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Home My WebLink About450906 MULLER ENGINEERING COMPANY INC - INSURANCE CERTIFICATE (4)Client#:1083874 MULLEENG ACGRD,k CERTIFICATE OF LIABILITY INSURANCE DATE(MMtDD/YYYY) ' 3/13/2020 THIS -CERTIFICATE ISISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS - CERTIFICATE DOESNOT 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), AUTHORI2ED 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 any rights to the -certificate holder in lieu of such endorsement(s). PRODUCER - ---- - CONTACT NAME: USI Insurance Services, LLC PNONE FAX E>n : SOO 873-8500 A/C No): P.O. Box 7050 E-MAILo Englewood, CO 80155 ADDRESS: 800 873-8500 INSURER(S) AFFORDING COVERAGE NAICA INSURER A :.?rowlen IndemNry CO of Amarlee 1 25666 INSURED Muller Engineering Company, Inc. INSURER B:Tm»IerePreperryCOS. Co.olAmeriea 25674 INSURER C: XL SPeclelty tnaurenca COmPany 37885 777 S. Wadsworth Blvd, Suite 4-100 INSURER D:Phoenix buumncecompany 25623 Lakewood, CO 80226-3118 INSURER E:. INSURER.F: COVERAGES CERTIFICATE NIIMRFR- ocvl121%1 Mi luleco. 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 CONTRACTOR 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 PAIDEC�LAIMS. LTRINSR TYPE OF INSURANCE IINR�SY VD POUCY.NUMBER MMIDDYYY MM/DDNYYY LINKS A )( COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X X 680002P924447 62/01/2020 02/01/2021 EACH OCCURRENCE $2000000 BREMISES aocounence $1000000 MED EXP,.(Any .one person) $:10 000 PERSONAL &ADV INJURY $2,000 000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X JE C LOD GENERAL AGGREGATE $4 000,000 PRODUCTS- COMP/OP AGG s4,000,000 $ OTHER: _ p AUToMoau-ELIABILIT X X BA2P927019 2/61/2020 02/01/2021 OMBINED SINGLE LIMIT(Ea accident) BODILY INJURY (Per Person) ANY AUTO AUWTOS ONLY AUTOSULED NON -OWNED ONLY X AUTOS ONLY BODILY INJURY (Per accitlent)HIRED E2,OOO,OOOEX PROPERTY DAMAGEXAUTOS Per acciden $ B X UMBRELLA LIAB X OCCUR X X CUP002P928502 2/01/2020 02/01/2021 EACH OCCURRENCE $4 000 600 AGGREGATE $4 OOO OOO EXCESS LIAR CLAIMS -MADE DIED I XI RETENTION$IOOOO $ B WORKERS COMPENSATION AND EMPLOYERS LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? � N/A X U6002P928286 2101/2020 02/01l2021 X. PER OTH- E-L EACH ACCIDENT $1 O00 OOO E.L. DISEASE - EA EMPLOYEE $1 00O OOO (Mandatory in NH) If escribe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1 O00 O0O C Professional X DPR9957306 3/11/2020 03/11/2021 $2,000,060 per claim Liability $4,000,000 annl aggr. Claims Made - - DESCRIPTION OF OPERATIONS /LOCATIONS !VEHICLES (ACORD 101, AddlUonal Remarks Schedule, may be attached If more apace Is required) As required by written contract or written agreement, the following provisions apply subject to the policy terms, conditions, limitations and exclusions:. The Certificate Holder and owner are Included as Automatic Additional Insured's for ongoing and completed operations under General Lability; Designated Insured under Automobile Liability; and.Additional Insured under Umbrella / Excess Liability but only with respect to liability arising out of the Named Insured's Work performed on behalf of the certificate holder and owner: (See Attached Descriptions) City of Fort Collins Attn: James O'Neil 215 North Mason Street, 2nd Floor Fort Collins, CO 80522-0580 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF; NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 01988-2015 ACORD CORPORATION. All rights ACORD 25 (2016/03) 1 of The ACORD name and logo are registered marks of ACORD #S28199260/M28196508 MYPZP „- DESCRIPTIONS (Continued from Page.1) The General Liability, Automobile Liability, Umbrella/Excess insurance applies on a primary and non contributory basis. A Blanket Waiver of Subrogation applies for General Liability, Automobile Liability, Umbrella/Excess Liability and Workers Compensation. The Umbrella / Excess Liability policy provides excess coverage over the General Liability, Automobile Liability and Employers Liability. Please note that Additional Insured status does not apply to Professional Liability or Workers' Compensation. *Except 10 days notice for non-payment of premium. The City of Fort Collins is named as Additional Insured. #528199260/14128196508