Loading...
HomeMy WebLinkAboutICF INCORPORATED LLC - INSURANCE CERTIFICATE-1 ® AFRO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 062B2D,B 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 AOn Risk Services Northeast, Inc. New York NY Office CONTACT NAME: (A/C NNo, Esq: (866) 263-7122 FAX (800) 363-0105 One Liberty Plaza 165 Broadway, Suite 3201 E-MAIL ADDRESS: New York NY 10006 USA INSURER(S) AFFORDING COVERAGE NAIL • INSURED INSURER A: Great Northern Insurance Co. 20303 ICF Incorporated LLC Attn: Misha Freimann 9300 Lee Highway Fairfax, VA 22031 USA INSURER B: Federal Insurance Company 20281 INSURERC: Continental Casualty Company 20443 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570077157842 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. Limits shown are as requested INSR LTR TYPE OF INSURANCE INSD VWD POLICY NUMBER MMIDDNYYY) (MWDDr(YYYI LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 CLAIMS -MADE X❑ OCCUR Package - Domestic PREMISES Ea occurrence $1,000,000 X MED EXP (Any one person) $10 , 000 Prod/Comp Ops Ind. PERSONAL B ADV INJURY $1,000,000 GENL AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $2,000,000 X POLICY ❑ PROa ❑ LOC PRODUCTS - COMP/OP AGG $2,000,000 OTHER: A AUTOMOBILELU1BILrrY 7352-29-55 Automobile - All States 07/01/201907/01/2020 COMBINED SINGLE LIMIT iden $1,000,000 BODILY INJURY (Per person) ANY AUTO BODILY INJURY (Per acddent) OWNED SCHEDULED AUTOS ONLY AUTOS IXX HIRED AUTOS X NON -OWNED ONLY AUTOS ONLY PROPERTY DAMAGE Per accident UMBRELLA LIAR OCCUR EACH OCCURRENCE AGGREGATE EXCESS LIAB H CLAIMS -MADE DED RETENTION B WORKERS COMPENSATION AND EMPLOYERS LIABILITY YIN ANY PROPRIETOR I PARTNER I EXECUTIVE OFFICER0.IEMBER EXCLUDED? N (Mandatory m NH) N I A 20 7175-43-37 workers Compensation 677572619 2619 07/01/2020 X PER O7H- STATUTE E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 X yes. describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 C E&O-MPL-Primary 652011911 07/01/2019 0710l/2020 Each Claim $1,000,000 Errors & Ommissions - Cer overall policy aggri $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) 1 - Professional Liability is a Claims made policy. There is no Additional Insured status on the Professional Liability coverage. 2 - The City of Fort Collins, its officers and employees are included as Additional Insureds under the General and Automobile policies. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City Of Fort Collins AUTHORIZED REPRESENTATIVE P.O. Box 580 Fort Collins, CO 80522 USA �.X/0111 ✓I.A:YTG VIbf.Kli4 V l a/fact 0 S ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD