HomeMy WebLinkAbout520308 WILSON & COMPANY INC - INSURANCE CERTIFICATEACORDm CERTIFICATE OF LIABILITY INSURANCE
6n/zols
DADDIYYYY)
5/21//21/2014
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 endorsement(s).
PRODUCER Locklon Companies
444 W. 47th Street, Suite 900
Kansas Cityy MO 64112-1906
(816)960-9000
5 3D
ONTACT AM
INC,No Est):(FAX
A C No
Ep AIL
INSURER A: Zurich American Insurance Company
16535
INSURED WILSON & COMPANY, INC.,
011 ENGINEERS & ARCHITECTS
1675 BROADWAY, SUITE 200
DENVER CO 80202
INSURER 9:
INSURER C:
INSURER
COVERAGES WILCO15 CERTIFICATE NUMBER: 12491860 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.
WT R
TYPE OF INSURANCE
ADDL
SUERINSD IWO
POLICY NUMBER
POLICY EFF
POLICY EXP
LIMITS
A
X
COMMERCIALGENERAL LIABILITY
Y
N
GLO5944326
6/l/2014
6/l/2015
EACH
OCCURRENCE
1,000,000
CLAIMS -MADE � OCCUR
PREMI
ET Ea occurran
300,000
MED EXP (Any one arson
10,000
PERSONAL & ADV INJURY
$ 1,000,000
GENT AGGREGATE LIMIT APPLIES PER:
POLICY JECTPRO- LOC
GENERAL AGGREGATE
s 2 000 000
PRODUCTS - COMPIOP AGG
$ 2 OOO OOO
$
OTHER
A
AUTOMOBILE
LIABILITY
Y
N
BAP5944327.
6/12014
6/1/2015
COMBINED SINGLELIMITfEfiiimident
$ ] 000000
X
BOD ILY I NJURY (Per person)
$ XXXXXXX
ANY AUTO
AUTOWNED AUTOS
BODILY INJURY (Per acadent
$ XXXXXXX
X
HIRED AUTOS X NON
Pe0e¢itlenDAMAGE
$ XXXXXXX
$XXXXXXX
UMBRELLA LUU3
OCCUR
EACH OCCURRENCE
s XXXXXXX
EXCESS LIAB
CLAIMS -MADE
NOT APPLICABLE
AGGREGATE
$ XXXXXXX
DED RETENTION s
$
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
N
WC 5944328
6/1/2014
6/1/2015
PER OTH-
X STATUTE
E.L EACM ACCIDENT
$ 1 OOO OOO
OFPICERMIEMBERPE%LUDEOI ELUTIVEEHI
IMandetary in NH)
under
DESCRIPTION OF OPERATIONS !slaw
DESCRIPTION OFO
NIA
E.L. DISEASE - EA EMPLOYEE Is
1000000
EL. DISEASE- POLICY LIMIT
1000000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AHach ACORD 101, Additional Remarks Schedule, may be adach id if more apace is required)
RE: VINE & SHIELDS INTERSECTION IMPROVEMENTS PROJECT. CITY OF FORT COLLINS, ITS OFFICERS, AGENTS AND EMPLOYEES
ARE ADDITIONAL INSURED WITH RESPECT TO GENERAL LIABILITY AND AUTO LIABILITY, AS REQUIRED BY WRITTEN CONTRACT.
12491860
CITY OF FORT COLLINS
PO BOX 580
FORT COLLINS CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
The ACORD name and logo are registered marks of ACORD
reserved
AGORD,M CERTIFICATE OF LIABILITY INSURANCE
6/V2015
DADD/Y1'YY)
5/21//21/2014
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 endorsement(s).
PRODUCER Lockton Companies
444 W. 47th Street, .Suite 900
Kansas Cityy MO 64112-1906
(816)960-9000
CONTACT
INC,0086
No Ezt :INCFAX
No
E-MAIL
R
IC #
INSURER A: Catlin Insurance Company, Inc
19518
INSURED WILSON & COMPANY, INC.,
1048828 ENGINEERS& ARCHITECTS
1675 BROADWAY, SUITE 200
DENVER CO 80202
INSURER B:
NSURERC:
INSURER F
COVERAGES WILCO15 CERTIFICATE NUMBER: 12491863 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
LTR
TYPE OF INSURANCE
ADDL
SUBR
POLICY NUMBER
POLICY EFF
IMMIDDIYYYY
MM/ POLICY EXP
LIMITS
COMMERCU\L GENERAL LIABILITY
EACH
OCCURRENCE
XXXXXXX
CLAIMS -MADE ❑ OCCUR
NOT APPLICABLE
DAMAGE
TO RPREMIS EaENTED a
XXXXXXX
MED EXP (My oneperson)
XXXXXXX
PERSONAL & ADV INJURY
$ XXXXXXX
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY JE� F__] LOC
GENERAL AGGREGATE
$ XXXXXXX
PRODUCTS - COMPIOP AGG
$ XXXXXXX
OTHER
$
AUTOMOBILE
LIABILITY
ANYAUTONOT
APPLICABLE
COMBINED ent,SINGLE LIMIT
LEa
$XXXXXXX
BODILY INJURY (Per person)
$ XXXXXXX
AUTOS NED AUTOS
BODILY INJURY (Per accident
$ XXXXXXX
HIRED AUTOS AUTOSNON-WNEO
PPFOP � DAMAGE
$XXXXXXX
$
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$ XXXXXXX
EXCESS LIAR
CLAIMS -MADE
NOT APPLICABLE
AGGREGATE
$ XXXXXXX
DED I I RETENTION $
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANYPROPRIETOPIPARTNER ECUTIVE ❑
OFFICERIMEMBER EXCLUDED?
(Mandatory In NH)
If M, dF.-Se under
DESCRIPTION OF OPERATIONS...
N/A
NOT APPLICABLE
I PER OTH
STATUTE it
EL EACH ACCIDENT
$ XXXXXXX
E.L. DISEASE - EA EMPLOYEE
XXXXXXX
E.L. DISEASE -POLICY LIMIT i.
XXXXXXX
A
PROFESSIONAL
LIABILITY
N
N
AED-675334-0615
6/1/2014
6/1/2015
$1,000,000 EACH CLAIM &ANNUAL
AGGREGATE FOR ALL PROJECTS.
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks schedule. may be attached if more space Is required)
RE: VINE & SHIELDS INTERSECTION IMPROVEMENTS.
12491863
CITY OF FORT COLLINS
PO BOX 580
FORT COLLINS CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
The ACORD name and logo are registered marks of ACORD
All