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HomeMy WebLinkAbout214608 ATKINS NORTH AMERICA INC - INSURANCE CERTIFICATE (4)" CERTIFICATE OF LIABILITY INSURANCE page 1 of 2 03/30/2015 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), 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). Willis of New York, Inc. PHONE FAX c/o 26 Century Blvd. 877-945-7378 888-467-2378 P. 0. Box 305191 -MAIL c rtificatea@willia.com Nashville, TN 37230-5191 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: Greenwich Insurance Company 22322-001 Atkins North America, Inc. INSURERB:American Guarantee & Liability Insurance 26247-001 2001 NW 107th Avenue INSURERC:Underwriter's at Lloyds 15792-001 Miami, FL 33172-2507 INSURER D: INSURER E: COVERAGES CERTIFICATE NUMBER:23000078 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 TYPE OFINSURANCE DL SUB POLICY NUMBER POLICY EFF POLICY EXPILTR LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR y CGG740901604 /1/2015 4/1/2016 EACH OCCURRENCE $ 1,000,000 ppA/�MMpp��EM7ONO rence PFlEMf5E5 ita $ 300,000 MEDEXP(Any one person) $ 10,000 Contractual Liability PERSONAL 3ADV INJURY $ 11000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 2,000,000 POLICY ] JET � LOC PRODUCTS -COMP/OPAGG $ 2,000,000 $ OTHER: A AUTOMOBILE LIABILITY CAR740901704 /1/2015 4/l/2016 C ipax�deM) INGLELIMB $ 2,000,000 BODILY INJURY(Per person) $ X ANYAUTO X ALL OWNED SCHEDULED AUTOS AUTOS X HIREDAUTOS % NON-OWNED BODILY INJURY(Per accident)$ ERTnt)AMAGE Per PROPERTY _ $ B X UMBRELLALIAB X OCCUR AUC924234903 4/1/2015 4/1/2016 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 11000,000 EXCESS LIAR CLAIMS -MADE DIED I RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE® OFFICER/MEMBER EXCLUDED? Mandatory. in NH) � f yes, descnbe under DESCRIPTION OF OPERATIONS below N/A CKG740901504 /l/2015 4/1/2016 8ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE -FA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMB Is 1r 000,000 C Professional B080111209P15 1 2015 4 1 2016 $1,000,000 Each Claim s Liability -Claims Made $1,000,000 Annual Aggregate 11/11/1961 Retrodate DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additonal Remarks Schedule, may be attached if more space is required) Greenwich Insurance Companies Best Rating A XV American Guarantee and Liability Insurance Company Best Rating A+ XV XL Specialty Insurance Company Best Rating A XV Underwriters at Lloyd's London AM Best Rating: A XV. Professional Liability policy written on claims -made basis. There are no Deductibles or Self -Insured Retentions on the General Liability, Automobile I;tH I Ih1I;A I It MULUtK UAINI;tLLA I IUN City of Fort Collins Attn: James O'Neill 215 N. Mason Street, 2nd Floor Fort Collins, CO 80522 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 / T n A Coll:4656054 Tpl:1936730 Cert:23000078©1988-2014ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 33004588 LOC#: AR"® ADDITIONAL REMARKS SCHEDULE Page-2-of 2 AGENCY NAMED INSURED Atkins North America, Inc. Willis of New York, Inc. 2001 NW 107th Avenue POLICY NUMBER Miami, FL 33172-2507 See First Page CARRIER NAIC CODE See First Page EFFECTIVEDATE: See First Page w nn,r��uw, nvuwnvc. THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Liability, Workers Compensation and Umbrella coverages. Re: 7307 Transportation Planning & Engineering Consultant On -Call - Purchase Order: 9117628 for Work Order 901003-01-11 City of Fort Collins is included as an Additional Insured as respects to General Liability. ACORD 101 (2008/01) Coll:4656054 Tpl:1936730 Cert:23000078©2008ACORD CORPORATION. All rightsreserved. The ACORD name and logo are registered marks of ACORD