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HomeMy WebLinkAbout507583 BARKER RINKER SEACAT ARCHITECTURE PC - INSURANCE CERTIFICATE (2)CI ient#: 1086376 BARKERIN ACORDTN CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 1 8/17/2015 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 CONTACT NAME: USI Colorado, LLC Prof Liab PHONE FAX (A/ No El): 800 873-8500 A/C No): P.O. BOX 7050 AIL, Englewood, CO 80155 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # 800 873-8500 INSURER A: Hartford Casualty Insurance Com 29424 INSURED INSURERS: Hartford Ins Co of the Midwest 37478 Barker Rinker Seacat Architecture, P.C. TravelersCasualty INSURER C: and Surety C 19038 3457 Ringsby Court, Unit 200 Denver, CO 80216 INSURER D : 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 NSR WVD POLICY NUMBER _(ADDLSUBR MM/DD/YYYY MM/DD/YYYYY LIMITS A GENERAL LIABILITY X X 34SBWPA9978 8/20/2015 08/20/2016 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FXI OCCUR PREMISES Ea occurrence $1 000 000 MED EXP (Any one person) $1 O 000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY X JEo- LOC $ A AUTOMOBILE LIABILITY X X 34SBWPA9978 8/20/2015 08/20/201 COMBINED SINGLE LIMIT Ea accident 1,000,000 BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS $ BODILY INJURY (Per accident) X PROPERTY DAMAGE Per accident HIRED AUTOS X NON -OWNED AUTOS $ $ A X, UMBRELLA LIAB X OCCUR X X 34SBWPA9978 8/20/2015 08/20/2016 EACH OCCURRENCE s2,000,000 AGGREGATE EXCESS LIAB CLAIMS -MADE $2 0 00 000 DED I X I RETENTION $10000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? � N/A X 34WEGNX3138 8/20/2015 08/20/201 X TORYLI T OTH- E.L. EACH ACCIDENT $1 000 000 E.L. DISEASE - EA EMPLOYEE -- - $1 OOO 000 (Mandatory in NH) If es, describe under DESCRIPTION OF OPERATIONS below 106355450 8/20/2015 08/20/2016 E.L. DISEASE - POLICY LIMIT $1,000,000 C Professional $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) City of Fort Collins 215 N. Mason 2nd Floor Fort Collins, CO 80524-0000 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 #S16009317/M16008844 ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DPGZP 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. Additional Insured: City of Fort Collins, Fort Collins, Colorado SAGITTA 25.3 (2010/05) 2 Of 2 #S16009317/M16008844