HomeMy WebLinkAbout450906 MULLER ENGINEERING CO INC - INSURANCE CERTIFICATE (5)MULLE-1 OP ID: SL
"%C— "" CERTIFICATE OF LIABILITY INSURANCE
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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 endorsemen s .
PRODUCER
ACEC/MARSH
701 Market St, Ste.1100
St Louis, MO 63101
CONTACT
NAME:
PHONINC. No Eat:800-338-1391 ac No:888-621-3173
E4AAIL
ADDRESS:
INSURERS AFFORDING COVERAGE
NAIL C
INSURER A: Hartford Insurance Company
22367
INSURED Muller Engineering Co., Inc.
777 S.Wadsworth Blvd., Ste100
Lakewood, CO 80226-4300
INSURER B:
INSURERC:
INSURER D :
INSURER E
INSURER F
COVERAGES CtK I IFICA IF NLIMRFR' 'EVIO""u,""E"
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.
LTft
TYPE OF INSURANCE
A L
UBR
POUCYNUMBER
POLICY EFF
MMIDDIYYYY
POLICY EXP
MWDDIYYYY
LIMITS
A
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
S 2,000,00
CLAIMS-MADE ff] OCCUR
84SBWCT1553
11/01/2014
11/01/2015
rX
DAMA REN
PREMISES Ea .,encel
S 2,000,00
MILD UP (Any one Person)
S 10,00
PERSONAL a ADV INJURY
S 2,000,00
PROFESSIONAL LIAR. EXCL.
GENT
AGGREGATE LIMIT APPLIES PER.
�
GENERAL AGGREGATE
$ 4,000,00
PRODUCTS-COMP/OP AGG
S 4,000,00
POLICY jECT LOC
$
OTHER:
AUTOMOBILE
LIABILITY
I COMBINED SINGLE LIMIT
Ea accitlent
$ 2,000,0010
A
X
BODILY INJURY (Per person)
S
ANY AUTO
84UEGNS8431
11/01/2014
11/01/2015
ALL OWNED SCHEDULED
BODILY INJURY (Per accident)
$
AUTOS AUTOS
HIRED AUTOS X NON -OWNED
AUTOS
X
PROPERTY DAMAGE
Per accident
S
S
X
UMBRELLA UAB
X
OCCUR
EACH OCCURRENCE
$ 1,000,00
AGGREGATE
$ 1,000,00
A
EXCESS LIAB
CLAIMS -MADE
84SBWCT1553
11/01/2014
11/01/2015
DED I X
I RETENTIONS 10,000
S
WORKERS COMPENSATION
AND
PER OTH-
X
EMPLOYERS' LIABILITY
YIN
STATUTE ER
eL. EACH ACCIDENT
$ 1,000,00
A
ANY PROPRIETORIPARTNERIEXECUTIVE
OFFICERNEMBER EXCLUDED? ❑NIA
84WEGPM0143
11I0112014
11101I2015
EL DISEASE - EA EMPLOYEE
$ 1,000,00
(Mandatory in NH)
u yes. dIPTIOe under
E.L. DISEASE -PoLICY LIMIT
5 1,000,00
DESCRIPTION OF OPERATIONS beION
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Rem it s Schedule, may W attached if more space Is required)
RE: P1147 SIGNAL TIMING PROGRAM. THE CITY, ITS OFFICERS AND EMPLOYEES IN
ACCORDANCE WITH COLORADO LAW ARE INCLUDED AS ADDITIONAL INSURED FOR ABOVE
COVERAGES EXCEPT W/C.
CTYFTCO
CITY OF FT. COLLINS
ATTN: JAMES B. O'NEILL
PO BOX 580
FT. 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
15ry 01�
W T s4o-ZU14 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD