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Home My WebLink About450906 MULLER ENGINEERING COMPANY INC - INSURANCE CERTIFICATE (5)CllentS- IAR3R76 MtILLFFNG ACOR& CERTIFICATE OF LIABILITY INSURANCE DAFE(MM/DDYVyy) 3/13/2020 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(les) 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 1160 of such endors-ement(s). PRODUCER W, CT USI Insurance Services; LLC P.O. Box 7050 Englewood, CO 80155 800 873-8500 PHONEFAX EXt „ 800 873-8500 A/C No): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC p INSURER A : Travelers In& -nay ea of Aminw 125666 INSURED Muller Engineering Company, Inc. 777 S. Wadsworth Blvd, Suite4-100 Lakewood, CO 80226-3118 INSURER B : TnWeiem Pmperly:Cm Co. of &merle 25674 INSURER c:)(L-SpeclahyInsurance umPenr 137885 INSURER1): PPoenixlmoraneeCompmy 125623 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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, EXCLU_ S_10NS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDLSUBR INSR VWD, POLICY NUMBER POLICY EFF MM/DD/YYY - POLICY EXP MM/DD/YY LIMITS A X COMMERCIAL GENERAL LIABILITY X X 68000213924447 2/01/2020 02/01/2021 EACH $2000000 CLAIMS -MADE OCCUR �OECCCURRENCE PREMISES Ea occuEDence $1 OOO 000 MED EXP (Any one person) $10 000 PERSONAL & ADV INJURY $ OOO 000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY �I JECTT a LOC GENERAL AGGREGATE s4,000,000 PRODUCTS - COMP/OPAGG $4,000,000 _ OTHER: _ $ D AUTOMOBILE LIABILITY X X BA2P927019 2/01/2020 02/01/2021 COMBVJED SINGLE LIMIT E 9—BINEnt 2,000,000 X BODILY INJURY (Per person) $ ANY AUTO AS OE-SULED ANNOOWNED HI qX OS ONLY AUTOS ONLY BODILY INJURY (Per accident) $UTOONLY PROPdERYAMAGE de ParatX $ $ B X UMBRELLA LIAB X OCCUR X X CUP002P928.502 2/01/2020 02/01/2021 EACH OCCURRENCE s4,000,000 AGGREGATE $4,000 000 EXI LIAR CLAIMS -MADE DED I X RETENTION $10000 $. B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N � OFFICER/MEMBER EXCLUDED? N/A X UB002P928286 2/01/2020 02/01/2021 X ISPTEARTUTE I OTH- En E.L. EACH ACCIDENT $1 OOO OOO E.L. DISEASE - EA EMPLOYEE $1 000 000 (Mandatory in NH) If yes. describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1 000,000 C Professional X DPR9957306 3/11/2020 03/11/2021 $2,000,000 per claim Liability $4,000,000 annl aggr. Claims Made .DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached I/ more space 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 Liability; 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', Purchasing Dept. P.O. 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. ACORD 25 (2016/03) 1 of 2 #S28199261/M28196508 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 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 LiabUlty and Employers Liability. Please note that Additional Insured status does not apply to Professional Liability or Workers' Compensation. The City, its officers, agents and employees are named as Additional Insureds. SAGITTA 25.3 (2016/03) 2 of 2 #S28199261/M28196508