HomeMy WebLinkAboutPARSONS BRINCKERHOFF INC - INSURANCE CERTIFICATE (2)ACORD. CERTIFICATE OF LIABILITY INSURANCE
10/1/2015ols
OADD/YYYY)
9/18//18/2014
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 INSURERS), 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 endomement(s).
PRODUCER Lockton Companies
444 W. 47th Street, Suite 900
Kansas Cityy MO 64112-1906
(816)960-9000
CONTACT
oogbi
WC, No Eat : A C No
E-MAIL
ADDRESS -
INSURERS)
INSURERA: LibertvInsurance CD oration
42404
INSURED PARSONS BRINCKERHOFF,INC,
1319027 ONE PENN PLAZA
NEW YORK NY 10119
INSURERB:
INSURERC:
INSURER E:
COVERAGES PAR13R02 CERTIFICATE NUMBER: 10659688 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
TYPE OF INSURANCE
ADDL
SUBR
POLICY NUMBER
POLICY EFF
POLICY EXPIJK
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADEFRI OCCUR
CONTRACTUAL LIAR
Y
N
TB7-621-094060-024
10/1/2014
10/1/2015
EACH
OCCURRENCE
2000000
PgEMI
E$ ETO . EocTmErtence
300,000
X
MED EXP oneperson)
5,000
PERSONAL 8 ADV INJURY
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY JECT LOC
OTHER
GENERAL AGGREGATE
$5000000
PRODUCTS - COMPIOP AGG
$ S 000 000
$
A
AUTOMOBILE
LIABILITY
ANY AUTO
AUTOS NED AUTOSULED
HIRED AUTOS NON -OWNED
Y
N
AS7-621-094060-034
10/1/2014
10/1/2015
COMBINED SINGLE LIMITLE. accident)
$ 2000000
X
BODILY INJURY (Per person)
$ XXXXXXX(
X
BODILY INJURY (Per accident
$ XXXXXXX
X
Pe,acEdleDAMAGEAUS
$ XXXXXXX
$XXXXXXX
UMBRELLA LIAB
EXCESS LIAB
OCCUR
CLAIMS -MADE
NOT APPLICABLE
EACH OCCURRENCE
s XXXXXXX
AGGREGATE
s XXXXXXX
DED RETENTION $
$
A
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANYPROPRIETORIPARTNEPoE%ECUrIVE ❑
OFFILERM. in NH) E%LLUOEDi N
(ayYnOatory in NH)
OE If
SCRdIPTION OFOPERATIONS Wow
NIA
N
WA7-62D-094060-014 ((ADS)
WC7-621-094060-044 WI
( )
10/1/2014
10/1/2014
10/1/2015
10/1/2015
PER OTH
X STATUTEFR
E.L. EACH ACCIDENT
$ 11000,000
E.L.OISFASE-EA EMPLOYEE
E1. DISEASE - POLICY LIMIT
11,000,000
1000000
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, may be attached If more space is required)
(PH HA); CITY FORT COLLINS MIST - CITY OF FORT COLLINS, ITS OFFICERS, AGENTS AND EMPLOYEES ARE ADDITIONAL INSURED
AS RESPECTS TO GENERAL AND AUTO LIABILITY, AS REQUIRED BY WRITTEN CONTRACT.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
10659688 AUTHORIZED REPRESENTATIVE
CITY OF FORT COLLINS
RISK MANAGEMENT
PO BOX 580
FORT COLLINS CO 80522
ACORD 25 (20141011 nt_ R-9n1A ArnRn rnRPnRATlnM AN .i..ht. —..—A
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