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HomeMy WebLinkAbout450906 MULLER ENGINEERING COMPANY - INSURANCE CERTIFICATE (10)Client#: 65033 MULLENGI ACORD,. CERTIFICATE OF LIABILITY INSURANCE ATE(MM/DD/YYYY) 9/27/2018 F 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 CONTACT NAME: Trudy Henry PHONE 770.552.4225 aC No: 866.550.4082 AINo Ext C E-MAIL en re IIn ADDRESS: trud yhry@9 Y g•com Alpharetta, GA 30022 INSURER(S) AFFORDING COVERAGE NAICN 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 CONTRACTOR 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. INS TYPE OF INSURANCE ADDLSUBR INSR WVD POLICY NUMBER EFF MMIDDPOLICYIYYYY MMIDDY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE [X OCCUR 20SBWCT1553 11/01/2018 11/01/2019 EACH $2000000 ��OCCURRENCE PREMISESOERENTED occuE ence $2,000 OOO GEN'L MED EXP (Any one person) $1 O 000 PERSONAL & ADV INJURY $2,000,000 AGGREGATE LIMIT APPLIES PER: POLICY � JET LOC OTHER: GENERAL AGGREGATE $4,000,000 PRODUCTS - COMP/OPAGG s4,000,000 $ B AUTOMOBILE JX LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY 20UEGNS8431 1/01/2018 11/01/201 Ee acBc deDiSINGLE LIMIT 2,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ A X UMBRELLA LIAB EXCESS LIAR X OCCUR CLAIMS -MADE 20SBWCT1553 11/01/2018 11/01/201 EACH OCCURRENCE s2,000,000 AGGREGATE $2 000 000 DIED RETENTION $10000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A _ 20WEGABBOGO 11/01/2018 11/01/201 X PER OTH- STATUTE R E.L. EACH ACCIDENT $1 00O 000 E.L. DISEASE - EA EMPLOYEE $1 000 000 E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: P1147 SIGNAL TIMING PROGRAM. THE CITY, ITS OFFICERS AND EMPLOYEES IN ACCORDANCE WITH COLORADO LAW are named as Additional Insureds on the above referenced liability policies with the exception of workers compensation where required by written contract. City of Fort Collins ATTN: James B. O'Neill PO Box 580 Fort Collins, CO 80522-0580 GAINGtLLA I IVIN 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 ACORD 25 (2016/03) 1 of'! #S1226405/M1208796 © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD THEN2