HomeMy WebLinkAbout211762 HINES IRRIGATION CONSULTANTS INC - INSURANCE CERTIFICATE (4)Client#: 1083576
HINESIRR
ACORD. 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 endomement(s).
PRODUCER
CONTACT
NAME:
US[ Colorado, LLC Prof Liab
PHONE 800 873-8500 303-831-5295
EXt: AIC, No:
1515 Wynkoop Street
E ANo
Suite 200
ADDRESS:
Denver, CO 80202
INSURER(S) AFFORDING COVERAGE
NAIL 0
INSURER A: Travelers Insurance Company
19038
INSURED
INSURERS: Travelers Casualty and Surety C
19038
Hines Irrigation Consultants
323 W. Drake Road
INSURER C:
Fort Collins, CO 80526
INSURER D:
INSURER E :
INSURER 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
ADDLSUB
INSR
MO
POLICY NUMBER
POLICY EFF
MM/DDIYYYY(MIND
POLICY UP
D
LIMITS
A
GENERALLIABILITY
x
x
6807544M320
12131/201412/31/201
di
$1000,000
X COMMERCIAL GENERAL LIABILITY
EEACH�OECCCURRENCE
PREMISES Eaoccunence
$1 OOO OOO
CLAIMS -MADE OCCUR
MED UP (Anyone person)
$10000
PERSONAL S ADV INJURY
$1,000,000
GENERAL AGGREGATE
$2,000,000
-
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMPIOP AGG
$2,000,000
POLICY PRO-
JE T LOC
$
A
AUrOMOBILELIABIUTY
x
x
6807544M320
12/31/2014
12/31/201
COMBINED SINGLE LIMIT
Eaacrident)
1,000,000
BODILY INJURY (Per person)
$
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
k
BODILY INJURY ( Per aca)
deni
b
HIRED AUTOS X NON-0WNED
AUTOS
PROPERTY DAMAGE
Per accident
$
UMBRELLA UAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
DED I I RETENTION$
$
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOWPARTNEWEXECUTIVE
OFFICERIMEME N
N/A
x
XVMPFUB2402T
12131/2014
12/31/2015
X WC STATU- OTH-
E.L. EACH ACCIDENT
$1000000
E.L. DISEASE - EA EMPLOYEE
$1000000
(Mandatory In NH)
If yes. desmonbe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE -POLICY LIMIT
$1,000,000
B
Professional
105386520
12/31/2014
12/31/2015
$1,000,000 per claim
Liability
$1,000,000 annl aggr.
Claims Made
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, AddIdonal Remarks Schedule, IT more space Is required)
If 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 Additional
Insureds for ongoing and completed operations under General Liability and Automobile Liability This
insurance will apply on a primary, non-contributory basis. Per project aggregate applies to General
Liability. A Blanket Waiver of Subrogation applies for General Liability, Automobile Liability and Workers'
(See Attached Descriptions)
City of Fort Collins
215 N Mason Rd
Fort Collins, CO 80521
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
0" V.40
ACORD 25 (2010105) 1 of 2
#S14126767/M14126734
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