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HomeMy WebLinkAbout101882 VAUGHT FRYE LARSON ARCHITECTS - INSURANCE CERTIFICATE (3)Client#: 1085325 VAUGHFRY ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE /osnola 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 Nancy Roman USI Colorado, LLC Prof Liab PHONE 800 873-8500 FAX A/C No Eat): A/C, No: 1515 Wynkoop Street E-MAIL -ADDRESS, Nancy.Roman@usi.biz Suite 200 Denver, CO 80202 INSURERS) AFFORDING COVERAGE NAIC # INSURER A: XL Specialty Insurance Company 37885 INSURED INSURER B: Hartford Fire Insurance Co 19682 Vaught Frye Larson Architects (VFLA) INSURER C : Hartford Underwriters Ins Co 30104 401 West Mountain Ave., Suite 100 INSURER 0: Hartford Insurance Co Midwest 37478 Fort Collins, CO 80521 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 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 LTR rypE OF INSURANCE ADDLSUB INSR WVD POLICY NUMBER POLICY EFF MMIDD POLICY EXP MWDD/YYYY LIMITS B GENERAL LIABILITY 34SBWVT6123 7/01/2014 07101/201E EACH OCCURRENCE $1000000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F7x OCCUR RAMAGET RENTED REMISES Ea occunence $ 300 000 MED EXP (Any one person) $10 000 PERSONAL B ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POUCY X PRa LOC $ C AUTOMOBILE LIABILITY 34UECP08278 7/01/2014 07/01/201 COMBINEDSINGLE LIMIT O aBINEDt 1,000,000 X BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS BODILY INJURY (Peraccident) ( ) $ X PROPERTY DAMAGE Per accitlant $ B X UMBRELLA LIAB X OCCUR 34SBWVT6123 7/01/2014 07/01/201 EACH OCCURRENCE $1000000 AGGREGATE $1 00O 00O EXCESS LIAB CLAIMS -MADE DED I X RETENTION$10000 $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? IN] N / A 34WEGKC6664 7/01/2014 07/01/201 X WCSTATu- OTH- TMIS E.L. EACH ACCIDENT $1 000000 E.L. DISEASE - EA EMPLOYEE $1 000 000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 A Professional DPR9714723 1710112014 0710112011 $2,000,000 per claim Liability $2,000,000 annl aggr. Claims Made DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) As required by written contract or written agreement, the following provisions apply subject to the policy terms, conditions, limitations and exclusions: The Certificate Holder and owner are included as Automatic Additional Insured's for ongoing and completed operations under General Liability; Designated Insured under Automobile Liability; and Additional Insureds under Umbrella / Excess Liability but only with respect to liability arising out of the Named Insured work performed on behalf of the certificate holder and owner. (See Attached Descriptions) City of Fort Collins Attn: Purchasing 215 North Mason Street Fort Collins, CO 80522-0000 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) 1 of 2 $C17r.A41A7/M19AA97n7 U 1983-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD MAIL DESCRIPTIONS (Continued from Page 1) The General Liability, Automobile Liability, Umbrella/Excess insurance applies on a primary and non contributory basis. A Blanket Waiver of Subrogation applies for General Liability, Automobile Liability, Umbrella/Excess Liability and Workers Compensation. The Umbrella / Excess Liability policy provides excess coverage over the General Liability, Automobile Liability and Employers Liability. Additional Insured: City of Ft. Collins SAGITTA 25.3 (2010/05) 2 of 2 #S12663367/M12662707