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HomeMy WebLinkAbout465997 MICHAEL BAKER JR INC - INSURANCE CERTIFICATE (7)CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 09/08/2015 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 AOn Risk services Central, Inc. Pittsburgh PA Office CONTACT NAME: (A/ . No. Ext): (866) 283-7122 (A/C. No.): (800) 363-0105 E-MAIL ADDRESS: Dominion Tower, loth Floor 625 Liberty Avenue INSURER(S) AFFORDING COVERAGE NAIC # Pittsburgh PA 15222-3110 USA INSURED INSURER A: Liberty Mutual Fire Ins CO 23035 Michael Baker International, Inc. INSURER B: Liberty Insurance Corporation 42404 165 s. Union Blvd, suite 200 Lakewood CO 80228 USA INSURER C: National Union Fire Ins Co of Pittsburgh 19445 INSURER D: Lloyd's Syndicate No. 2623 AA1128623 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 57005926616, 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 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. Limits shown are as requested INSIR LTR TYPE OF INSURANCE ADDL INSD UBIR WVD POLICY NUMBER POLICY/ MM/DD/YYYY Y X MMlDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY TB 1 414 7 1 EACH OCCURRENCE $2 , 000 , 000 CLAIMS -MADE —1 OCCUR DAMAGERENTED PREMISES Ea occurrence $100,000 MED EXP (Any one person) $ 5 , 000 PERSONAL& ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $4,000,000 POLICY FX—] PRO LOC JECT PRODUCTS - COMP/OP AGG $4,000,000 OTHER A AUTOMOBILE LIABILITY As2-681-004145-725 08/30/2015 08/30/2016 COMBINED SINGLE LIMIT Ea accident $1,000,000 BODILY INJURY ( Per person) X ANY AUTO BODILY INJURY (Per accident) ALL OWNED SCHEDULED AUTOS AUTOS X HIRED AUTOS N NON -OWNED AUTOS PROPERTY DAMAGE (Per accident C X UMBRELLA LIAB OCCUR BE033086983 08/30/2015 08/30/2016 EACH OCCURRENCE $10,000,000 EXCESS LAB X CLAIMS -MADE AGGREGATE $10,000,000 DED I X RETENTION $10, 000 B B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR / PARTNER I EXECUTIVE YIN OFFICER/MEMBEREXCLUDED? (Mandatory in NH) N/A WA768DO04145775 A05 wC7681004145785 WI 08/30/2015 08/30/2015 08/30/2016 08/30/2016 X STATUTE ERH E.L. EACH ACCIDENT $1 , 000 , 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 D E&O-PL-Primary 08/31/2015 08/31/2016 Per Claim $5,000,000 �QC1502675 Professional & Pollution Aggregate $5,000,000 SIR applies per policy ter s & condi ions DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) For Named Insured Only: Attn: Dwight schock. City of Fort Collins, its officers, agents and employees are included as Additional Insured with respect to the General Liability and Automobile Liability policies, per written contract with the Named Insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City Of Fort Collins AUTHORIZED REPRESENTATIVE Attn: Steve MCQuilkin PO BOX 580 Fort Collins Co 80522 USA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD