HomeMy WebLinkAboutWRIGHT WATER ENGINEERS INC - INSURANCE CERTIFICATEClient#: 1083345 WRIGHWAT
ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE( Y
9/11 /2012019
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 any rights to the certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT
NAME:
USI Insurance Services, LLC aCo No Ed:800 873-8500 FAX
(A/C, No):
P.O. BOX 7050 EMAIL
ADDRESS:
Englewood, CO 80155 INSURER(S) AFFORDING COVERAGE NAIC$
800 873-8500 INSURER A: Hartford Casualty Inaumnw company 29424
INSURED
Wright Water Engineers, Inc.
Waste Engineering, Inc.
2490 W. 26th Ave., Suite 100a
Denver, CO 80211
Pinmaal Assurance Company
INSURER C : XL Specialty Insurance Company 37885 j
I INSURER n . Hartford Unaar, milora Inauranoe Co I W I U9 I
COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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
ADDLSUSR
INSR
WVD
POLICY NUMBER
POLICY EFF
MWDD
POLICY EXP
MM/DD
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
Y
Y
34SBAPN5697
2/31 /2018
12/31/2019
EACH OCCURRENCE
$1 000 000
CLAIMS -MADE FXIOCCUR
PREMISE$ EaEo rmnce
s300OOO
MED EXP (Any one person)
$1 O 000
PERSONAL & ADV INJURY
$1 OOO 000
GEN'L AGGRE(GAATTE LIMIT APPLIES PER:
GENERAL AGGREGATE
$2 000,000
POLICY EC7 LOC
PRODUCTS - cOMP/OP AGO
s2,000,000
$
OTHER:
D
AUTOMOBILE
LIABILITY
Y
Y
34UECKW6977
2/31/2018
12/31/2019
COMBINED SINGLE LIMIT
Ea accident
1 OOO OOO
, e
X
BODILY INJURY (Per person)
$
ANY AUTO
X,
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY X AUTOS ONLY
BODILY INJURY (Per aceitlem)
$
PROPERTY DAMAGE
Per am! ont
$
$
A X UMBRELLA LIAR
X
OCCUR
Y
Y
34SBAPN5697
112/311/20118�12/311/20119
EACH OCCURRENCE
s3,000,000
AGGREGATE
s3,000,000
EXCESS LIAR
CLAIMS -MADE
DELI I X RETENTION $1 OOOO
$
B
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE YIN
OFFICERIMEMBER EXCLUDED?
(Mandatory In NH)
N/A
Y
Y
392762
2158422
_
6/01/2019 06/01/2020
9/01/2019 09/01 /202
X PER OTH-
STA LITE ER
E.L. EACH ACCIDENT
$1 000 000
E.L.DISEASE - EA EMPLOYEE
$1 000 000
DESCRIPTION OF OrPERATIONS below
E.L. DISEASE - POLICY LIMIT
$1 000 000
C Professional
Y
_
DPR9935864
2/31/2018
1213112019
$2,000,000 per claim
Liability
$4,000,000 annl aggr.
Claims Made
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached H mom space Is required)
As required by written contract or written agreement, the following provisions apply subject to the policy
tems, conditions, limitations and exclusions: The Certificate Holder and owner are included as Automatic
Additional Insured's for ongoing and completed operations under General Liability; Designated Insured under
Automobile Liability; and Additional Insured under Umbrella / Excess Liability but only with respect to
liability arising out of the Named Insured's work performed on behalf of the certificate holder and owner.
(See Attached Descriptions)
The City of Fort Collins
700 Wood Street
Fort Collins, CO 80521
syG1C Lai a al all.\ API CI
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03) 1 Of 2
#S26551385/M26550044
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