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HomeMy WebLinkAbout450906 MULLER ENGINEERING CO INC - INSURANCE CERTIFICATE (10)®AFRO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 10/12/2015 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: Marsh Sponsored Programs PHONE FAX A/C No Ell:800-338-1391 A1C No; 888-621-3173 a division of Marsh USA Inc. E-MAIL 701 Market Street, Ste. 1100 ADDRESS:acecclientrequest@marsh.com St. Louis MO 63101 INSURERS AFFORDING COVERAGE NAIC# INSURED Muller Engineering Co., Inc. 777 S.Wadsworth Blvd., Ste100 Lakewood, CO 80226-4300 _ INSURERA:Hartford Accident & Indemnity Co 22357 INSURERB:Property Casualty Insurance Co. -Hartford 34690 INSURER C: Hartford Underwriters Insurance Co 30104 INSURER D : INSURER E : COVFRAGFR CFRTIFICATF NIIMRFP- RFVIRION 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 LTR TYPE OF INSURANCE ADDL I SR SUBR WVD POLICY NUMBER POLICY EFF MWDD/YYY POLICY EXP MMIDD/YYYY LIMITS A GENERAL LIABILITY y 84SBWCT1553 11/01/2015 11/01/2016 EACHOCCURRENCE $2,000,000 X COMMERCIAL GENERAL LIABILITY _ CLAIMS -MADE LJ OCCUR Prof. Liab. Excl. AMAGETORENTED PREMISES CEa occurrence_ MED EXP (Any one person) $2 , 0 0 0, 0 0 0 $10, 000 PERSONAL& ADV INJURY $2, 000, 000 GENERALAGGREGATE $4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 4 , 0 0 0 , 0 0 0 POLICY X PRO- LOC $ C AUTOMOBILE LIABILITY Y 84UEGNS8431 11/01/2015 11/01/2016 COMBINED SINGLE LIMIT Ea accident $2,000,000 BODILY INJURY (Per person) $ X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOS AUTOS $ A X UMBRELLA LIAB X OCCUR Y 84SBWCT1553 11/01/2015 11/01/2016 EACH OCCURRENCE $1,000,000 AGGREGATE $1, 000, 000 EXCESS LIAB CLAIMS -MADE DED X I RETENTIONS 10 000 _ _ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN 84WEGPM0143 11/01/2015 11/01/2016 X WC SiATU- OTH- TORY LIMITS ER .. E.L. EACH ACCIDENT _ _ --- $1, 000, 000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? NIA E.L. DISEASE - EA EMPLOY $1,000,000 (Mandatory in NH) it yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1, 000, 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: CITY OF FORT COLLINS IS INCLUDED AS ADDITIONAL INSURED TO ABOVE COVERAGES EXCEPT W/C AS REQUIRED BY WRITTEN CONTRACT. CERTIFICATE HOLDER CANCELLATION CITY OF FORT COLLINS PURCHASING DEPARTMENT 215 N. MASON 2ND FLOOR FORT COL�INS, CO 80524 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 © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD