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HomeMy WebLinkAbout532500 TOOL DESIGN GROUP LLC - INSURANCE CERTIFICATEACORO® CERTIFICATE OF LIABILITY INSURANCE L.� DATE (MM/ 12/30/2012014 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 endorsement(s). PRODUCER Klein Agency, LLC. P.O. BOX 219 Timonium MD 21094 CONTACT NAME: ONE Fall. (410)832-7600 FAX PN,(410)832-1849 Noi EMAIL INSURERS AFFORDING COVERAGE NAIC e INSURER A: National Surety CO INSURED _ Toole Design Group, LLC 8484 Georgia Avenue, Suite 800 Silver Spring LAID 20910-5609 INSURER BAmeri can Automobile Ins. Co. INSURER C:Trumbull Insurance Co. INSURER D:Continental Casualty Company INSURER E: 1 INSURER F: COVERAGES CERTIFICATE NUMBER:15-16 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. INSR LTR TYPE OF INSURANCE ADDLbuum POLICYNUMBER POLICY EFF (MMIDONYYYI PODGY EXP IMMIDDrYYY1nLIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 PREMISES Ea occurrence $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 7 OCCUR ABC80901895 /1/2015 /1/2016 MED EXP(Any one person) $ 10,000 PERSONAL B ADV INJURY $ 2,000,000 X Contractual Liability GENERAL AGGREGATE $ 4,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 4,000,000 17 POLICY FX7 PROJFQ,T LOC $ AUTOMOBILE LIABILITY ICEOMINEDB SINGLE LIMIT 1,000,000 X BODILY INJURY (Per Person) $ B ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS 80309935 HD /1/2015 /1/2016 BODILY INJURY Per accident ( ) $ HIRED AUTOS NON -OWNED AUTOS 80309936 VA PROPERTY DAMAGE Par accident $ $ X UMBRELLA UAB X OCCUR EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 2,000,000 A EXCESS LIAB CLAIMS -MADE DED I I RETENTION$ $ ABCS0901895 /1/2015 /1/2016 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNERIE(ECUTIVE OF EXCLUDED? (Mandatory In NH) If yes, descihe under NIA 0wECCN9232 /1/2015 /1/2016 1r I WC STATU- OTH- I TORY LIMITS ER E.L. EACH ACCIDENT $ 11000,000 E.L DISEASE -EA EMPLOYE $ 1,000,000 E.L DISEASE -POLICY LIMIT $ 11000.000 DESCRIPTION OF OPERATIONS eel. D Professional Liability /1/2015 /1/2016 perclavn $2,000,000 rE592868957 AgTe9ate $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Addidonal Remarks Schedule. H more space is required) Re: 7559 Bike Plan Update and TOG Project it B001 30 days notice of cancellation is provided, 10 days for non-payment. See attached for specific additional insured wording. City of Fort Collins P.O. Box 580 Fort Collins, CO 80522 ACORD 25 (2010/05) 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 Justin Klein/LINDA ` 01988-2010 ACORD CORPORATION. All rights reservE IN51325 (201005).01 The ACORD name and logo are registered marks of ACORD