HomeMy WebLinkAbout307110 HDR ENGINEERING INC - INSURANCE CERTIFICATE (20)ACOR15° CERTIFICATE OF LIABILITY INSURANCE
16._� 6/1/2016
DATE(MM/DD/YYYY)
1 5/22/2015
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 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 Lockton Companies
444 W. 47th Street, Suite 900
Kansas City MO 64112-1906
(816) 960-9000
NAME:
PHONEA/c, No, Ext :(A/C, No
E-MAIL
ADDRESS:
INSURERS AFFORDING COVERAGE
NAIC #
INSURER A: Hartford Fire Insurance Company
19682
INSURED HDR ENGINEERING, INC.
1013472 8404 INDIAN HILLS DRIVE
OMAHA, NE 68114-4049
INSURER B: Travelers Property Casualty Co of America
25674
INSURER C : Zurich Insurance Com an
INSURER D : LeXin on Insurance Company
19437
INSURER E :
INSURER F :
COVERAGES HDRIN01 CERTIFICATE NUMBER: 13447238 REVISION NUMBER: XXXXXXX
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,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
TYPE OF INSURANCE
ADDL
INSD
SUBR
WVD
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MMIDDIYYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
Y
Y
37CSEQUO950
6/1/2015
6/1/2016
EACH OCCURRENCE
1,000,000
CLAIMS -MADE OCCUR
Ex
DAMAGE TO RENTED
PREMISES Ea occurrence
3OO OOO
X
MED EXP (Any oneperson)
10,000
Contractual Liab.
PERSONAL & ADV INJURY
$ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY JE� LOC
J
GENERAL AGGREGATE
$ 21000,000
PRODUCTS - COMP/OP AGG
$ 2,000,000
$
OTHER
A
A
A
AUTOMOBILE
LIABILITY
ANY AUTO
ED
AUTOS NED AUTOSULED
Y
Y
37CSEQU0951 AOS)
37CSEQU0952 HI)
37CSEQU1160 MA)
6/]/2015
6/1/2015
6/1/2015
6/1/2016
6/1/2016 IBODILY
6/1/206
COMBINED SINGLE LIMIT
Ea accident
X
INJURY (Per person)
$ XXXXXXX
BODILY INJURY (Per accident
$ XXXXXXX
X
(P.OFcc IDAMAGE
$ XXXXXXX
HIRED AUTOS X AUTOS NED
$XXXXXXX
B
X
UMBRELLA LIAB
X
OCCUR
N
N
ZUP-IOR64084-15-NF
6/1/2015
6/1/2016
EACH OCCURRENCE
$ 1 000 000
EXCESS LIAB
CLAIMS -MADE
(EXCLUDES PROF. LIAB)
AGGREGATE
$ 1 000 000
DED I X I RETENTION $0
$ XXXXXXX
C
WORKERS
AND EMPLOYERS' LIAB I OTM Y / N
OF ER EXCLUDED AN PROPRIETOR/PARTNER/EXECUTIVE N❑
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
NIA`
Y
0381127
7/1/2015
7/1/2016
X PERTH-
OER
E.L. EACH ACCIDENT
$ 1 000,000
E.L. DISEASE - EA EMPLOYEE Is
1,000,000
E.L. DISEASE - POLICY LIMIT
1 000 000
D
ARCHS&ENGS
PROFESSIONAL
N
N
061853691
6/1/2015
6/1/2016
PER CLAIM: $ 1,000,000. AGG:
$1,000,000.
LIABILITY
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
RE: ENGINEERING SERVICES FOR FUTURE WATER, WASTEWATER AND STORMWATER FACILITIES CAPITAL IMPROVEMENTS FOR THE
CITY OF FORT COLLINS. THE CITY OF FORT COLLINS, ITS OFFICERS, AGENTS AND EMPLOYEES ARE NAMED AS ADDITIONAL
INSURED ON GENERAL LIABILITY AND AUTO ON A PRIMARY, NON-CONTRIBUTORY BASIS, AS PER WRITTEN CONTRACT. WAIVER OF
SUBROGATION APPLIES WHERE ALLOWABLE BY LAW. 30 DAYS NOTICE OF CANCELLATION APPLIES, 10 DAYS NOTICE FOR
NON-PAYMENT OF PREMIUM.
I..CK I II-It,A I C r7VLUCK t ANIL, CLLA 1 IUN
13447238
CITY OF FORT COLLINS
215 N. MASON ST., 2ND FLOOR
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.
AUTHORIZED REPRESENTATIVE
ACORD 25 12014/011
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