HomeMy WebLinkAbout101882 VAUGHT FRYE LARSON ARCHITECTS - INSURANCE CERTIFICATE (4)Client#: 1085325
VAUGHFRY
ACORD_ CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD/YYYY)
1 6/18/2015
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
USI Colorado, LLC Prof Liab
P.O. Box 7050
Englewood, CO 80155
800 873-8500
CONTACT
NAME:
PHONE g00 873-8500
A/C No Ext : AIC No :
E-MAIL
ADDRESS:_
__
INSURER(S)AFFORDING COVERAGE
NAIC#
INSURER A: Hartford Fire Insurance Company
19682
INSURED
INSURERS: Hartford Ins Co of the Midwest
37478
Vaught Frye Larson Architects (VFLA)
INSURERC: XL Specialty Insurance Company
37885
419 Canyon Ave, Ste 200
INSURERD: Hartford Underwriters Insurance
30104
Fort Collins, CO 80521
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,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR
TYPE OF INSURANCE
NSRL
WVD
POLICY NUMBER
MM/DDY
lI WDDNYxP
LIMBS
A
GENERAL LIABILITY
X
X
34SBWVT6123
7/01/2015
07/01/2016
$1 000000
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE _7X OCCUR
DEACH�OECCURRENCE
PREMISES EaoccuErrrence
$500000
IVIED EXP (Any one person)
$10 000
PERSONAL & ADV INJURY
$1,000,000
_
GENERAL AGGREGATE
$2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
s2,000,000
POLICY X JR O- LOC
$
D
AUTOMOBILE
LIABILITY
X
X
34UECP08278
7/01/2015
07/01/201
EO col n SINGLE LIMIT
1,000,000
X
BODILY INJURY (Per person)
$
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
HIRED AUTOS X NON -OWNED
AUTOS
BODILY INJURY (Per accident)
$
X
PROPERTY DAMAGE
Per accident
$
A
X
UMBRELLA LIAB
I X
OCCUR
X
X
34SBWVT6123
7/01/2015
07/01/2016
EACHOCCURRENCE
$1,000,000
ffJ
AGGREGATE
$1,000,000
EXCESS LIAR
CLAIMS -MADE
DED I X I RETENTION $10000
$
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
NIA
X
34WEGKC6664
7/01/2015
07/01/2016
X wCSTATu-I 'I oTH-
LIMITS
E.L. EACH ACCIDENT
$1 00O 000
E.L. DISEASE - EA EMPLOYEE
$1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$1,000,000
C
Professional
X
DPR9723950
7/01/2015
07/01/201
$2,000,000 per claim
Liability
$2,000,000 annl aggr.
Claims Made
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If 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 Insureds under Umbrella / Excess Liability but only with respect to
liability arising out of the Named Insured work performed on behalf of the certificate holder and owner.
(See Attached Descriptions)
CERTIFICATE HOLDER CANCELLATION
City of Fort Collins Attn:
Purchasing
215 North Mason Street
Fort Collins, CO 80522-0000
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 (2010/05) 1 Of 2
#S15586379/M15585760
O 1988-2010 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
DPGZP
SAGITTA 25.3 (2010/05) 2 of 2
#S15586379/M15585760