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HomeMy WebLinkAbout450906 MULLER ENGINEERING COMPANY - INSURANCE CERTIFICATE (14)Client#: 65033 MULLENGI _ _ ACORD. CERTIFICATE OF LIABILITY INSURANCE (MMRDN•Y1T 10lI8I2019 THIS CERTIFICATE IS ISSUED AS A MATTER OFINFORMATI N ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY MEND, EXTEND OR ALTER THE. COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A 66kRAdf BETWEEN THE ISSUINGINSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. H SUBROGATION IS WANED, subject to the terms and conditions of the policy, certain policies may requirean end6rserimant. A statement on this certificate does. not confer any dghts.to the certificate holder in lieu of such endorsement(s).- . _ _ PRODUCER E; Trudy Henry Greyling Ins. Brokerage/EPIC PHEAICONN E,d:770-552-4225. AAl M Net: 866-550-4082 3780 Mansell Rd.. Suite 370 EMAIL druHen re Iin ADDRESS: TY• rY@g Y g•com Alpharetta, GA 30022 INSURER(S) AFFORDING COVERAGE NAIC d INSURER A: Hartford Accident S Indemnity Company 22357 INSURED INSURER B : Hartford UnderWrlters 30104 Muller Engineering Company INSURER c 777 South Wadsworth Boulevard Suite INSURER D : 4-100 - INSURER E: Lakewood, CO 80226 INSURER F Pr\\/CCI\f:CG PCOTICIf`ATC Al11aaQCQ• 7G_7n OFVICtnu minumpQ• THIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE. LISTED I INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITIO,N.OF CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE_FOR THE POLICY PERIOD ANY QONTRACT 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. INSR TYPE OF INSURANCE DL SUB POLICY NUMBER POLI EFF MID POLICY EXP Lours A X COMMERCIAL GENERAL W181LRY CLAIMS -MADE O OCCUR 20SBWAK8721 1/O1/201911j01/_2O2 EACH OCCURRENCE E2-000000 pq pGE T PREMISES EaocMcuaence $2 000 000 MED EXP (Any.one person) $10 000 PERSONAL& ADV INJURY $2,060000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY F7x JECOT LOG OTHER: GENERAL AGGREGATE $4,000,000 PRODUCTS.COMP/OP AGG E4,000,000 $ B Auromoe1LELmEarry X ANY AUTO OWNED . SCHEDULED AUTOS ONLY gUTOS HIRED NON -OWNED X AUTOS ONLY X AUTOS ONLY 20UEGNS8431 1/61/201911/011202 EeaBINEDSINGLELIMIT 2,000,000 BODILY INJURY (Per person) S eODILV INJURY (Per accident) b PROPERTY DAMAGE Per accident y E A UMBRELLA UAS EXCESS UAB J( OCCUR CLAIMS -MADE 20SSWAK8 21 11.1blam 11101 /2020 EACH OCCURRENCE $4 000 000 AGGREGATE $4 000 000 .DEO I X RETENTIONSf0000 $ B WORi1ERS COMPENSATION AND EMPLOYERS' LIABILITY N YI N ANY PR OPRIETOR/PARTNERJEXECUTIVE OFFICER/MEMBER EXCLUDED? 7 (Mandatory In NH) N yes, describe under DESCRIPTION OF OPERATIONS IreIow N/A 20WEGABSOGO 1/01/2019 ... 11/01/202 -. ERT OTH- X STATUTE E.L. EACH ACCIDENT $1 00O 000 E.L. DISEASE - EA EMPLOYEE $1000;000 E.L DISEASE - POLICY LIMB 0,000,000 TFF DESCRIPTION OF OPERATIONS I LOCATIONS I YENICLES (ACORD.rOi, Additional R RE: P1147 SIGNAL TIMING PROGRAM. THE CITY, ITS OF named as Additional Insureds on the above referenced II compensation where required by written contract. rka Sehedrde, may be attached If more space Is required) ICERS AND EMPLOYEES IN ACCORDANCE WITH COLORADO LAW are bility policies with the exception of workers City of Fort Collins ATTN: James B. O'Neill PO Box 580 Fort Collins, CO 80522-0580 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ACORD -25 (2016103) 1 of 1 The ACORD name and #S1935915IM1792229 ©t98 registered marks of ACORD NLAR1