HomeMy WebLinkAboutGROUP 14 ENGINEERING - INSURANCE CERTIFICATE (2)rDATE
ACOR" CERTIFICATE OF LIABILITY INSURANCE 5/4/201 M/DD/YYYY)
/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 endorsements .
PRODUCER CONTACT
NAME: �U118 LUIC 8r1enk0 _
The Wright Group Services PHONE 303-226-0178 Pax 303-861-7502
1873 S Bellaire St Ste 600 -
NAIC #
INSURERA:THE HARTFORD
INSURED INSURER B : PINNACOL ASSURANCE
Group14 Engineering, Inc. INSURERC:PHILADELPHIA INSURANCE CO.
1325 E. 16th Ave.
n�oTlrin eTr= elrreeoeo. 119AR0FQ51 RG\/ICIn KI NIIIURFR-
vTHIS 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.
-1NSR I TYPE OF INSURANCE POLICY EFF POLICY EXP
LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DDlYYY LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
Y
Y
34SBAPM3227
/7/2015
5/7/2016
EACH OCCURRENCE
$2,000,000
n
CLAIMS -MADE I� OCCUR
DAMAGE TO ENTED
PREMISES EaRoccurrence
$1,000,000
MED EXP (Any one person)
$10,000
PERSONAL & ADV INJURY
$2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$4,000,000
PRODUCTS - COMP/OP AGG
$4,000,000
-
%( POLICY - PRO- JECT u I LOC
OTHER:
A
AUTOMOBILE LIABILITY
Y
Y
34SBAPM3227
/7/2015
5/7/2016
COMINE$
Ea acc dent IN L LIMIT
$2 000,000
BODILY INJURY (Per person)
$
ANY AUTO
BODILY INJURY (Per accident)
$
$
ALL OS AWNED CHEDULED
UTOS
X HIRED AUTOS X NON -OWNED
AUTOS
PerOPERTYt DAMAGE
A
UMBRELLA LIAB
Y
Y
34SBAPM3227
17/2015
5/7/2016
EACH OCCURRENCE
$3,000,000
HOCCUR
AGGREGATE
$3,000,000
EXCESS LIAB
CLAIMS MADE
DED RETENTION $
$
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANYPROPRIETOR/PARTNER/EXECUTIVE Y_1
Y
3129038
/1/2014
/1/2015
X STATUTE ERH
-
E.L. EACH ACCIDENT
$1,000,000
E.L. DISEASE - EA EMPLOYE
$1,000,000
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
N/A
E.L. DISEASE - POLICY LIMIT
$1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
C
A
Professional Liability
Crime
Y
PHSD807195
34SBAPM3227
20/2015
�/7/2015
/20/2016
[7/2016
Aggregate 2,000,000
Each Occur. 2,000,000
Crime 250,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if 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 additional insureds per written contract.
GtK I It-IGA It HULUtK I+HIV IiCLLH I IUN
City of Fort Collins
PO Box 580
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
v
U 1988-2014 AGOKD UUKI-UXA 1 IUN. An rlgnts reservea.
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
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