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HomeMy WebLinkAbout542023 GROUP 14 ENGINEERING INC - INSURANCE CERTIFICATE,�►co OR CERTIFICATE OF LIABILITY INSURANCE DATE(MM'DD/YYVY) 4/8/2019 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER C NTACT Daniel Jobs NAME: AssuredPartners Colorado PHONE 303-863-7788 FAXC. 303-881-7502 4582 S. Ulster St., Suite 600 -MAILo. Denver CO 80237 AD ESS: d obs assured trco.com INSURED Group14 Engineering PBC 1325 E. 16th Ave. Denver CO 80218 INSURER(S) AFFORDING COVERAGE . NAIC A INSURER A: Sentinel Insurance Co LTD 11000 GROUENG01 INSURER B:.Pinnacol,Assurance INSURER D : _ INSURER E : COVERAGES CERTIFICATE NUMBER:1o86s61190 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. INS' ICY TRR TYPE OF INSURANCE DL SUB POLICY NUMBER MMID Y MCM EFF ML D YVYY LIMITS A � MERCIALGENERALLIABILITY Y 34SBAPM3227 5/7/2019 5/7/2020 EACH OCCURRENCE $2,000,000 CLAIMS-MADE %( OCCUR 711iiA6­E55FFv7Eb'— PR MI$E MED EXP (Anx one person) — $10,000 PERSONAL 8 ADV INJURY $ 2,000,000 EN GATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICX ; PRO R JECT .: LOC -- $ 4,000,000 PRODUCTS -COMP/OP AGG OTHER: $ A AUTOMOBILE LIABILITY Y 34SBAPM3227 5/7/2019 5/7/2020 COMBINED SINGLE LIMIT $2,000,000 ---- BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ A eOPERdTY DAMAGE $ X HIRED NON-OWNE AUTOS ONLY X AUTOS ONLD Is A X UMBRELLA LIAR 34SBAPM3227 5/7/2019 5/7/2020 EACH OCCURRENCE $3,000,000 �Jx�OCCUR AGGREGATE � $3,000,000 $ EXCESSLIIABB M_ADE DIED ^ I RETENTION $ Innnn B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNEREXECUTIVE 3129038 8/112018 8/1/2019 X ; PTAT RH E.L. EACH ACCIDENT --- $1,000,000 OFFICER/MEMBEREXCLUDEO? (Mandatory In NH) N/A - -- `- E.L. DISEASE- EA EMPLOYEEI --'--'— _- $1,000.000 If yes describe under—._.._.._.____-_�_..__... DESCRIPTION OF OPERATIONS belowi E.L.. DISEASE - POLICY LIMIT i $ 1,000,000 C Professional Liability DPL10009592502 7/20/2018 7/20/2019 Professional 2,000.000 A Crime 34SBAPM3227 5/7/2019 5/7/2020 Employee Dishonesty 250,000 I DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) RE. Project: Pilot program for mentoring and verifying th QI of HVAC Installations City of Fort Collins, its officers, agents, and employees are named as additional insureds per written contract. CEHIIFICAIE HOLDER CANCELLAIION City of Fort Collins PO 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 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 2 of 2 3969