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HomeMy WebLinkAboutGROUP 14 ENGINEERING INC - INSURANCE CERTIFICATEDATE (MM/DDIYYYY) CERTIFICATE OF LIABILITY INSURANCE F712012015 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 endorsements . PRODUCER CONTACT NAME: Julia Luk anenko The Wright Group Services PHONE 303-226 0178 FAX 303-861-7502 1873 S Bellaire St Ste 600MC, E-MAIL .,. Ilukyanenko0twgservices.com INSURER(S) AFFORDING COVERAGE NAIC INSURERA:THE HARTFORD 2229 INSURED INSURERB:PHILADELPHIA INSURANCE CO. Group14 Engineering, Inc. INSURERC:PINNACOL ASSURANCE 41190 1325 E. 16th Ave. INSURER D INSURER E : (11VFRAnrFl C'FRTIFIC:ATF NIIMRFR• 919422592 RFVICInFJ NIIMRFR• 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 TYPE OF INSURANCE ADDETSUISR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MWDDIYYYY MWDD/YYYY A x COMMERCIAL GENERAL LIABILITY Y 34SBAPM3227 5/7/2015 5/7/2016 EACH OCCURRENCE $2,000,000 CLAIMS -MADE 171 OCCUR TO N D PREMISES Ea occurrence E1,000,000 MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 X POLICY D PRO ❑ JECT LOC PRODUCTS - COMPIOP AGG $4,000,000 $ OTHER: A AUTOMOBILE LIABILITY Y 34SBAPM3227 5/7/2015 5/7/2016 Ea accident $2,000,000 BODILY INJURY (Per person) $ ANY AUTO AUTOS NED SCHEDULED UTOS BODILY INJURY (Per accident) $ HIRED AUTOS X NON -OWNED AUTOS %( O rRTYTDA I3 Per accident $ $ A UMBRELLA LIAB OCCUR 34SBAPM3227 5/7/2015 517/2016 EACH OCCURRENCE $3,000,000 AGGREGATE $3,000,000 EXCESS LIAB CLAIMS -MADE DED I RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE 3129038 8/1/2015 8/1/2016 PER OTH- STATUTE ER E.L. EACH ACCIDENT $1,000,000 OFFICERIMEMBER EXCLUDED? ❑ NIA E.L. DISEASE - EA EMPLOYE _-- -- $1,000,000 (Mandatory in NH) If yes, describe under— DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT _-- $1,000,000 B A Professional Liability Crime PHSD807195 34SBAPM3227 2/20/2015 5/7/2015 2/20/2016 5/7/2016 Aggregate 2,000,000 Each Occur. 2,000,000 crime 250,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Project: Pilot program for mentoring and verifying th QI of HVAC Installations City of Fort Collins, its officers, agents, and employees are named as additional insureds per written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 Fort Collins CO 80522 AUTHORIZED REPRESENTATIVE �f �l i © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD