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HomeMy WebLinkAboutUS ENGINEERING CONSTRUCTION LLC - INSURANCE CERTIFICATE (2)ACOR"' CERTIFICATE OF LIABILITY INSURANCE 11hl 7/31/2020 DATE(MWDD/YYYY) 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 INSURERS), 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 CitYy MO 64112-1906 (816)960-9000 CONTACT NAME: A/C No Est): A/C, No): E-MAIL ADDRESS: INS AFFORDING COVERAGE INSURERA: Liberty Mutual Insurance Company 23043 INSURED U.S. ENGINEERING SERVICE LLC 1354733 3433 ROANOKE ROAD KANSAS CITY MO 64111 INSURER B : St. Paul Fire and Marine Insurance Company 24767 INSURER C INSURER D INSURER : INSURER rnveo Ar_ee FCGTICV`ATC IU11M0l 1 A001 1 SO RPVICIrIN NI IMRFR• XXXXXXX 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 TYPE OF INSURANCE ADDL INSD SUER %WD POLICY NUMBER POLICY EFF MM DDNYYY POLICY EXP MM/DDNYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR Y N TB7-691-457358-019 7/31/2019 7/31/2020 EACH OCCURRENCE s 2,000,000 PREMISES ERENTED ocsu ante 300,000 MED EXP (Any one moat 10,000 PERSONAL B ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JECT � LOC OTHER: GENERAL AGGREGATE $ 4,000000 PRODUCTS - COMP/OP AGG $ 4,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO AUTOS ONLY AUTOSULED HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Y N AS7-691-457358-039 7/31/2019 7/31/2020 (EacoMae�deDtsINGLEUMIr $ 1 000000 BODILY INJURY(Per person) $ Xy XXXX BODILY INJURY (Per accident $ XXXXXXX I PROPERTY DAMAGE Per accidentt_j $ XXXXXXX Com /Coll Deds. $ 2,000 B UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE N N ZUP-31M37065-19-NF 7/31/2019 7/31/2020 EACH OCCURRENCE $ 5000000 X AGGREGATE $ 5.000 000 DED I I RETENTION $ $ XXXX)CXX A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PAATNER/EXECUTIVE OFFICERIMEMBER EXCLUDED9 FN_� (Mandatory In NH) DESCte under R IIPaTTION OF OPERATIONS Eel N / A 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 LIMIT 1 OOO GOO DESCRIPTION OF OPERATIONS I LOCATIONS I 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. GtK I It-II:A 1 t MULUtK l AINIiCLLA I IUIN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 16001159 AUTHORIZED REPRESENTATIVE CITY OF FORT COLLINS PO BOX 580 FORT COLLINS CO 80522 ACORD 25 (2016/031 ©1 8-2015 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD