Loading...
HomeMy WebLinkAboutARCHITECTURE WEST LLC - CONTRACT - RFP - 8228 NIX FARM OFFICE & SHOP ADDITIONSDocuSign Envelope ID: B8A119A9-217F-46C7-931D-93D30F3DBC30 DocuSign Envelope ID: B8A119A9-217F-46C7-931D-93D30F3DBC30 DocuSign Envelope ID: B8A119A9-217F-46C7-931D-93D30F3DBC30 DocuSign Envelope ID: B8A119A9-217F-46C7-931D-93D30F3DBC30 DocuSign Envelope ID: B8A119A9-217F-46C7-931D-93D30F3DBC30 DocuSign Envelope ID: B8A119A9-217F-46C7-931D-93D30F3DBC30 3/22/2016 DocuSign Envelope ID: B8A119A9-217F-46C7-931D-93D30F3DBC30 DocuSign Envelope ID: B8A119A9-217F-46C7-931D-93D30F3DBC30 DocuSign Envelope ID: B8A119A9-217F-46C7-931D-93D30F3DBC30 DocuSign Envelope ID: B8A119A9-217F-46C7-931D-93D30F3DBC30 DocuSign Envelope ID: B8A119A9-217F-46C7-931D-93D30F3DBC30 DocuSign Envelope ID: B8A119A9-217F-46C7-931D-93D30F3DBC30 DocuSign Envelope ID: B8A119A9-217F-46C7-931D-93D30F3DBC30 DocuSign Envelope ID: B8A119A9-217F-46C7-931D-93D30F3DBC30 DocuSign Envelope ID: B8A119A9-217F-46C7-931D-93D30F3DBC30 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 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 CONTACT NAME: PHONE FAX (A/C, No, Ext): (A/C, No): E-MAIL ADDRESS: PRODUCER CUSTOMER ID #: INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A : 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) $ CLAIMS-MADE OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PRO- LOC $ JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE (Per accident) $ HIRED AUTOS NON-OWNED AUTOS $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY TORY LIMITS ER Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N / A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE 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 © 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD David A. Wooldridge LUTCFAAI OP ID: SC 03/21/2016 Phone: 970-223-1804 Front Range Insurance Group 1100 Haxton Drive Suite 100 Fort Collins, CO 80525 David A. Wooldridge LUTCFAAI Fax: ARCH-34 Architecture West, LLC Steve Steinbicker 160 Palmer Dr Ft. Collins, CO 80525 Secura Insurance Companies 22543 Pinnacol Assurance 41190 Beazley Insurance Company, Inc 1,000,000 A X X BP-3161262 03/13/2016 03/13/2017 100,000 X 5,000 1,000,000 2,000,000 2,000,000 X X 1,000,000 A X BP-3161262 03/13/2016 03/13/2017 A X BP-3161262 03/13/2016 03/13/2017 X B 4080892 05/01/2015 05/01/2016 100,000 100,000 500,000 C Professional Liab V15ULM150801 07/16/2015 07/16/2016 Each Occu 1,000,000 Aggregate 2,000,000 City General of Fort Liability Collins and is Automobile listed as Liability an Additional policies. Insured with regards to the CITY OF City of Fort Collins 215 N. Mason Street, 2nd Floor Fort Collins, CO 80522 DocuSign Envelope ID: B8A119A9-217F-46C7-931D-93D30F3DBC30