HomeMy WebLinkAbout307110 HDR ENGINEERING INC - INSURANCE CERTIFICATE (17),a►coR®• CERTIFICATE OFI LIABILITY INSURANCE DATE(MMIDDNYYY)
e/1/2020 1 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 HOLDER.
IMPORTANT: If the certificate Bolder 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 rights to the certificate holder InI lieu of such en_ do_niement(s).
PRODUCER Lockton Com anies N E•
444 W. 47th .Suite 900 AIC No Ert , - AICHONE No):
Kansas City MO 64112-1906 —
(816) 960-9000 A�'ESS: - -
INSURED HDR
I vorss 2 1917
106
rnvcoer_ec r =07ICI •A7C UIIUMC0,' 1 COnQAIA octilainW ulrucco. YYYYYYY
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED
BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICYPERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM O)i
CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO, WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE IN!
CE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE,TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS S
OWN_ MAY HAVE BEEN REDUCED BY PAID CLAIMS..
INSR
TYPE OF INSURANCE
AD
SUB
-
ILICY NUMBER _
POLICY EFF
POLIOIm - P
LIMITS
COMMERCIAL GENERAL LIABILITY
I
EACH. OCCURRENCE
S )C)CX3 �X"'
CLAIMS -MADE ❑OCCUR
NOT APPLICABLE
DA GE O RENT D
P ISES Ea' frence
XXXXXXX
MED EXP (Any oneperson)
XXXX
PERSONAL 8'ADV INJURY
$ XXXXXXX
GEN'L"AGGREGATE LIMIT APPLIES PER:
POLICY❑J CT LOC
GENERAL AGGREGATE
$ XXXXX}CX
PRODUCTS -COMP/OP-AGG
$ X0CX3C..-.
$
OTHER:
AUTOMOBILE
LIABILITY
ANY AUTO
NOT APPL
CABLE
COMBINED SINGLE LIMIT
Ea accident
- -- - - -- _ -
$ XXXXXXX
BODILY INJURY (Per person)
$ �{yyy,){
AUTOOS ONLY SACHOESULED
BODILY INJURY (Per accident,
$ )C?C?C}C){�C}C
(Per ac PROPERTYDAMAGE
$ XXXXxxx
AUTOS ONLY AUTOS ONLY
UMBRELLA LU18
OCCUR
EACH OCCURRENCE
$ XXXXXXX
EXceSS LU18
CLAIMS -MAD
NOT APPLICABLE
AGGREGATE
$_j -
DED I I RETENTION $
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETORIPARTNERIEXECUTIVE ❑
OFFICERIMEMBER EXCLUDED?
NIA
NOT APPLICABLE
-
H
STATUTE ER
E.L. EACH ACCIDENT
W WSW
$
E.L. DISEASE -.EA EMPLOYEE
s XXXXXXX
(Mandatory In NH)
If yes describe under
DESCRIPTION OF OPERATIONS belm
E.L. DISEASE -POLICY LIMIT-
pppppppppppppp
-AX)CXXXX
A
n2C1i&ENc
PROFESSIONAL
N
N
061853691
6/1/2019
6/1/2020
rexcLnlM:St,000,000
AGGREGATE: $1,000,000
LIABILITY
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional
Remarks:Schedule, may be attached If more space is required)
8013 ENGINEERING SERVICES FOR WATER, WASTEWATER
& STORM FACIT.ITIES CAPPfAL IMPROVEMENTS
GAN6ELLAI
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
15908424 AUTHORIZED REPRESENTATIVE.
CITY OF FORT COLLINS, COLORADO
ATTN:PURCHASING DEPARTMENT
PO BOX 580
FORT COLLINS CO 80522
ACORD 25 (2016103) 01 8-2015 ACORD CORPORATION. All rights reserved
The ACORD name and logo are registered marks of ACORD