The URL can be used to link to this page

Home My WebLink About330179 INTERWEST CONSULTING GROUP - INSURANCE CERTIFICATE (21)Client#: 1086878 INTERCON35 ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 9/09/2015 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 PAX AMANo Ext : 800 873 8500 rvC No IL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: Travelers Insurance Company 19038 INSURED INSURER B : XL Specialty Insurance Company 37885 Interwest Consulting Group P.O. Box 18330 INSURER C : Boulder, CO 80308 INSURERD: 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. INSR LTR TYPE OF INSURANCE ADD INSR SUBR WVD POLICY NUMBER POLICY EFF M DD POLICY EXP MM DD LIMIT'S A GENERAL LIABILITY X X 6807444M622 11/14/2014 11/14/2015 EACH OCCURRENCE s2,000,000 X COMMERCIAL GENERAL LIABILITY PREMISESOEa RENTED $1 000 000 CLAIMS -MADE � OCCUR MED EXP (Any one person) $10 000 PERSONAL & ADV INJURY $2,000,000 GENERAL AGGREGATE s4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $4,000,000 POLICY X PRO LOC $ A AUTOMOBILE LIABILITY X X BA7466M429 11/14/2014 11/14/201 COMBINED O eccd.SINGLE LIMIT nt 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ A X1 UMBRELLA LIAB X OCCUR X X CUP4175T615 11/14/2014 11/14/2015 EACH OCCURRENCE $1,000,000 AGGREGATE $1,000,000 EXCESS LAB CLAIMS -MADE DED I X RETENTION$0 $ A A WORKERS COMPENSATION AND EMPLOYERS' LIABILITYI ANY PROPRIETOR/PARTNER/EXECUTIV Y/N OFFICER/MEMBER EXCLUDED? N N / A X X XVMPJUB1339T934 UB1341TO51 11/14/201411/14/201 11/14/2014 11/14/201 WC - X TORY lOTH- PR E.LEACH ACCIDENT $1 000000 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 $1,000,000 B Professional Liab DPR9718608 11/14/2014 11/14/201 $1,000,000 per claim Pollution Liab $5,000,000 annl aggr. Claims Made DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Certificate Holder is additional Insured with respect to General Liability and Automobile. All policies include Thirty (30) Day Notice of Cancellation in favor of the City of Fort Collins. 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 (See Attached Descriptions) t,r_m i Ir II.A I C rIULUrN City of Fort Collins Attn: Purchasing Department PO 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. AUTHORIZED REPRESENTATIVE ACORD 25 (2010/05) 1 of 2 #S16155609/M16115954 © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD PZTZP DESCRIPTIONS (Continued from Page 1) 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. The General Liability, Automobile Liability, Umbrella/Excess insurance policies 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. SAGITTA 25.3 (2010/05) 2 of 2 #S16155609/M16115954