HomeMy WebLinkAboutALLIANCE CONSULTING ENGINNERS LLC - INSURANCE CERTIFICATEClient#: 1083785
ALLIACON5
ACORD.. CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DDYYYY)
5/08/2019
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 (CONTACT
NAME:
USI Insurance Services, LLC (AICNNo, El): 800 873-8500
NC,No
P.O. Box 7050 EMAIL
Englewood, CO 80155 --ADDRESS:
800 873-8500 INSURERS) AFFORDING COVERAGE NAIC #
INSURER A • sentinel Insurance Company Ltd. 11000
INSURED
Alliance Consulting Engineers, LLC
INSURER B : XL Specialty Insurance company
37885
_ _ _
INSURER C:pmO�alveInsurance
1720 W Mulberry St, Ste C-4 80521
24260
INSURER D :
PO Box 14
INSURERE:
Bellvue, CO 80512-0014
INSURER F :
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 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.
INSR
LTR
TYPE OF INSURANCE
ADDL
INSR
SUBR
WVD
POLICY NUMBER
POLICY EFF POLICY EXP
MM/DD/YY MOLIC
LIMIT'S
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE FX OCCUR
Y
Y
34SBWII2248
1/07/2019
01/07/2020
EEAACHGOECCURRENCE
$1 000000
PREMISES Ea occurrence
$1�000,000
MED EXP (Any one person)
$1 O 000
PERSONAL & ADV INJURY
$1 000,000
AGGREGATE LIMIT AP -PLIES PER:
POLICY II EtT LOC
GENERAL AGGREGATE
$2,000,000
GEN'L
PRODUCTS - COMP/OP AGG
$ 2,000,000
OTHER:
C
AUTOMOBILE
LIABILITY
Y
Y
006095750
/12/2019
04/12/202
EO acciden SINGLE LIMIT
1,000,000
BODILY INJURY (Per person)
$
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
AUTOS ONLY X NON -OWNED
AUTOS ONLY
X
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
$
A
X
UMBRELLAUA13
X
OCCUR
Y
Y
34SBW112248
1/07/2019.01/07/202
EACH OCCURRENCE
$2000000
AGGREGATE
s2.000.000
EXCESS LIAR
CLAIMS -MADE
DED I X RETENTION $1 O 000
_
$
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N
OFFICER/MEMBER EXCLUDED? I
N/A
Y
34WBCCE0811
5/05/2019
05/05/202
X PER OTH-
IFR
E.L. EACH ACCIDENT
$1 OOO OOO
E.L. DISEASE - EA EMPLOYEE
_
$1 000 000
Mandatory in
i f yes, describe under und
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMB 1
$1,000,000
B
Professional
Liability
Claims Made
F�
DPS9937990
3/18/2019
03/18/2020
$2,000,000 per claim
$2,000,000 annl aggr.
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
As required by written contract or written agreement, the following provisions apply subject to the policy
terms, conditions, limitations and exclusions: The Certificate Holder and owner are included as Automatic
Additional Insured's for ongoing and completed operations under General Liability; Designated Insured under
Automobile Liability; and Additional Insureds under Umbrella / Excess Liability but only with respect to
liability arising out of the Named Insured work performed on behalf of the certificate holder and owner.
(See Attached Descriptions)
City of Fort Collins
P.O. 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
l
ACORD 25 (2016/03) 1 of 2
#S25644991/M25644906
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