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HomeMy WebLinkAbout551971 FEHR & PEERS - INSURANCE CERTIFICATE (3)is DATE (MMIDDfYYYY) 12/03/2015 CERTIFICATE HOLDER. THIS FORDED BY THE POLICIES INSURER(S), AUTHORIZED 3ATION IS WAIVED, subject to icate does not confer rights to the FAX 510 452-2193 A/C, No :om IG COVERAGE NAIC # LTD 11000 is. Co. 21849 ;e Company 22667 ION 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. R LT LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MMfDDlYYYY POLICY EXP MMlDD/YYYY LIMITS A GENERAL LIABILITY X X 57SBWVA1664 11/0112015 11/01/2016 EACH OCCURRENCE $1000,00 X COMMERCIAL GENERAL LIABILITY DAMA� E T RENTED PREMISES Ea occurrence $1 000,000 MED EXP (Any one person) $10 000 CLAIMS -MADE a OCCUR PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 $ POLICY X PRO- JECT LOC A AUTOMOBILE LIABILITY X X 57SBWVA1664 11/01/2015 11/01/201 COMBINED SINGLE LIMIT Ea accident 1 OOO OOO $ , BODILY INJURY (Per person) _, $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X NON -OWNED HIRED AUTOS Ix AUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB DED I I RETENTION $ $ B WORKERS COMPENSATION X WZP81025297 5/01/2015 05/01/2016 X WC STATU- OTH- AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVENI OFFICERIMIIAIIER EXCL UDED? F N!A E.L. EACH ACCIDENT $1 000 000 E.L. DISEASE - EA EMPLOYEE $1 000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1 ,000,000 C Professional G23669687004 12/06/2015 12/06/2016 $3,000,000 per Claim Liability $3,000,000 Annl Aggr. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) General Liability Policy excludes claims arising out of the performance of professional services. 30 Days Notice of Cancellation (10 Days for Non -Payment of Premium). RE: ALL OPERATIONS OF THE NAMED INSURED. 8068 Enhanced Travel Corridor Master Plan for West Elizabeth. The City of Fort Collings, its officers, agents and employees are included as Additional Insured for General Liability, but only insofar as performance under this Agreement is concerned. Insurance is primary and non-contributory per policy form. CERTIFICATE HOLDER CANCELLATION City of Fort Collins Purchasing Department Attn: Gerry Paul 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 ACORD 25 (2010/05) 1 Of 1 #S1544506/M1543252 ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD NMF