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HomeMy WebLinkAbout130088 ICON ENGINEERING INC - INSURANCE CERTIFICATE (25)i� ICONE-1 OP ID: DID ,acoRO CERTIFICATE OF LIABILITY INSURANCE D1/20/2 Y 05 1 /20I015 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 Cherry Creek Ins. Agency, Inc. Suite 500 NAME:y' Cherry Creek Insurance Group_ PHONE FAX (A/C, Na. E,d1:303-799-0110 (AX:, No), 303-799-0156 EMAIL ADDRESS: 5660 Greenwood Plaza Blvd. Greenwood Village, CO 80111 Cherry Creek Insurance Group INSURERS) ) AFFORDING COVERAGE NAICN 22357 _ INSURERA:The Hartford Insurance Group 41190 INSURED ICON Engineering Inc INSURER B : Plnnacol Assurance Mr Penn Gildersleev 8100 South Akron Street #300 - INSURERC: Englewood, CO 80112 1 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. iLR TYPE OF INSURANCE ADDL;SUB POLICY NUMBER MM TR V/DD YYV) (MM/DDNYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,00 CLAIMS -MADE L^ 1 OCCUR 34SBAPD8771 01/30/2015 01/30/2016 PREMISES Ea occurrence $ 300,00 MED EXP (Any one person) $ 10,0 PERSONAL B ADV INJURY $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,00 POLICY JECT LOC PRODUCTS - COMP/OP AGG $ 4,000,00 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT f Ea accident) $ 1,000,00( r A X ANY AUTO 34UECTZ5511 01/30/2015 01/30/2016 BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ NON -OWNED HIREDAUTOS AUTOS PROPERTY DAMAGE Par accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE S EXCESS LIAR CLAIMS -MADE DED I I RETENTION$ S B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) NIA 4077567 02101/2015 02/01/2016 X PER OTH- I ER E.L. EACH ACCIDENT $ 500,00 E.L. DISEASE - EA EMPLOYE $ 500,00 N yes describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMB I $ 500,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Project: McClelland's Creek Stream Restoration 14-043-MCR-352 City of Fort Collins Attn: Mark Kempton 700 Wood Street 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 © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD