Loading...
HomeMy WebLinkAbout521044 PIE CONSULTING & ENGINEERING INC - INSURANCE CERTIFICATE (2)PIECO-2 OP ID: SS CERTIFICATE OF LIABILITY INSURANCE D01/0712015AM Y) o1/o7/zols 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 endorsements . PRODUCER Phone: 720-962-0930 NA EACT Shaleen Martin Six 8 Geving Insurance Inc #4 Fax: 720-962-0942 Denver Branch 225 Union Blvd. #575 Lakewood, CO 80226 PRONE 303-653-0023 FAX: Na : 720-962-0942 ac No EXI. ADDRESS, smartin@six-goving.com Nancy McGrath INSURERS AFFORDING COVERAGE NAIC p INSURERA: CNA Insurance Companies INSURED Pie Consulting & Engineering, Inc. 6275 Joyce Drive, Ste. 200 INSURER B: INSURER C : Arvada, CO 80403-7541 INSURER D : INSURER E: INSURERF: 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. EXP IN$R TYPE OF INSURANCE ADDLI WAD POLICY NUMBER MOL DY EFF MMIDDIYYYY LIMITS LTRINSR GENERAL LIABILITY EACH OCCURRENCE $ 2,000,00 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X 5088112187 01101/2015 0110112016 NTEO PREMISES Ea occurrence $ 300,00 MED EXP(Any one person) $ 10,00 PERSONAL S ADV INJURY $ 2,000,00 GENERAL AGGREGATE $ 4,000,00 G�E 1 AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 4,000,00 POLICY X PRO,LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea acddent $ 1,000,00 BODILY INJURY (Per perwn) $ A X ANY AUTO X 5088112237 01/01/2015 01/01/2016 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per acddent) $ PROPERTY DAMAGE PeraWdenl $ NON -OWNED HIRED AUTOS AUTOS E )( UMBRELLAUAB OCCUR EACH OCCURRENCE $ 2,000,00 N AGGREGATE $ 2,000,00 A EXCESS LIAB CLAIMS -MADE S088112271 01/01/2015 01/0112016 DEC) X I RETENTION 0 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNEMXECUTNE YIN OFFICERIMEMBER EXCLUDED? N (Mandatory In NH) N I A 5088112318 (ALL BUT MONO STATES) 01/0112015 01101/2016 X WCSTATU- OTH- TORY LIMIT ER E.L. EACH ACCIDENT $ 1,000,00 E. L. DISEASEEAEMPLOYEE $ 1,000,00 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,00 A Employee Benefits 5088112187 01/01/2015 01101/2016 EachlAgg 2M14 A Pollution Llab 5088112187 01/0112015 0110112016 EachlAgg 2M14 DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if mom space I.mcoilnd) RE: Ongoing Service Agreement (NSA). The City of Fort Collins (Certificate Holder) is named as additional insured as respects General and Automobile Liability if required by written contract. CERTIFICATE HOLDER CANCELLATION CTYFT-2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of fort Collins tY THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Fax 970 2216707 P.O. BOX 580 Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE Ga�(,(�Vv"�Rucitl ACORD 25 (2010105) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD