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HomeMy WebLinkAboutGROUP 14 ENGINEERING - INSURANCE CERTIFICATE/-0441,111 GROUP-3 OP ID: HB '4` �R" CERTIFICATE OF LIABILITY INSURANCE DA04/30/2015Y) 04/30/2015 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(sl. PRODUCER The Wright Group Services (PC) Property & Casualty Division 1873 S. Bellaire St., Ste. 600 Denver, CO 80222 Allan Crumbaker INSURED Group14 Engineering, Inc. 1325 E. 16th Ave. Denver, CO 80218 NAME:y' Julia Lukyanenko lac °. No. Ext):303-226-0178 Imo. Nel: 303-861-7502 INSURERA:THE HARTFORD 1002229 WsuRER e : PINNACOL ASSURANCE INSURER C : PHILADELPHIA INSURANCE CO. CnVFRAr.FS r:FRTIFICATF NI IRARFR• oF%licinM au uu000. 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. WSR LTR TYPE OF INSURANCE POLICY NUMBER MOLICY EFF M P LIMITS GENERAL LIABILITY EACH OCCURRENCE S 2,000,0 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 7 OCCUR X 34SEAPM3227 05/07/2015 06/07/2016 PREMISES Ea occurrence $ 1,000,00 MED EXP (Any me person) $ 10,00 PERSONAL& ADV INJURY $ 2,000,00( GENERALAGGREGATE $ 4,000,00 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 4r000,00 X POLICYPRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLELI MIT Ea accident $ 2,000,00( BODILY INJURY (Per Person) S A ANY AUTO X 34SBAPM3227 06/107/2015 05/07/2016 UTOS OWNED SCHEDULED BODILY INJURY (Per accident) $ HIRED AUTOS X NON -OWNED AUTOS X PROPERTY DAMAGE PERACCIDENT $ $ X UMBRELLA LIM X OCCUR EACH OCCURRENCE $ 3,000,00 AGGREGATE $ 3,000, A EXCESS LIAR CLAIMS -MADE USBAPM3227 05/07/2015 06/07/2016 DED RETENTIONS s B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? ❑ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 3129038 08/01/2014 08/01/2015 X VYC STATU- OTH- R E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE S 1,000,00 E.L. DISEASE -POLICY LIMIT S 1.000,0 C Prof Liability X PHSD807195 02/20/2016 02/20/2016 ClainVAgg 2,000,00 B Crime 34SBAPM3227 06107/2015 05/0712016 Crime 250,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, It more space is required) RE: Project: Pilot program for mentoring and verifying th QI of HVAC Installations City of Fort Collins, its officers, agents, and employees are named as addtional insureds per written contract. %.AIN.CLLA I IUIY CITYOF1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Kim DeVoe PO BOX 580 AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD