HomeMy WebLinkAboutALLIANCE CONSULTING ENGINEERS LLC - INSURANCE CERTIFICATE (2)Client#: 1083785
ALLIACONS
ACORD,,,, CERTIFICATE OF LIABILITY INSURANCE
TE
D3/03/2/DD/YYVY)
I03/2016
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
US[ Colorado, LLC Prof Liab
P.O. Box 7050
Englewood, CO 80155
800 873-8500
NACONTACT ME:
HOFAX
ac No):
MAI
E
ADDRESS:
INSURER(S) AFFORDING COVERAGE
NAICA
INSURER A: Sentinel Insurance Company Ltd.
111000
INSURED
Alliance Consulting Engineers, LLC
1720 W Mulberry St, Ste C-4 80521
PO Box 14
INSURER B : XL Specialty Insurance Company
I37885
INSURER C: Hartford Accident & Indemnity C
I22357
INSURER D:
I
Bellvue,CO 80512-0014
INSURERE:
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
ADDL
INSR
SUBR
WVD
POLICY NUMBER
POLICY EFF
MM/DDNYYY
POLICY EXP
MM/DD/YYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
Y
Y
34SBW((224$
1/07/2016
01/07/2017
EACH OCCURRENCE
$1,000,000
CLAIMS -MADE 4 OCCUR
PREMISESOEaoccTurrence
$1,000,000
MED EXP (Any one person)
$1 O 000
PERSONAL & ADV INJURY
$1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRO
POLICY 51 JECTT I I LOC
GENERAL AGGREGATE
$2,000,000
PRODUCTS - COMP/OP AGG
$2,000,000
$
OTHER:
C
AUTOMOBILE
LIABILITY
Y
Y
34UEGZG4226
1/07/2016
01/07/201
COMBINED SINGLE LIMIT
Ea accident
1,000,000
X
BODILY INJURY (Per person)
$
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
HIRED AUTOS X NON -OWNED
AUTOS
BODILY INJURY (Per accident)
$
X
PROPERTY DAMAGE
Per accident
$
$
A
X
UMBRELLA LIAB
X
OCCUR
Y
Y
34SBWII224$
1/07/2016
01/07/201
EACH OCCURRENCE
$2000000
s2,000,00
EXCESS LIAB
CLAIMSMADEAGGREGATE
DED I X I RETENTION $1 O 000
1
$
A
WORKERS COMPENSATION
EMPLOYERS' LIABILITY y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? �
NIA
Y
76WEGDW5154
5/05/2015
05/05/2016
X IPTEART,,E OER
E.L. EACH ACCIDENT
$1 000 000
E.L. DISEASE - EA EMPLOYEE
$1,000,000
(Mandatory In NH)
If es, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE -POLICY LIMIT
$1,000,000
B
Professional
DPS9802445
3/18/2016
03/18/201
$2,000,000 per claim
Liability
$2,000,000 annl aggr.
Claims Made
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached 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
P.O. 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 (2014/01) 1 of 2
#S17384329/M17383496
01988-2014 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
VKNZP
DESCRIPTIONS (Continued from Page 1) 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,
Workers' Compensation and Umbrella/Excess Liability. 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
SAGITTA 25.3 (2014/01) 2 of 2
#517384329/M17383496