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Home My WebLink About450906 MULLER ENGINEERING COMPANY - INSURANCE CERTIFICATE (9)Client#: 65033 MULLENGI ACORD.. CERTIFICATE OF LIABILITY INSURANCE DATE 7/2018 (MMIDD/YYYY) 9/2MMIDDI 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 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER Greyling Ins. Brokerage/EPIC 3780 Mansell Rd. Suite 370 NAME:CT Trudy Henry HONK Eat:770.552.4225 FAX AIC NO), 866.550.4082 ADDRESS: trudy.henry@greyling.com Alpharetta, GA 30022 INSURER(S) AFFORDING COVERAGE NAIL N INSURER A: Hartford Accident & Indemnity Company 22357 INSURED INSURER B: Hartford Underwriters 30104 Muller Engineering Company 777 South Wadsworth Boulevard Suite INSURER C 4-100 INSURER D : Lakewood, CO 80226 INSURER E : INSURER F COVERAGES CERTIFICATE NUMBER: 18-19 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 TR TYPE OF INSURANCE NSRL SUBR WVO POLICY NUMBER POEXP MMIDDYIYYYY MMIDDEFFYNM LIMITS A X COMMERCIAL GENERALLIABILITY CLAIMS -MADE � OCCUR 20SBWCT1553 1/01/2018 11/01/2019 EACHOCCURRENCE$2000000 PREMISETo a occurrence $2,000,000 MED EXP (Any one person) $10 000 PERSONAL & ADV INJURY I $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO. POLICY X JECT F7 LOC OTHER: GENERAL AGGREGATE $4,000,000 PRODUCTS - COMPIOPAGG $4,000,000 $ B AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED X AUTOS ONLY X NON -OWNED AUTOS ONLY 20UEGNS8431 1/01/2018 11/01/201 CMINE EaaBcideDISINGLELIMIT 2,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ A �( OCCUR CLAIMS -MADE 20SBWCT1553 1/01/2018 11/01/201 EACH OCCURRENCE s2 OOO 000 AGGREGATE $2 00O 000 ��AB ETENTION $10000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITYER ANY PROPRIETORIPARTNERIEXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N I A 20WEGAS80G0 1/01/2018 11/0112019 X PTA T OTH- E.L. EACH ACCIDENT $1 OOO 000 E.L. DISEASE - EA EMPLOYEE $1 000 000 E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: CITY OF FORT COLLINS is named as an Additional Insured on the above referenced liability policies with the exception of workers compensation where required by written contract. City of Fort Collins Purchasing Department 215 N. Mason 2nd Floor Fort Collins, CO 80524 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 ,�%0/ ACORD 25 (2016/03) 1 of 1 #S1226406/M1208796 @ 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD THEN2