HomeMy WebLinkAbout520308 WILSON & CO INC - INSURANCE CERTIFICATE (5)ACOR0I' CERTIFICATE OF LIABILITY INSURANCE 6/1/2021
DATE(MMIDDIYYYY)
5/29/2020
THIS CERTIFICATE, IS ISSUED AS A MATTEROFINFORMATION 0NLY 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 conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER Loddon Companies
444 W. 47th Street, Suite 900
Kansas City MO 64112-1906
(81%960-9060
- - - --
:
AI Nc Ert A/C No):
--
ADDRE S. - -
INSURER(SI AFFORDING COVERAGE
AIC
INSURER A: Liberty Insurance Co oration
42404
INSURED WILSON 8 COMPANY,.INC., ENGINEERS 8 ARCHITECTS
011 1675 BROADWAY, SUITE 200
DENVER CO 80202
- _ -
.INSURER B.: The First Liberty Insurance Corporation
33588
INsuRER c
INSURER D:
INSURER
INSURER •
- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCELISTED BELOW HAVE 'aEEN 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,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
ILTRNSR
TYPE OF INSURANCE
�p
Wyp
POLICY NUMBER
POLICY EFF
POLICY EXP.
6/1/2021
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE? OCCUR
Y
N
TB7-Z91-467382-020
6/I/2020
EACH
occURRENcE
1 OOO 000
DREMISET
EaENoccurren
1.000,000
MED EXP.(Any one Icon
10,000
PERSONAL B ADV INJURY
$_1000 000.
GEN'L AGGREGATE LIMIT APPLIES PER:
POUCYFX JEa LOC
OTHER:
I
GENERAL AGGREGATE
$ 2 OOO 000. _
PRODUCTS -.COMP/OP AGG
$ 21000,000
$
A
AUTOMOBILE
LIABILITY
ANY AUTO _
OWNED
ONLY SCHEDULED
AUTOS ONLY X AUTOS ONLYY
Y
N
AS7-Z91467382-010
6/l/2020
6/1/2021
EaexMEISINGLELIMIT
$ 1000000.
BODILY INJURY (Per person)
$�
Ix
BODILY INJURY (Per accident
$ XX}
PPROPERdT MDAMAGE
$ XXXX
xxx
___
$ XXXXXXX
UMBRELLA Ulm
EXCESS UAB
_
_ __
OCCUR
CLAIMSMAD
NOT APPLICABLE
EACH OCCURRENCE
$_XXXXXXX
AGGREGATE
$ XXXXXXX
DED
RETENTION $
$
B
WORKERS COMPENSATION
ANDEMPLOYERS'LIABILITY YIN
ANY PROPRIETOR/PARTNER/E%ECUTNE ❑
OFFIdOFFICER/MEMBER EXCLUOED9 N
rtory in NMIH)
DESaCRIPTION OF OPERATIONS t.bw
N / A
N
WC6-Z91-467382-030
6/1/2020
6/l/2021
TH-
X STAPERTOER UTE
E.L. EACH ACGDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYEE
$ 1000000
E.L. DISEASE -POLICY LIMIT I
S 1 OOOOOO-
DESCRIPTION OF OPERATIONS /.LOCATIONS / VEHICLES (ACORD 101, Additional_
RE: 8191 COLLEGE & PROSPECT INTERSECTION. THE CITY
ADDITIONAL INSURED AS RESPECTS GENERAL AND AUTO
Remarks Schedule, may be attached if more spice is required) - -
OF FT. COLLINS, ITS OFFICERS, AGENTS AND EMPLOYE_ ES ARE
LIABILITY, AS REQUIRED BY WRITTEN CONTRACT.
�=m I iriGm IC r1VLUCK I GANGrLLA PION See Attacttment
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
.. _
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
13840338
CITY OF FORT COLLINS
PO BOX 580
FORT COLLINS CO 80522
(2016103) 01 8-2015 ACORD C
The ACORD name and logo are registered marks of ACORD
Attachment Code: D564542 Master ID: 4011,
ID;13840338
WILSON & COMPANY, INC., ENGIN
13840338
CITY OF FORT COLLINS
PO BOX 580
FORT COLLINS, CO 80522
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To ensure electronic delivery for future
contact us via the email below and refe
Certificate ID number in order for us to
Email: kctsu@lockton.com
Subject Line: Email Address
Lockton Companies
4 W. 47th Street, Suite 900
Kansas City, MO 64112
& ARCHITECTS; 4011
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