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143797 ANDERSON CONSULTING ENGINEERS - INSURANCE CERTIFICATE
Ac o� CERTIFICATE OF LIABILITY INSURANCE DATE (MMND/YYYY) 12/19/2015 THIS CERTIFICATEIS 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 SUBROGATIONIS 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)_ MODUCER USI COLORADO LLC/PHS 341438 P: (866) 467-8730 F: (888) 443-6112 PO BOX 33015 SAN ANTONIO TX 78265 CONTACT NAME' PHONE (866) 467-8730 iac.N.): (888) 443-5112 RESS' INSURER(S) AFFORDING COVERAGE NAIG4 INSURERA: Hartford Casealty Ins Co INSURED ANDERSON CONSULTING ENGINEERS, INC. 375 E HORSETOOTH RD BLDG 5 FORT COLLINS CO 80525 INSURER B: INSURER C: INSURER D' INSURER E: 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 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 TR IIPF OF LSf1KLVCF ADDI ,IYVR SOB B9 P0LI6'YNOMBLk POLILTFTT MM/DLVYFI7 P0L1CI'F,.'1P LIAOIS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE ;.1,000,000 CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) F 3 0 0 000 X X MED EXP(Any one person) s10, 000 A General Liab 34 SEW KC5665 12/28/2015 12/28/2016 PERSONAL&ADV INJURY $1, 000, 000 GEN'L AGGREGATE OMIT APPLIES PER GENERAL AGGREGATE 52, 000, 000 POLICY ❑ LOC PRODUCTS -COMPiOP AGG �2, 000, 000 JEC OTHER: AUTOMOBILE 11ABILRY COMBINED SINGLE LIMIT (Ea accident) 31 000, 000 r BODILY INJURY (Per person) - ANY AUTO ALL OWNED SCHEDULED 34 SEW KC5665 12/28/2015 12/28/7_016 BODILY INJURY (Per accident); - AUTOS AUTOS PROPERTY DAMAGE _ X HIREDAUTOS X NON -OWNED AUTOS (Per accident) X UMBRELLA UAB X OCCUR EACH OCCURRENCE ; 8, 000, 000 A EXCESS LAB CLAIMS -MADE 34 SEW KC5665 12/28/2015 12/28/Z016 AGGREGATE 8, 000, 000 D X �l RETTI ENONS10, 000 11 w'oesesscomP�', eTmx ANDEVPLOTER LLa6I PER OTH- SrAME ER E.L. EACH ACCIDENT ANY PROPRIETOR/PARTNEP.EXECUTVEYIN OFFICERIMEMBER EXCLUDED? (Mandatory in NH) ElMA E.L. DISEASE -EA EMPLOYEE' If yes, describe under E.L. DISEASE -POLICY LIMIT s DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS /VEHKIPMRD 101, Additional Remarks Schedule, may be attached if mom space is required) Those usual to the Insured's Operations. The City of Ft Collins its officers, agents and employees is an Additional Insured per the Business Liability Coverage Form SS0008 attached to this policy. Project: RFP 7084 Future Water, Wastewater and Stormwater Facilities Capital Improvements projects. 10 days notice applies due to non pay. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED City of Ft Collins BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ` Attn: Pat Johnson PO BOX 580�2. FORT COLLINS, CO 80522 ©1988-2014 ACORD CORPORATION. All rights reserved ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(M.wDDtYYYY) 12/19/2015 THIS CERTIFICATEIS 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 SUBROGATIONIS 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 USI COLORADO LLC/PHS 341438 P:(866) 467-8730 F:(888) 443-6112 PO BOX 33015 SAN ANTONIO TX 78265 CONTACT NAME: ICNo,E.R: (866) 467-8730 iAc.No): (888) 443-6112 =D ESS INSURER(S) AFFORDING COVERAGE NAIL INSURERA: Hartford Casuaity Ins Co INSURED ANDERSON CONSULTING ENGINEERS, INC. 375 E HORSETOOTH RD BLDG 5 FORT COLLINS CO 80525 INSURER B: INSURER C : INSURER D: INSURERE: INSURERF: rnVFRACFs 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 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. — EVSR LTR OF L\SU29A'DD 7TPE CE .A v' • S(B RT POLICYNUMBFR PO LIL-1'EFF M•H/I1LVI77'] nJLrcl'EYP LLWTS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1, 000, 000 CLAIMS-MADEOCCURDAMAGE TO PREMISESS((Ea occurrence) 530O 000 r x x MEDEXP(Any one person) J0, 000 A General Liab 34 SBW KC5665 12/28/2015 12/28/2016 PERSONAL &ADV INJURY s1, 000, 000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s2,000,000 PRODUCTS -COMPIOP AGG s2,0001000 POLICY � JECOT ❑ LOC OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ l 000, 000 R BODILY INJURY (Per person) ANY AUTO AH ALL OWNEDFXSCHEDULED AUTOS AUTOS HIRED AUTOSNON-OWNED AUTOS 34 SBW KC5665 12/28/2015 12/28/2016 X BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ X UMBRELLA U AB X OCCUR EACH OCCURRENCE $ 8, 0 0 0, 0 0 0 A EXCESS LWB CLAIMS -MADE 34 SBW KC5665 12/28/2015 12/28/2016 AGGREGATE g8,000,000 D X RETENnONs10,000 ` u•oaues co.+D'Ens,.nov MDEVPLOLF.BSLLMILITP ANY PROPRIETOR/PARTNERIEXECUTIVEYIN PER OTH- STAME ER E.L. EACH ACCIDENT $ OF ICERIMEMBER EXCLUDED? (Mandalory in NH) ❑ wA E.L DISEASE -EA EMPLOYEE $ If yes. describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS ILOCATIONSI VEHNL*HX)RD 101, Additional Remarks Schedule, may be attached if more span is required) Those usual to the Insured's Operations. RFP 8073 Engineering Services for Future Water, Wastewater & Stormwater facilities CIP CFRTIFICATF 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. AUTHORIZED REPRESENTATIVE City of Fort Collins PO BOX 580 "�� 77_ /L� FORT COLLINS, CO 80522 J / /!�c-!�L ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACORD 25 (2014101)