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HomeMy WebLinkAbout130088 ICON ENGINEERING INC - INSURANCE CERTIFICATE (24)CERTIFICATE OF LIABILITY INSURANCE
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 Me policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the
Ina. Agency, Inc.
,od Plaza Blvd.
Illage, CO 80111
Insurance Group
Ir1suRED ICON Engineering Inc
Mr Penn Gildersleev
8100 South Akron Street #300
Englewood, CO 80112
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.
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TYPEq INSURANCE
PWCYNUMM
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mn
A
X
EOMMlRCML GlNlAAL LMMLITY
DLMME#NDE O OCCUR
143BAPD8771
EACH OCCURRENCE
a 2,000,00
01/10/2016
01190/2016
Ramern Eawairwwe
E 300,00
MEDIAP(Mv.pe ')
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PERSONPLEADVINJURY
S 2,800,00
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OEECRIP ROFOPERATIONSILOCATIONSIVEHM:LES (ACORDIOI,A lUm,lRmn MMNYIa,IMyDEMMMIMNIIMWNignWlM)
Re: P=ject - Poudze Rivez Damage Assessments 13-026-PRD-615
City of Fort Coins
Attn: Shane Boyle
700 Wood Street
Fort Collins, CO 80525
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
. X
ACORD 26 42014101) The ACORD name and logo are registered marks of ACORD
i� ICONE-1 OP ID: DD
ACORIX CERTIFICATE OF LIABILITY INSURANCE DAT.(MMNDfrvYYI
�i 01/20/2015
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), AUTHORRED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endowed. 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
Ins. Agency, Inc.
8100 South Akron Street #300
Englewood, CO 80112
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.
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TYPE OF IMW CE
POMYNUMBER
IM
MMN
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A
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0113012016
EACH OCCURRENCE
S 2,0011,0114
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$ 10.00
PERSONAL S ADV INJURY
S 2,000,00
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ALL OWNED SCHEDULED
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01/3012016
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$ 1,000,00
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BODILY INJURY(Por 1d,tl)
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S 500,000
E.LDISFABE EAEMPLOVE
S 500, 000
ELL DISEASE POLICY LMIT
S 600,00
DESCRIPiN]N OF OPPIMTONSI LOCATIONS I VEINCLES IACORD 101, AEtlxlNxl RamB,b BeINJ dk MISS Be NaN Nd If MMSPAu M,aaUImR
Res: Box Elder Creek BNNN Conwraion - 13-036-MC-415
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
CI of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
LY ACCORDANCE WITH THE POLICY PROVISIONS.
Attn: Shane Boyle
700 Wood Street AUTHOREED REPRESENTATIVE
Fort Collins, CO 80521 ,//�1 "((��
ACORD 26 (2014101) The ACORD name and logo am registered marks of ACORD
ICONE-1 OP ID: DD
ACORO' CERTIFICATE OF LIABILITY INSURANCE D01IMM12015 1
01/2012015
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 pollcy(les) 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
Ins. Agency, Inc.
Intl Plaza BNd.
Illaoe. CO 80111
INSURED ICON Engineering Inc
Mr Penn Gildelsleev
8100 South Akron Street 0300
Englewood, CO 80112
Hartford Insurance
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.
ISBN
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TYPE OF INSURANCE
AWL
MUCY NUMBER
POLICY EFF
WOWYYYY
FOUCY MAP
MMI
LMIMS
A
X
COMMERCWLOMCRALLMNLRY
aLm c1AIMSE ❑X OCCUR
34SBAPDB771
OV30/2016
EACH OCCURRENCE
3 2,000,0
01/30/2016
PW 1ES E—=.0
$ 300,
MEDEMPINrywpvenl
$ 101
PERSONAL S A➢V INJURY
3 2,000,00
GEML
AODNEOATE Lear APPLIES PER
POLICY❑jEC ELOC
O HER.
GENERALAOOREWTE
3 k000,00
PRODUCTS-COMPIOPADG
3 AA00,00
3
A
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AWMVrNED SAC�EOWLFD
HIRED AUTOS AUTO �
33UECTL6811
01130/2016
01II0I1016
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S 1,000 g 09
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s
BOpRY INJURY (PerxdMM)
3
PROPERTY DAMAGE
3
3
UMBRELLAUM
EI=a LAE
pCCUR
LIAIMSIMpE
EACH OCCURRENCE
3
AGGREGATE
S
DIED
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3
B
WOMERSCOMPBXSAn011
AND EMPLOYER y=IftJRY
AWPROPRIETORRARTNERRY.ECUTNE Y❑
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IMADImAyIn NNL
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NIA
77567
02J01/2018
02/01/2018
X STRTUI£ ER
E,L ETCH ACCIDENT
3 500,000
E.L. DISEASE -EA EMPLOYEE
M11011
RL. DEMANDS POLICY LMn
3 600.00
DESCRIPTION OF OPERATONS I LOCATIONS I VEHICLES (ACORD 101, AEEIUonal RamM Small aA my M MPOMe Nmnm SPIN. IP,pWtl)
Project: Canal Importation B 6 R Peer Review 14-023-CIB-015
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
CI O( FOR CollinsTHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City ACCORDANCE WITH THE POLICY PROVISIONS.
Attn: Shane Boyle
700 Wood Street AUTHORRED REPRESENTATNE
Fort Collins, CO 80525 "
,1w.arc OI..�r.�4+-v
ACORD 25 (2014(01) The ACORD name and logo are registered marks of ACORD