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HomeMy WebLinkAbout112468 FELSBURG HOLT & ULLEVIG INC - INSURANCE CERTIFICATE (22)Client#: 1084418 FELSBHOI ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYV) 1 6/19/2019 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 USI Insurance Services, LLC P.O. BOX 7050 Englewood, CO 80155 CONTACT NAME: � �"N E><t 800 873-8500 ac No : EMAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # 800 873-8500 INSURER A: Phoenix Insurance Company 25623 INSURED Felsburg Holt & Ullevig, Inc. 6300 S. Syracuse Way, #600 Centennial, CO 80111 INSURER B : Travelers Property Cats. Co. of America 25674 37885 INSURER C : XL sPeciaM Insurance Company INSURER D Charter Oak Fire Insurance Company 25615 INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: 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 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. LTRR TYPE OF INSURANCE NSRADDL BRI WVD POLICY NUMBER MMIDDYYY MMIDDY EXP LIMBS A X COMMERCIAL GENERAL LIABILITY X X 6802J252902 6/21/2019 06/21/2020 EACHOCCURRENCE$1 OOOOOO CLAIMS -MADE � OCCUR $1,000,000 PREMISES Ea occurrence MED EXP (Any one person) $10,000 _ PERSONAL & ADV INJURY $1,000,000 L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000 000 PR POLICY 7 ECOT-DI LOC r,OTHER: PRODUCTS - COMP/OP AGG $2OOO OOO D AUTOMOBILE LIABILITY X X BA3008LM 6/21/2019 06/21/202 COMBINED$ EaaccideMSINGLELIMIT 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X S ONLY NON -OWNED AUTOX AUTOS ONLY BODILY INJURY (Per accident) $ $ PROPERTY DAMAGE (par.. B X UMBRELLA LIAB X OCCUR X X CUP6540Y22A 6/21/2019 06/21/2020 EACH OCCURRENCE s5,000,000 AGGREGATE EXCESS LIAR CLAIMS -MADE s5,000,000 DED I X RETENTION $10000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBEREXCLUDED? N (Mandatory in NH) N/A X UB6K434639 6/21/2019 06/21/202 X PER OTH- E.L. EACH ACCIDENT $1 000,000 $1,000,000 E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $1 00'0 000 _ If yes, describe under DESCRIPTION OF OPERATIONS below C Professional Liab X DPR9944283 6/21/2019 06/21/202 $2,000,000 per claim incl Pollution $5,000,000 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 Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: James B. O'Neill II, CPPO, FNIGP ACCORDANCE WITH THE POLICY PROVISIONS. 215 North Mason Street, 2nd Floor AUTHORIZED REPRESENTATIVE Fort Collins, CO 80524-0000 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) 1 of 2 The ACORD name and logo are registered marks of ACORD #S25924654/M25922309 SKUZP