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HomeMy WebLinkAbout450906 MULLER ENGINEERING COMPANY - INSURANCE CERTIFICATE (13)Client#; 65033 MULLENGI ATE (MMIDD/YYYY) — ACORD. CERTIFICATE OFl LIABILITY INSURANCE DATE 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 CERTIFICATEOF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE A, OLDER. 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 terns 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 NAME; . Trudy Henry Greyling Ins. Brokerage/EPIC PHON ; Ell: 770-552- 4225 IFAX AlC uc Nei: 866550-4082 3780 Mansell Rd. Suite 370 Ea"^IL Trud ` Hen r .. .. .. ADORESS: y g• ..m ry@g eylin' co_ Alpharetta, GA 30022 INSURERS) AFFORDING COVERAGE NAIC0 INSURER A: Hartford Accident 8 Indemnity Company 22357 INSURED Muller Engineering Company INSURER B: Hartford Underwriters 30104 777 South Wadsworth Boulevard Suite INSURERC: 4-1 OO INSURER D : Lakewood, CO $0226 INSURER E: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED ... INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AND CONDITIONS OF SUCH POLICIES. LIMITS .SHOWN BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD .. OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSEXCLUSIONS LTRR TYPE OF INSURANCE M R WVD SUe pOLCY NUMBER SaugY E F P pY P LIMITS A _X COMMERCIAL GENERAL UN81LnY CLAIMS.AWDE X OCCUR 20SBWAK8721 __ ... t/O1112019 _. 11/01/202 EACH OCCURRENCE. s2.000.000 ppa�pGE EMISES T Ea PRRE aNcau nnce $2 000 000 MED EXP (Any one Person) $10 000 - PERSONAL & ADV INJURY I $2000,000 GEN'L AGGREGATE LIMB APPLIES PER: POUCY O ECT LOC OTHER: GENERAL AGGREGATE $4 OOO OOO PRODUCTS -COMPIOP AGG $4,000,000 $ B AUTOMOBILE X X LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY I AUTOS AUTOS ONLY X NON -OWNED AUTOS ONLY 20UEGNS8431 11011201911/011202 COMBINED SINGLE LIMIT EaaPo;dent 2,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) - $ PROPERTY DAMAGE Peraccident $ A X1 UMBRELLA LU B EXCESS LIAR X OCCUR CLAIMSWADE 20SBWAK8721 1/01@O19 11/0-112020 EACH OCCURRENCE $4 000 000 AGGREGATE S4000000 DIED I X1 RETENTION$10600 $ B WORKERS COMPENSATION OAND ��FY PROOF 8 REXCLINERVE ECUTNEYIN If yes, describe under DESCRIPTION OF OPERATIONS below NIA 20wEGAB80G0 1/01/2019 11/01/202_ X. PE TUTS ER E.L. EACH ACCIDENT $1 000 000 E.L. DISEASE - EA EMPLOYEE $1.000000 E.L. DISEASE -POLICY Umr 0,000,000 -I T1__ T DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks RE: CITY OF FORT COLLINS is named as an Additional Insured the exception of workers compensation where required by Schedule, may be attached N more space Is required) on the above referenced liability policies with written contract. City of Fort Collins Purchasing Department 215 N. Mason 2nd Floor Fort Collins, CO 80524 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 ©198 ACORD25 (2016103) 1 of 1 The ACORD name and logo are registered marks of ACORD #S1835916/M1792229 NLAR1