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Home My WebLink About113618 AQUA ENGINEERING INC - INSURANCE CERTIFICATE (3)Client#: 1083780 AQUAENG ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 4/18/2019 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 acONN EX800 873-8500 ac No: P.O. BOX 7050 E-MAIL ADDRESS:_ _ Englewood, CO 80155 INSURER(S) AFFORDING COVERAGE NAIC # 800 873-8500 _ _ INSURER A: Travelers Indemnity Company i 25658 INSURED INSURER B : Travelers Property Cas. Co. of America 25674 Aqua Engineering, Inc. 375 East Horsetooth Road, Bldg. 2-202 Fort Collins, CO 80525-3196 COVERAGES CERTIFICATE NUMBER INSURER C : Hartford Ins Co of the Midwest 37478 INSURER D : XL Specialty Insurance Company 37885 INSURER E : Hartford Underwriters Insurance Co 30104 INSURER F : RFVISI0FJ NI IAARFR- 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. I LTR R TYPE OF INSURANCE X, COMMERCIAL GENERAL LIABILITY CLAIMS-MADEI—I OCCUR ADDL INSR SUBR WVD ___POLICY NUMBER 680911808528 POLICY EFF (MM/DD/YYY POLICY EXP MM/DD/YYY LIMITS A Y Y 5/05/2019 05/05/202 EACH��OEECCURRENCE $1 OOOOOO PREMISESa occur ante $1 OOO OOO MED EXP (Any one person) $1 O 000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY I JECOT I LOC GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG $2,000,000 $ OTHER: _ E AUTOMOBILE LIABILITY Y Y 34UEGIS1066 5/05/2019 05/05/202 COMBINED SINGLE LIMIT Ea accident 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS S ONLY X NON -OWNED X AUTO 4AUTOS ONLY BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ B X UMBRELLA LIAB I OCCUR Y Y CUP6305Y439 5/05/2019 05/05/202 EACH OCCURRENCE s3,000,000 EXCESS LIAB X CLAIMS -MADE AGGREGATE s3,000,000 DED I X! RETENTION$10000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? N NIA Y 34WEGKC2904 5/05/2019 05/05/202 X PER OTH- T E.L. EACH ACCIDENT $1 00O 000 E.L. DISEASE - EA EMPLOYEE $1 000 000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below _ E.L. DISEASE - POLICY LIMIT $1,000,000 D Professional Y DPS9941283 5/05/2019 05/05/2021 $2,000,000 per claim Liability $2,000,000 annl aggr. Claims Made 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 Ft. Collins Purchasing DivisionPO Box 580 Fort Collins, CO 80522-0580 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 2 #S25491910/M25486714 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AXYZP