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