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HomeMy WebLinkAboutWILLIAMS & WEISS CONSULTING LLC - INSURANCE CERTIFICATE (2)CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) O8/23/2019 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 be endorsed. If SUBROGATIONIS 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 CONTACT USAA INSURANCE AGENCY INC/PHS 65812846 NAME - PHONE (888)242-1430 (AC, No, EKI): FAX (888)443-6112 (AIC. No)' The Hartford Business Service Center E-MAIL 3600 Wiseman Blvd San Antonio, TX 78265 ADDRESS: INSURER(S) AFFORDING COVERAGE NAC# INSURED INSURER A: Twin City Fire Insurance Company 29459 WILLIAMS & WEISS CONSULTING, LLC INSURERS: 5255 RONALD REAGAN BLVD STE 220 JOHNSTOWN CO 80534-6503 INSURER L INSURER D INSURER E : INSURER F : CnVFRATAFS CFRTIFICATF NUMRFR• 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. INSR LTR TYPE OF INSURANCE ADDL INSR SUER WVD POLICY NUMBER POLICY EFF MM1DD MMiDDIY YYY POLICY EXPPDAMAGETORENTED LIMITS COMMERCIAL GENERAL LIABILITY RENCE $1,000,000 CLAIMS�tADE❑X OCCUR ENTED occunnceX $1.000,000 one person) $10,000 General Liability A 65 SBM NY0974 09/21/2019 09/21/2020 ADV INJURY $1,000,000 GEML AGGREGATE LIMIT APPLES PER: REGATE $2.000,000 POLICY ❑ PRO- LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea awidentl ANY AUTO BODILY INJURY (Per parson) ALL OWNED SCHEDUIFD AUTOS AUTOS BODILY INJURY (Per accident) PROPERTY DAMAGE HIRED NON -OWNED AUTOS AUTOS (Per accident) UMBRELLA LJAB OCCUR EACH OCCURRENCE AGGREGATE EXCESS LIAB CLAIMS - MADE E RETENTION $ WORICERS COMPENSATON PER OTH- AND EMPLOYERS' LIABILITY STATUTE E.L. EACH ACCIDENT ANY YIN PROPRIETORrPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? NIA E.L. DISEASE -EA EMPLOYEE (Mandatory in NH) If yes, describe under E.L. DISEASE -POLICY LIMIT DESCRIPTION OF OPERATIONS below A EMPLOYMENT PRACTICES LIABILITY I I 65 SBM NY0974 I I 09/21/2019 09/21/2020 I I Each Claim Limit Aggregate Limit $10,000 $10,000 DESCRF"M OFOPMAT/ONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schadub, may bo attached If morn space is required) Those usual to the Insured's Operations. RE: Project - The Halligan -Seaman EIS Alternatives Modeling. Certificate Holder is an Additional Insured per the Business Liability Coverage Form SS0008 attached to this policy. Notice of cancellation will be provided in accordance with Form SS12230611 attached to this policy. CFRTII:ICAT'F t101 nFR CANCELLATION The City of Fort Collins Utilities SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED PO BOX 580 BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED FORT COLLINS CO 80522 IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE d'eeA.J c7f ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD