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143797 ANDERSON CONSULTING ENGINEERS INC - INSURANCE CERTIFICATE (4)
,4coRo® CERTIFICATE OF LIABILITY INSURANCE DALE (MMIDDIYYYY) 12/z6/zol4 THIS CERTIFICATEIS 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 SUBROGATIONIS 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). %fOpULFR USI COLORADO LLC/PHS 3V411438 P: (866) 467-8730 F: (888) 443-6112 T PO BOX 33015 SAN ANTONIO TX 78265 CONTMa NAME' ((ACNo.E,e (866) 467-8730 ( .N=c (888) 443-6112 E ADDRESS INSURER(S) AFFORDING COVERAGE NAICN INSURERA: Hartford Casualty Ins Co ,MSURfD ANDERSON CONSULTING ENGINEERS, INC. 375 E HORSETOOTH RD BLDG 5 FORT COLLINS CO 80525 INSURER B: INSURER C: 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 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. LIMBS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ASR TTPEOF A'SL/R.IA'fE ADD SffSB 11 ppLLLyNll.1LDER PoLICY F wSmn PoLIO JDLP LprJ]S COMMERCULLGENERALLUIBILITV EACH OCCURRENCE $1, 000, 000 CLAMS-MADEX OCCUR DAMAGE TO R ENTED PREMISES a =NTLD nce) $300, 000 A X General Liab X 34 SEW KC5665 12/28/2014 12/23/2015 MED EXP(Anyone Parson) slO, 000 PERSONAL& ADV INJURY 51, 000, 000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO ❑ LOC JECT GENERALAGGREGATE s2, 000, 000 PRODUCTS-COMP/OP AGG 52, OOO, OOO $ OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT COM IN (Ea EDt) $11000, 000 BODILY INJURY (Per parson) $ ANYAUTO A ALL OWNED SCHEDULED AUTOS AUTOS 34 SEW KC5665 12/28/2014 12/28/2015 BODILY INJURY (Per amiderft) $ PROPERTY DAMAGE (PeracddeM) $ X HIRED AUTOS X NONOWNED AUTOS S X UMBRELLA LUU3 X OCCUR EACH OCCURRENCE $8, 0 0 0, 00 0 A EXCESS LAB CLAIMS -MADE 34 SEW KC5665 12/28/2014 12/28/2015 AGGREGATE 8, 000, 000 DE X �1 RETENDONSIO,000 $ X'O8[Y. r .VPFNS . ANDEMMOFENSLL`U; P ANY PROPRIETOWPARTNEWEXECUTIVEV/N PER OTH- STAME I ER E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (MarMrtory in NH) ❑ WA E.L. DISEASE -EA EMPLOYEES If yes, demnbe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -PODGY LIMIT $ DESCRIPTION OF OPERATIONS /LOCATIONS/WHKFMR 101, Adddional Remarks Schaduki, may be anachad if mom space is required) Those usual to the Insured's Operations. The City of Ft Collins its officers, agents and employees is an Additional Insured per the Business Liability Coverage Form SS0008 attached to this policy. Project: RFP 7084 Future Water, Wastewater and Stormwater Facilities Capital Improvements projects. 10 days notice applies due to non pay. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED City Y of Ft Collins BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHOROFDRFPRESENTATIFVE Attn: Pat Johnson PO BOX 580 FORT COLLINS, CO 80522 IN ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD