND E-MAIL INSURERS)AC 19682 INSURER A: Hanford Fire Insurance Company INSURED HORENGINEERING,INC. 1013472 8404INDIAN HILLS DRIVE OMAHA NE 68114-4049 INSURERB: 25674 INSURER C : New Hampshire Insurance Company 23841 E Lexin on Insurance Com anv 9437 R � National Union Fire Ins Co Pittsburgh PA 19445 COVERAGES HDRINO1 CFRTIFICATF NIIMRFR• 107RA777 DFvlclnM mi"MRRD• YYXXXXX 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 ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY N N 37CSE000950 6/1/2014 6/1/2015 EACH OCCURRENCE 1000000 CLAIMS -MADE rX_J OCCUR DARMMG ETO RRENTE eocicurn 300OOO X MED EXP one rwn 10,000 Contractual Liah. PERSONAL a ADV INJURY s 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. POLICY�PEO �LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG s 2-000000 OTHER $ A A A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS N N 37CSE000951 (AOS) 37CSEQ110952 (Flit 37CSE 1160(MA) 6/1/2014 6/1/2014 6/1/2014 6/1/2015 6/1/2015 6/1/2015 CO(Eaac BIN SINGLE LIMIT $ 2 000 000 X BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY (Per accident $ XXXXXXX HIRED AUTOS X NON -OWNED X (PRera cde DAMAGE s XXXXXXX $XXXXXXX B X UMBRELLALULB EXCESS LIAB X OCCUR CLAIMS -MADE N N ZUP-IOR64084-14-NF (EXCLUDES PROF. LIAB) 6/1/2014 6/1/2015 EACH OCCURRENCE $ 1000000 AGGREGATE s 1 000 GOO DEO XI RETENTION$0 s XXXXXXX C C E WORK ERSCOMPENSATION AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER ECUTIVE YIN OFFICERIMEMBER EXCLUDED? N❑ Ue,yln NH)xsde,icroeunwer DESCRIPTION OF OPERPTION$ neICw B/n lA1 027$27762 AO$) 027527764 ME) 027527763 CA) 7/IR014 7/1 /2014 7/1/2014 7/I/2015 7/1/2ti15 7/1/2015 X STATUTE 10111 E.L EACH ACCIDENT $ 1 GGG GGG E.L. DISEAEA SE - EMPLOYEE 1,000.000 EL DI$Ep$E- POLICYLIMB 1,000,000 D ARCHS & ENGS IN PROFESSIONAL LIABILITY N 061853691 6/1/2014 6/1/2015 PER CLAIM: $1,000,000. AGG: $1,000,000. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, may he attached if more space is required) RE: 7077 LINDEN STREET STREETSCAPES PROJECT. CITY OF FORT COLLINS IS NAMED AS ADDITIONAL INSURED ON GENERAL LIABILITY AS PER WRITTEN CONTRACT, ON A PRIMARY, NON-CONTRIBUTORY BASIS, WAIVER OF SUBROGATION APPLIES WHERE APPLICABLE BY LAW. VMIYMCLLX 1 I V IY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 10786277 AUTHORIZED REPRESENTATIVE CITY OF FORT COLLINS ATTN: JAMES O'NEIL 215 NORTH MASON STREET, 2ND FLOOR PO BOX 580 FORT COLLINS CO 80522 ACORD 25 (2014/01) ©9 8-2014 AC ORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD ACC>Ro• CERTIFICATE OF LIABILITY INSURANCE `� 6/1/2015 IDATE(MM/DD/YYYY) 5/28/2014 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(les) 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 Lockton Companies 444 W. 47th Street, Suite 900 Kansas Cityy MD 64112-1906 (816) 960-9000 `O CONTACT Whit A/C No Eat): (AVC No E-MAIL N ICa INSURER A: Hanford Fire Insurance Company 196$2 INSURED HDR ENGINEERING, INC. 1013472 8404 INDIAN HILLS DRIVE OMAHA NE 681144049 INSURERB: TrevelersPropenyCaachyCoofAmerica 25674 INSURER C : New Ham shire Insurance Company 23541 Lexin ton Insurance Company 19437 National Union Fire ins Co Pittsburgh PA 19445 COVERAGES HDRIN01 CERTIFICATE NUMBER: 10794883 REVISION NUMBER: XXXXXXX 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 ADDL BUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY N N 37CSE000950 6/1/2014 6/l/2015 EACH OCCURRENCE 1,000,000 CLAIMS -MADE OCCUR PREAGE TSESO RENTU D occren 300OOO X MED EXP (Any oneperson) Moot) OOO Contractual List, PERSONAL S ADV INJURY s 1000 000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s2000,000 POLICY[R] JEo rX LOC PRODUCTS-COMPIOP AGG s 2,000,000 $ OTHER A AUTOMOBILE LIABILITY N N 37CSE000951 (AOS) 6/1/2014 6/1/2015 COMBINED aert)SINGLE LIMIT $ 2 000 000 A A ANY AUTO 37CSE U0952 HI) 37CSE 1160(MA) 6/1/2014 6/1/2014 6/1/2015 6/I/2015 X BODILY INJURY (Per person) $ }{J{J(J{j{j{j( BODILY INJURY (Per ( $ XXXXXXX ALL oWNED SCHEDULED AUTOS AUTOS X HIRED AUTOS X AUTO$WNED PPReOPER.scorI DAMAGE $ XXXXXXX $XXXXXXX B ){ UMBRELLA LIAB X OCCUR N N ZUP-IOR64084-14-NF 6/1/2014 6/1/2015 EACH OCCURRENCE $ 1000000 EXCESS LIAR CLAIMS -MADE (EXCLUDES PROF. LIAB) AGGREGATE s 11000,000 DED X RETENTION$0 $ XXXXXXX C WORKERS COMPENSATION ANDEMPLOVERS'LIABILIry N 027527762 AOS) 7/1/2014 7/1/2015 PER 0TH- X STATUTE CANY E YIN OFFICRERIMEMSERREr(CLUDEOiECUTIVE NIA 027527764 ME) 027527763 CA) 7/1/2014 7/1/2014 7/l/2015 7/12015 E.L. EACH ACCIDENT $ 1,000,000 EL DISEASE - EA EMPLOYEE 1000000 (IMna'aary In NH) /yes. RIPTt OFO DESCRIPTION OF OPERATIONS ENon E.L. DISEASE - POLICY LIMIT 1000000 D ARCHS&ENGS N N 061853691 6/1/2014 6/1/2015 PER CLAIM:$ 1,000,000. AGO PROFESSIONAL $1,000,000. LIABILITY DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, may be attached if mom space Is required) RE: LINDEN STREET STREETSCAPES PROJECT - REPLACEMENT INS CERTIFICATE. CITY OF FORT COLLINS AND COLORADO DEPARTMENT OF TRANSPORTATION ARE NAMED AS ADDITIONAL INSURED ON GENERAL LIABILITY AS PER WRITTEN CONTRACT, ON A PRIMARY, NON-CONTRIBUTORY BASIS. WAIVER OF SUBROGATION APPLIES WHERE APPLICABLE BY LAW. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 10794883 CITY OF FORT COLLINS ATTN: JOHN STEPHENS 215 NORTH MASON STREET, 2ND FLOOR FORT COLLINS CO 80522 reserved [he AGORD name and logo are registered marks of ACORD