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HomeMy WebLinkAbout507583 BARKER RINKER SEACAT ARCHITECTURE - INSURANCE CERTIFICATE (2)Client#: 1086376 BARKERIN ACORD. CERTIFICATE OF LIABILITY INSURANCE FCATE(MMIDDNYYY) s120/2014 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 NAME: USI Colorado, LLC Prof Liab PHOC.NE 800 873.8500 FAX 1515 Wynkoop Street o Eatf: E-MAIL Suite 200 ADDRESS: Denver, CO 80202 C INSURER($) AFFORDING COVERAGE NAICN INSURER A: Hartford Casualty Ins CO 29424 INSURED INSURER B: New Hampshire Insurance Company 23841 Barker Rinker Seacat Architecture, P.C. INSURER C: Hartford Ins Co of the Midwest 37478 3457 Ringsby Court, Unit 200 Denver, CO 80216 INSURER D: NSURER 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. LTRR TYPE OF INSURANCE ADDLSUBR INSR MO POLICY NUMBER POLICY EFF MWDDIYYY)D POLICY EXP JMMIDOMYYI LIMITS A GENERAL LIABILITY X X 34SBWPA9978 08/2012014 08120/201E EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR pAMA ET RENTED PREMII ES Ea occurrence $1 0001 000 MEDEXP(Anyoneperson) $10,000 PERSONAL B AOV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGO $2,000,000 POLICY X PEP LOC $ A AUTOMOBILE LIABILITY X X 34SBWPA9978 8120/2014 08/20/2019 COMBINED SINGLE LIMIT Ea accident $1,000,000 BODILY INJURY (Per person) $ ANYAUTO ALL OS SCHEDULED AUTOS AUTNONOS BODILY INJURY (Per accident ) $ X HIRED AUTOS X AUTOS NED AUTOS PROPERTY Y DAMAGE Per accitlem $ A X UMBRELLA LIAR X OCCUR 34SBWPA9978 08/20/2014 08/2012015 EACH OCCURRENCE $2000000 AGGREGATE s2,000000 EXCESS LIAR CIAIMS-MADE OED X RETENTION$10000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETORIPARTNEWEXECUTIVE OFFICERIMEMBER EXCLUDED? NIA X 34WEGNX3138 8/2012014 0812012015 X WC STATU- OTH- TORY LIMITS FIR E.L. EACH ACCIDENT $1 000000 E.L. DISEASE - EA EMPLOYEEI $1,000,000 (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT 1 $1,000,000 B Professional 62827530 8/20/2014 08/2012015 $2,000,000 per claim Liability $2,000,000 annl aggr. Claims Made DESCRIPTION OF OPERATIONS I 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 1 Excess Liability but only with respect to liability arising out of the Named Insured's work performed on behalf of the certificate holder and owner. (See Attached Descriptions) City of Fort Collins 215 N. Mason 2nd Floor Fort Collins, CO 80524-0000 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 Nis ` vot*Y ACORD 25 (2010105) 1 of 2 #513130841/M13130795 V (BBB -Zulu ACORU CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD LXOBC 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 I Excess Liability policy provides excess coverage over the General Liability, Automobile Liability and Employers Liability. Additional Insured: City of Fort Collins, Fort Collins, Colorado SAGITTA 25.3 (2010/05) 2 of 2 #S13130841IM13130795