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HomeMy WebLinkAboutCOGENT INC - INSURANCE CERTIFICATE (5)ACOR" CERTIFICATE OF LIABILITY INSURANCE 11111./ DATE(MM/DD/YYYY) 1 12/14/2015 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 endorsements . PRODUCER TRUSS 4551 W. 107th St., Third Floor Overland Park KS 66207 CONTACT Certificate Department PHONE 913.341.8998 FAX WC No,.913.491.6379 E-MAIL . Certificates TrussAdvanta e.com @ 9 INSURERS AFFORDING COVERAGE NAIC If INSURER A: United Fire & Casualty Company 13021 INSURED COGEN01 INSURERB:Mldwest Builders' Cas Mutual 13126 Cogent, Inc., Lee Mathews, BRI, Vandevanter Engineering, Vanco and Water Technology Group, iME Solutions INSURERC:Maxum Indemnity Co 26743 INSURER D: INSURER E: 318 Broadway St. Kansas City MO 64105 INSURER F: COVFRAGFS CFRTIFICATF tJI IMRFR• 807137536 ocvlclnM MI Molco. "I HIS 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 rypE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y 60424257 12/31/2015 12/31/2016 EACH OCCURRENCE $1,000,000 CLAIMS -MADE 51 OCCUR AMA RENTED PREMISES Ea occurrence $100.000 MED EXP (Anyone person) $5,000 PERSONAL B ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: ElPRO- GENERAL AGGREGATE $2,000,000 POLICY JECT LOC PRODUCTS - COMP/OP AGG $2,000,000 $ OTHER: A AUTOMOBILE LIABILITY Y 60424257 12/31/2015 12/31/2016 I L LIMI Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per accident) ( ) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ $ A X UMBRELLA LIAB X OCCUR 60424257 12/31/2015 12/31/2016 EACH OCCURRENCE $10,000,000 AGGREGATE $10,000,000 EXCESS LIAB CLAIMS -MADE DIED I X RETENTION$-0- $ B WORKERS AND EMPLO ERSELInBI m YIN ANY PROPRIETOR/PARTNEWEXECUTIVE OFFICER/MEMBER EXCLUDED? NI N / A 166WC1076 1/1/2016 1/1/2017 X STATUTE EORH E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYE $1,000.000 (Mandatory in NH) If yes, describe under _ _ _ _ E.L. DISEASE - POLICY LIMIT 1 $1,000,000 DESCRIPTION OF OPERATIONS below C Professional Liability PFP6021408-03 12/31/2015 12/31/2016 Limit 2,000,000 DESCRIPTION OF OPERATIONS f LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The insurance evidenced by this Certificate will not reduce coverage or limits and will not be cancelled, except after thirty (30) days written notice has been received by the City of Fort Collins. City of Fort Collins, CO PO 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 16" @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD