HomeMy WebLinkAbout307110 HDR ENGINEERING INC - INSURANCE CERTIFICATE (10)ACORN° CERTIFICATE OF LIABILITY INSURANCE
16-_� 6/1/2020
DATE(MM/DD/YYYY)
1 5/10/2019
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 Lockton Companies
444 W. 47th Street, Suite 900
Kansas City MO 64112-1906
(816) 960-9000
CONT CT
NAME:
FAA
arc, No, Ext : a/c, No
E-MAIL
ADDRESS:
INSURERS AFFORDING COVERAGE
NAIC #
INSURER A: Lexinizton Insurance COm anv
19437
INSURED HDR ENGINEERING, INC.
1429583 1917 SOUTH 67TH STREET
OMAHA, NE 68106
INSURER B :
INSURER C
INSURER D
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: 15927370 REVISION NUMBER: XXXXXXX
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
LTR
TYPE OF INSURANCE
ADDL
INSD
SUBR
WVD
POLICY NUMBER
POLICY EFF
MMIDD/YYYY
POLICY EXP
IMM/DDrYYYYI
LIMITS
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
XXXXXXX
CLAIMS -MADE ❑ OCCUR
NOT APPLICABLE
DAMAGE TO RENTED
PREMISES Ea occurrence
XXXXXXX
MED EXP (Any oneperson)
XXXXXXX
PERSONAL & ADV INJURY
$ XXXXXXX
GEN-L AGGREGATE LIMIT APPLIES PER:
POLICY PE LOC
GENERAL AGGREGATE
$ XXXXXXX
PRODUCTS - COMP/OP AGG
$ XXXXXXX
$
OTHER:
AUTOMOBILE
LIABILITY
ANY AUTO
NOT APPLICABLE
(CEO,aBcld.ntSINGLE LIMIT
S XXXXXXX
BODILY INJURY (Per person)
$ XXXXXXX
OWNED AUTOS ONLY AUTOSULED
BODILY INJURY (Per accident
$ XXXXXXX
PerOPERTYarcident DAMAGE
$ XXXXXXX
HIRED AUTOS ONLY AUTOS NON-OWNED
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$ XXXXXXX
EXCESS LIAB
CLAIMS -MADE
NOT APPLICABLE
AGGREGATE
$ XXXXXXX
DED I I RETENTION $
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR/PARTNER/EXECUTIVE ❑
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
NIA
NOT APPLICABLE
I PER OTH-
STATUTE ER
E.L. EACH ACCIDENT
$ XXXXXXX
E.L. DISEASE - EA EMPLOYEE
XXXXXXX
DESCRIPTION OF OPERATIONS below
E.L. DISEASE -POLICY LIMIT
XXXXXXX
A
ARCH &ENG
PROFESSIONAL
N
N
061853691
6/1/2019
6/1/2020
PER CLAIM: $ 1,000,000
AGGREGATE: $1,000,000
LIABILITY
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
ON -CALL DRINKING WATER ENGINEERING SERVICES. 30 DAYS NOTICE OF CANCELLATION APPLIES, 10 DAYS NOTICE FOR
NON-PAYMENT OF PREMIUM.
CERTIFICATE HOLDER CANCELLATION
15927370
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
ACORD 25 (20161031
(c)19AR-2015 ACORD CORPORATICIN_ All rinhts rpcPrvpd
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