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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 The ACORD name and logo are registered marks of ACORD