HomeMy WebLinkAbout307110 HDR ENGINEERING INC - INSURANCE CERTIFICATE (19)ACC>RV• CERTIFICATE OF LIABILITY INSURANCE DATE (MYY) MMOYY
:�� _ _ _ _ _ _ 6/1/2020 7/30NI9
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 holder is an ADDITIONAL INSURED,. the policy(ies) must.have ADDITIONAL INSURED provisions or be endorsed..
If SUBROGATION IS WAIVED, subject to the terms and condltions of the policy, certain policies may require an endorsement. A statement on
this certificate does not corder rights to the certrficate holder in lieu of such endorsement(s).
W. 47th
1917 SOUTF
OMAHA,NE
ATF
THIS IS TO CERTIFY THAT THE POLICIES. OF INSURANCE LISTED
BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE,FOR,THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR
CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE
AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
-BEEN
EXCLUSIONS AND CONDITIONS OF SUCH_POLICIES. LIMITS SHOWN
MAY HAVE REDUCED BYPAID CLAIMS. _
INSR
LTRLIMITS
TYPE OF INSURANCE
ADDL
SUBR
POLICY
NUMBER
POLICY EFF
POLICY EXP
COMMERCIAL GENERAL LIABILITY
I
EACH OCCURRENCE
XXXXJxx
CLAIMS -MADE ❑ OCCUR
NOT APPLICABLE
DAMAGE TO RENTED
PREMISE Ea txeurrence
XXXXXXX
MED.EXP_ An .one arson
XXXX=_
PERSONAL & ADV INJURY
$ X
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY❑JECT �LOC
GENERAL AGGREGATE
$ XXXXXXX
PRODUCTS-COMP/OPAGG
$ X7OC{XXX
$
OTHER:
_
AUTO
--
_. _
MOBRE LIABILIT'
.. -
ANY AUTO
NOT APPLICABLE
-
COMBINED SINGLE LIMIT
Ea accident) _ .. _
. i�- _ =
$ xxxX
BODILY INJURY (Per person)
$ a'}{7{j{j{j{}{
AUTOS ONLY AUTOSULLD
BODILY INJURY (Per accident
$ YYYY XX
AUTOS ONLY NON-
ONLD
PROPERTY
Oat T DAMAGE
$ XXXXXXX
UMBRELLA UAI
OCCUR
EACH OCCURRENCE
$ j X
EXCESS LIAB
CLAIMS -MAD
NOT APPLICABLE
AGGREGATE
$ XXXXXXX.
DIED RETENTION $
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETORLPARTNERlEXECUTIVE ❑
OFFICERIMEMBER EXCLUOED4
@Mandatory In NH)
If yas describe under
DESCRIPTION OF OPERATIONS below
NIA
NOT APPLICABLE
STATUTE OTH-
E.L. EACH ACCIDENT-_ _
$..
_
E.L. DISEASE - EA EMPLOYEE
v�v�rv�vW
XXX)owv� 111
E.L. DISEASE -POLICY LIMIT
I-XX}CCM
A
PROFESSIONAL
N
N
661853691
6/1/2019
6/1/2020
PER -CLAIM: $ 1,000,000
AGGREGATE: -$1,000,000
IARCH&ENG
LIABILITY
DESCRIPTION OF OPERATIONS /LOCATIONS I VEHICLES (ACORD 101, Additional
Remarl6s Schedule, may be attached If more space is required)
CAPITAL PROJECT PRIORITIZATION TOOL DEVELOPMENT
16223528
CITY OF FORT COLLINS, COLORADO
ATTN: PURCHASING DEPT.
PO BOX 580
FORT COLLINS CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION. DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
°-097 /4"
The ACORD name and logo are registered marks of ACORD