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HomeMy WebLinkAboutUS ENGINEERING CONSTRUCTION LLC - INSURANCE CERTIFICATEACOR& CERTIFICATE OF LIABILITY INSURANCE 164� 7/31/2020 DATE(MMIDDNYYY) 1 7/25/2019 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 N FAX A/C, No Ext : AC.No): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE I# INSURER A: Liberty Mutual Insurance Coman 23043 INSURED U.S. ENGINEERING CONSTRUCTION LLC 1354733 3433 ROANOKE ROAD KANSAS CITY MO 64111 INSURER B : St. Paul Fire and Marine Insurance Company 24767 INSURER C INSURER INSURER E : Cr]VFRAMFR CFRTIFICATF NI IMRFR• 1 1 RRA2Q ` RFV6tl(NU NI IMRFR• XXYYYYY 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 SUER WVD POLICY NUMBER POLICY EFF IMMIODNM POLICY EXP MM/DD/VYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR Y N TB7-691-457358-019 7/31/2019 7/31/2020 EACH OCCURRENCE 2,000,000 PREMGE TO EN UrD nce 100,000 MED EXP (Any one erson) 10,000 PERSONAL B ADV INJURY s 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PEC 7XLOC OTHER: GENERAL AGGREGATE $ 4 000 000 PRODUCTS - COMP/OP AGG s 4 000 000 $ A AUTOMOBILE LIABILITY ANY AUTO AUUTOS ONLY AUTOSULED HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Y N AS7-691-457358-039 7/31/2019 7/31/2020 COBINEDaccidentSINGLE LIMIT $ 1000000 BODILY INJURY (Per person) $��(�(�(�(�( I BODILY INJURY (Per accident $ xxxx xx PROPERTY DAMAGE Per acmdent $ XXXXXXX Comp/Coll Deds. $ 2 000 B UMBRELLA LIAB EXCESS LIAB j{ OCCUR CLAIMS -MADE N N ZUP-31M37065-19-NF 7/31/2019 7/31/2020 EACH OCCURRENCE $5000000 X AGGREGATE $ 5,000,000 DIED I I RETENTION $ $ X}{}{} xxx A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY y I N ANY ECUTIVE OFFICERIM&BER EXCLUDED? j1da MoryInNH) under DESCRIe PATIO OF OPERATIONS oebw NIA N WA2.69D-457358-029 7/31/2019 7/31/2020 X STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE 1000000 E.L. DISEASE -POLICY DMIT s 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) ALL OPERATIONS CONDUCTED BY THE INSURED. CITY OF FORT COLLINS, ITS OFFICERS, AGENTS AND EMPLOYEES ARE ADDITIONAL INSUREDS AS RESPECTS GENERAL LIABILITY AND AUTO LIABILITY WHERE REQUIRED BY WRITTEN CONTRACT. FOR CANCELLATION FOR ANY REASON OTHER THAN NONPAYMENT OF PREMIUM. THE INSURER(S) WILL SEND 30 DAYS NOTICE OF CANCELLATION TO THE CERTIFICATE HOLDER. L.CK I Ir IL:A I t KULUCK UANL:tLLA I IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 11886393 AUTHORIZED REPRESENTATIVE CITY OF FORT COLLINS PO BOX 580 FORT COLLINS CO 80522 � � 'wrt'l .y �Qi%rKLrcii ACORD 25 (2016/031 ©1988-2015 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD