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HomeMy WebLinkAboutDAVIS PARTNERSHIP PC ARCHITECTS - INSURANCE CERTIFICATE__'_WVA 1111I DAVIPAR-02 WRIGHTDU ,4. o CERTIFICATE OF LIABILITY INSURANCE DATE(M `-'�-� 9/28/201YYY) 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 NAME. Willis Certificate Center NAME: Willis of Colorado, Inc. PHONE 8 945-7378 FAX 888 467-2378 c/o 26 Century Blvd A/c No Ext : -- (A/C, No): % P.O. Box 305191 E-MAIL certificatesC�willis.com Nashville, TN 37230-5191 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Hartford Casualty Insurance Company 29424 INSURED INSURER B : Plnnacol Assurance Company 41190 Davis Partnership P.C., Architects INSURER c : Lexington Insurance Company 19437 2301 Blake St., Ste 100 INSURER D : Denver, CO 80205-2108 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMRFR! RFVISInN NI IMRFR- 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 A L U POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MM/DD/YYY MWDDNYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS -MADE � OCCUR X 34 SBA PR9484 09/28/2015 09/28/2016 PREMISES Ea occurrence $ 300,00 MED EXP (Any one person) $ 10,00 PERSONAL & ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 POLICY _ JERCOT- 7 LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: A AUTOMOBILE LIABILITY ANY AUTO X 34 SBA PR9484 09/28/2015 09/28/2016 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 1 BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY ( Per accident) $ X HIRED AUTOS X NON -OWNED AUTOS PROPEacRTY DAMAGE Per cident $ UMBRELLA LAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY B ANY PROPRIETOR/PARTNER/EXECUTIVE Y� OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A 4033452 10/01/2015 10/01/2016 X I PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE 1,000,00 $ 1,000,000 E.L. DISEASE - POLICY LIMIT C Professional Liab. 015448992 05/22/2015 05/22/2016 Each Claim/Aggregate 4,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: EPIC Pool Renovation Project. The City, its officers, agents and employees are included as Additional Insureds as respects to General Liability and Auto Liability. l,Crl 1 Ir'ILA 1 C r1ULUthI GANGtLLA I IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. The City of Fort Collins AUTHORIZED REPRESENTATIVE Purchasing Department Box 580 Fort /*/�_ Fort Collins CO 80522 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD