HomeMy WebLinkAbout520308 WILSON & COMPANY INC - INSURANCE CERTIFICATE (5)ACORN` CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD/YYYY)
6/1/2020
5/22/2019
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
CONTACT
NAME:
Tlz5Nr'- FAX
(A/C, No, Ext : A/C, No
E-MAIL
ADDRESS:
INSURERS AFFORDING COVERAGE
NAIC #
INSURER A: Liberty Insurance Corporation
42404
INSURED WILSON & COMPANY, INC., ENGINEERS & ARCHITECTS
011 1675 BROADWAY, SUITE 200
DENVER CO 80202
INSURER B: Liberty Mutual Fire Insurance Company
23035
INSURER C
INSURER D
INSURER E :
INSURER F
COVERAGES WILCOI5 CERTIFICATE NUMBER: 1 ;R4(li;R RFVICI(1N NI11i YYYYYYY
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
MM/DD/YYYY
POLICY EXP
MM/DD/YYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
Y
N
TB7-Z91-467382-029
6/1/2019
6/1/2020
EACH OCCURRENCE
1,000,000
CLAIMS -MADE � OCCUR
PREMISES (Ea RENTED
)
$ 1,000,000
MED EXP (Any oneperson)
10,000
PERSONAL & ADV INJURY
$ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY JECT LOC Fy
GENERAL AGGREGATE
$ 2,000.000
PRODUCTS - COMP/OP AGG
$ 2,000,000
OTHER:
B
AUTOMOBILE
LIABILITY
Y
N
AS7-Z91-467382-019
6/l/2019
6/1/2020
Ea BINEDtSINGLE LIMIT
$ 1 000 000
x
BODILY INJURY (Per person)
$ XXXXXXX
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY ( Per accident
$ XXXXXXX
ONLY NON-OWNED
Y
TSONLD
X
PROPERTY
rr accident)
$ XXXXXXX
$ XXXXXXX
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$ XXXXXXX
EXCESS LIAB
CLAIMS -MADE
NOT APPLICABLE
AGGREGATE
$ XXXXXXX
DED I I RETENTION $
$
B
WORKERS COMPENSATION
AND EMPLOYERS'LIABILITY Y/N
N
WC7-Z91-467382-039
6/1/2019
6/1/2020
PER OTH-
X STATUTE I I ER
E.L. EACH ACCIDENT
$ 11000,000
ANY OFFICERIMEMBERIEXCLUDED7 ECUTIVE FN—�
N / A
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
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
RE: 8191 COLLEGE & PROSPECT INTERSECTION. THE CITY OF FT. COLLINS, ITS OFFICERS, AGENTS AND EMPLOYEES ARE
ADDITIONAL INSURED AS RESPECTS GENERAL AND AUTO LIABILITY, AS REQUIRED BY WRITTEN CONTRACT.
CERTIFICATE HOLDER CANCELLATION
13840338
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 (2016/03)
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n19AR-2015 ACORn CORPORATION All rinhtc racer A
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