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Home My WebLink About112468 FELSBURG HOLT & ULLEVIG INC - INSURANCE CERTIFICATE (23)Client#: I ON418 I FELSSHOL ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MMMDWYY) 1 1 6/23/2020 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 CERTIFIC#E HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the poliay(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 ACT - - US[ Insurance Services, LLC �NONeAX P.O. Box 7050 E C�No E d : 800 873-8500 ac Na ADDRESS: Englewood, CO 80155 INSURER(S) AFFORDING COVERAGE NAIL B 800 873-8500 Felsburg Holt & Ullevig, Inc. 6300 S. Syracuse Way, #600 Centennial, CO 80111 COVFRAr,FS INSURER B : Travelers Property CBS. INSURER C : Travelers Indemnity Coi Company 5 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM BELOW HAVE BEEN ISSUED -TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSU/ ANCE. 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. RR TYPE OF INSURANCE INSRADDSUBR WVD I POLICY NUMBER MIDD/YYFF MMMNDmYY LIMIT A X COMMERCIAL GENERALUABILRY CLAIMS -MADE O OCCUR X X 6802J252902 6/21/2020 06/21/2021 EACH OCCURRENCE $1 000000 PREMISES a ocNTou D $1 OOO 000 MED EXP (Any one person) $1 O 000 PERSONAL& ASV INJURY $1,600,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 7X JECPRO- T 7 LOC GENERAL AGGREGATE $2,000 000 PRODUCTS - COMP/OP AGG $2 600 O00 $ OTHER: - E AUTOMOBILE LIABILITY X X BA3008L260 D6_ /21/2020 06/21/2021 COMBINEDd�SINGLELIMIT ntl 1,000,000 X BODILY INJURY (Per person) $ ANY AUTO OWNED SCHOS EDULED AUTOS ONLY AUT HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY BODILY INJURY (Per accident) $ %(1 PROPERTY DAMAGE Per accident $ $ B )(I UMBRELLALIAB EXCESS LIAB )( OCCUR CLAIMS -MADE X X CUP6TOY22A /21/2020 06/21/2021 EACH OCCURRENCE $5000000 AGGREGATE $S 000 000 DED I XI RETENTION$10000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITYrR ANY. PROPRIETOR/PARTNEWEXECUfIVE Y / N OFFICER/MEMBER EXCLUDED? N / A X UB6K434639 - 6/21/2020 06121/2021 PER OTH- X E.L. EACH ACCIDENT $1 OOO O00 ,E.L DISEASE - EA EMPLOYEEI $1 000 000 (Mandatory in NH) II yes, describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE -POLICY LIMB $1,000 OOO D Professiona ILiab X DPR9961979 6/21/2020 O6/21/2021 $2,000,000 per claim incl Pollution $5,000,000 annl aggr. Claims Made DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional As required by written contract or written agreement, Remarks Schedule, may be attached U more space is required) the following provisions apply subject to the policy terms, conditions, limitations and exclusions: The Certificate Additional Insured's for ongoing and completed operations Automobile Liability; and Additional Insureds under liability arising out of the Named Insured work performed Holder and owner are included as Automatic under General Liability; Designated Insured under Umbrella / Excess Liability but only With respect to on behalf of the certificate holder and owner. (See Attached Descriptions) City of Fort Collins Attn: James B. O'Neill 11, CPPO, FNIGP 215 North Mason Street, 2nd Floor Fort Collins, CO 80524-0000 ACORD25 (2016/03)_ 1 of 2 The ACORD name #S29106794/M29103882 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE'CANCELLEDBEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORED REPRESENTATIVE 0199 logo are registered marks of ACORD All rights reserved. ADI¢P DESCRIPTIPNS (Continued from Page 1) The General Liability, Automobile Liability, Umbrella contributory basis. A Blanket Waiver of Subrogation Umbrella/Excess Liability and Workers Compensatic coverage over the General Liability, Automobile Liat Please note that Additional Insured status does not Compensation. RE: Fort Collins Quiet Zone Study Additional SAGITTA 25.3 (2016/03) 2 Of 2 #S29106794/M29103882 ccess insurance applies on a primary and non )plies for General Liability, Automobile Liability, The Umbrella / Excess Liability policy provides excess V and Employers Liability. to Professional Liability or Workers' City of Fort Collins