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HomeMy WebLinkAboutICF INCORPORATED LLC - INSURANCE CERTIFICATE (2)A �® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 0628 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 Aon Risk Services Northeast, Inc. New York NY Office CONTACT NAME: AX A/C NNo. Ext): (866) 283-7122 JAIL Na )_ (800) 363-0105 E-MAIL ADDRESS: One Liberty Plaza 165 Broadway, Suite 3201 New York NY 10006 USA INSURER(S) AFFORDING COVERAGE NAIL 0 INSURED INSURER A: Great Northern Insurance Co. 20303 ICF IncorDOrated LLC Attn: Misha Freimann 9300 Lee Highway INSURERB: Federal Insurance company 20281 INSURERC: Continental Casualty Company 20443 INSURER 0: Fairfax, VA 22031 USA INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570077157841 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 LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MI MDDNYYY LIMITS A X COMMERCIAL GENERAL LIABILITY - - EACH OCCURRENCE $1,000,000 CLAIMS -MADE ❑X OCCUR Package - Domestic PREMISES Ea oaurrence $1,000,000 X MED EXP (Any one person) $10 , 000 Prod/Comp Ops Inc]. PERSONAL& ADV INJURY $1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $2,000,000 X POLICY ❑ PRO ❑ LOC JECT PRODUCTS - COMP/OP AGG $2,000,000 OTHER'. A AUTOMOBILE LIABILITY 7352-29-55 Automobile - All States 07/01/201907/01/2020 COMBINED SINGLE LIMIT Ea accident $1,000,000 BODILY INJURY ( Per person) X ANYAUTO BODILY INJURY (Per accident) OWNED SCHEDULED AUTOS ONLY AUTOS X HIRED AUTOS X NON -OWNED ONLY AUTOS ONLY PROPERTY DAMAGE Per PERT acc,dent UMBRELLA LIAB OCCUR EACH OCCURRENCE AGGREGATE EXCESS LIAR CLAIMS -MADE DIED I RETENTION B WORKERS COMPENSATION AND EMPLOYERS'LIABILRY YIN ANY PROPRIETOR/ PARTNER I EXECUTIVE OFFICERMIEMBER EXCLUDED? N (Mandatary in NH) N I A (20) 7175-43-37 Workers Compensation 07 O1 2019 07/01/2020 PER X STATUTE DTH- E.L. EACHACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 X yes, describe under DESCRIPTION OF OPERATIONS below I I I E.L. DISEASE -POLICY LIMIT $1,000,000 c E&O-MPL-Primary 652011911 07/01/2019 07/01/2020 Each Claim $1,000.000 Errors & Ommissions - Cer overall policy aggr- $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Adddional Remarks Schedule, may be atbched if more space Is required) Re: Contract/PrOjeCt No.: PSA - 8615 Electric vehicle Readiness Roadmap 1 - Professional Liability is a Claims Made policy. There is no Additional Insured status on the Professional Liability coverage. 2 - The City, its officers, agents and employees are included as Additional Insureds under the General Liability 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 Attn: Purchasing Dept. P.o. Fort Box 580 Collins, Co 80522 USA Q�s"�� OZO 'J� L: O Z 0 M to O t 0 U ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD