HomeMy WebLinkAbout307110 HDR ENGINEERING INC - INSURANCE CERTIFICATE (15)ADO E' CERTIFICATE OF LIABILITY INSURANCE DATE(MWDD.NYYY)
_ ._ ._ 6/1/z02o 5/10/2019
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 HO DER
IMPORTANT: If the certificate holder is an. ADDITIONAL INSU D, the pollcy(ies) must have ADDITIONAL.INSURED provisions or be endorsed..
If SUBROGATION IS WAIVED, subject to the terms and-condito s of the policy, certain policies may require an endorsement A statement on
this cefficate does not confer rights to the certificate holder in ieu of such endomement(s).
PRODUCER Lockton Companies
444 W. 47th Street, SUIte 900 a No Ex A(FAX No
Kansas City MO 64112-1906 E oAIL
(816)960-9000
I IWI. LI\V11\LLI\11. V, .'IV. 1
429583 1917 SOUTH 67TH STREET
OMAHA. NE 68106
rnvicesr_ac rctxretr•Arc urr1111QeD: 1An71A4S VVVVYVV
THIS IS TO CERTIFY THAT THE POLICIES-OFINSURANCELISTED
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR
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:FORTHE-POLICY PERIOD
CONDITION 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.
INSR
L
- -
TYPE OF INSURANCE
ADDL
INSD
SUBR
-- -
_
' - "�- - -
ICY NUMBER.
POLICY EFF
POLICYEXP
LIMITS.
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
-
NOT APPLICABLE
EACH
OCCURRENCE
XXXXXXX
DAMAGE?
PREMISES
RENTED{XXX
Ea occurrence
IVIED EXP (Any one erson
X�
PERSONAL B ADV. INJURY
$ XXXx{XX
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY7JPCT F]LOC
OTHER:
GENERAL AGGREGATE_
$.X3xx.._
PRODUCTS - COMP/OP.AGG
$ YXXXXXX
$
AUTOMOBILE
LU181LITV
ANY AUTO E
AUTOSDONLY AUTOS LED
AUTOS ONLY AUTOS O LD
NOT APPLICABLE
- - - - -
COMBINED SINGLE LIMIT
Ea accl ent .
- - - - -
$ XXXXXXX
BODILY INJURY (Per Person)
8 XXXX=
BODILY INJURY (Per accident
$ X}�{' -
pe",c,d DAMAGE
$ XXXXXXX
UMBRELLA LIAB
EXCESS LIAR
OCCUR
CLAIMS -MAD
NOT APPIICABLE
EACH OCCURRENCE
$ XXX}{=
AGGREGATE
$ XXXA'Xxx
DIEDRETENTION $
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR/ PARTNER/EXECUnVE ❑
OFFICERRAEMSER EXCLUDED?
(MyaenstlatM In NH)
'DESCRIPTION OF OPERATIONS below
N / A
NOT APPLICABLE
I PER OTH-
STATUTE ER
E.L EACH ACCIDENT
$ XV
E.L. DISEASE - EA EMPLOYEE
XXXXXXX
E.L. DISEASE - POLICY LIMIT
XXXXXXX
A
IARCH 11 ENG
PROFESSIONAL
LIABILITY
N
N
061853691
-
6/1/2019
6/1/2020
PER CLAIM: $1,000.000.
AGGREGATE:$1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additloml
AB Water Line Cathodic Protection Construction Engineering
Remarks' Schedule, may be attached if more space is required) -
SHOULD ANY OF THE ABOVE' DESCRIBED POLICIES BE CANCELLED BEFORE
THE�EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
16071435
CITY OF FORT COLLINS, COLORADO
ATTN:PURCHASING DEPARTMENT
PO BOX 580
FORT COLLINS CO 80522
ACORD 25 (2016/03) 1V108-2015 ACORD CORPORATION. All rights reserved
The ACORD name and logo are registered ACORD ma s of