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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