HomeMy WebLinkAboutWILLIAMS & WEISS CONSULTING LLC - INSURANCE CERTIFICATECERTIFICATE OF LIABILITY INSURANCE
F8727/2018
THIS CERTIFICATEIS 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 have ADDITIONAL INSURED provisions or 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 fights to the certificate holder in lieu of such endorsements .
PRODUCER
USAA INSURANCE AGENCY INC/PHS
812846 P: (888) 242-1430 F: (888) 443-6112
PO BOX 33015
SAN ANTONIO TX 78265
CONTACT
NAME
(NCNo.Ext): (888) 242-1430
(A/ .Nu): (888) 443-6112
g1)DRIESS:
INSURER(S) AFFORDING COVERAGE NAIC#
INSURER A: TWin City Fire Ills Co
INSURED
WILLIAMS&WEISS CONSULTING, LLC
5255 RONALD REAGAN BLVD STE 220
JOHNSTOWN CO 80534
INSURER B
INSURER C
INSURER
[INSURER E:
SDRERF
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.
INSR
7YPEOF^SURANCE
ADD!
SUB
1y)LATAIL:NBER
POLICYYYP
I-Y)LICTEXP
L1M11S
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$1 , 000, 000
CLAIMS -MADE � OCCUR
DAMAGE TO RENTED
PREMISES (Ea occurrence)
$l, 000, 000
X
MED EXP (Any one person)
S10 000
A
General Liab
65 SBM NY0974
09/21/2016
09/21/2019
PERSONAL BADVINJURY
s1, 000, 000
GEN'LAGGREGATE LiMITAPPLIES PER
POLICY F JE C LOG
GENERAL AGGREGATE
5 , 000, 000
PRODUCTS -COMP/OP AGG
s2 , 0 0 0, 000
OTHER-
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
(Ea accident)
BODILY INJURY (Per person)
$
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
(Per accident)
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
EXCESS LIAB
CLAIMS -MADE
DEtj
RETFN I
woX'CERS CUAMPENS`A"IMN
4a :INDEMPLOY,EWL6/CITY
PER OTH-
STATUTE ER
E.L. EACH ACCIDENT
$
ANY PROPRIETOR!PARTNER/EXECUTIVP(!N
OFFICERIMEMBEREXCLUDED?
(Mandatory in NH) ❑
WA
E.L. DISEASE- EA EMPLOYEE
$
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE -POLICY LIMIT
''
DESCRIPTION OF OPERATIONS (LOCATIONS / VEHICk11MRD 101. Additional Remarks Schedule, may be attached if more space is required)
Those usual to the Insured's Operations. RE: Project - The Halligan -Seaman EIS
Alternatives Modeling. Certificate Holder is an Additional Insured per the
Business Liability Coverage Form SS0008 attached to this policy. Notice of
cancellation will be provided in accordance with Form SS12230611 attached to
this policy-
1 rz
The City of Fort Collins Utilities
PO BOX 580
FORT COLLINS, CO 80522
UAIVI,tLLA I IUN
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
OO 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD