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Home My WebLink About113618 AQUA ENGINEERING INC - INSURANCE CERTIFICATE (2)Client#: 1083780 AOUAENG ACORD,. CERTIFICATE OF LIABILITY INSURANCE F-DATE 7/14120nano14 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 NAME: USI Colorado, LLC Prof Liab PHONE 800 873.8500 AM Ern: INC No): 1515 Wynkoop Street EMAILo Suite 200 ADDRESS: Denver, CO 80202 INSURER(S) AFFORDING COVERAGE NAICM INSURER A: XL Specialty Insurance Company 37885 INSURED INSURER B: Hartford Ins Co of Midwest 37478 Aqua Engineering, Inc. INSURER C: Hartford Underwriters Ins. Co. 30104 East Road, Bldg. 2-202 INSURER 0: Travelers Indemnity Ins. Co. For Collins,CO 80 Fort ns, CO 80525-3196 INSURER E NSURER 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 CONTRACTOR 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 TYPE OF INSURANCE ADDLSUBR I SR WVD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDD/YYYY LIMITS D GENERAL LIABILITY X X 6801538LO91COF14 5/05/201405/0512015 EACH $1,000000 ��OCCURRENCE PREMISESOEaEocauvence $1 OOO O00 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 51OCCUR MED E%P (Any ane person) $10,000 PERSONALSAOV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN-LAGGREGATE LIMITAPPLIES PER PRODUCTS-COMPIOP AGG $2,000,000 POLICY X PRO- EGT 71 LOC $ C AUTOMOBILELIABILITY X X 34UEGIS1066 5/05/2014 05/05/201 COMBINED SINGLE LIMIT Ea awdem 1,000,000 X BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accitlenl 1 $ X HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE Peracadenl $ D X UMBRELLA UAB X OCCUR X X XSFCUP6305Y4391447 5/05/2014 05/05/201 EACH OCCURRENCE s3,000,000 AGGREGATE $3 000 000 EXCESS LIAB CLAIMS -MADE DELI I X RETENTION$10000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? 7 N I A X 34WEGKC2904 0510512014 05/05/2015 X WCSTATu- OTH- E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 iMandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E. L. DISEASE -POLICY LIMIT $1,000,000 A Professional DPS9707382 5/05/2013 05/05/201 $1,000,000 per claim Liability $2,000,000 annl aggr. Claims Made DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more apace 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 Insured under Umbrella I Excess Liability but only with (See Attached Descriptions) City of Ft. Collins Purchasing DivisionPO Box 580 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 ACORD 25 (2010/05) 1 of 2 #S12916250/M12513335 W 1905.2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD LXOBC DESCRIPTIONS (Continued from Page 1) respect to liability arising out of the Named Insured's work performed on behalf of the certificate holder and owner. 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. CAfITTA 25 3 12010/051 2 #S12916250/M12513335