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HomeMy WebLinkAboutVAUGHT FRYE LARSON ARCHITECTS (VFLA) - INSURANCE CERTIFICATEClient#: 1085325
VAUGHFRY
ACORD,. CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
1 6/29/2017
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
USI Colorado, LLC Prof Liab
P.O. Box 7050
Englewood, CO 80155
CONTACT
NAME:
_
A/c°No Ext): 800 873-8500 FAX No):
E4MIL
ADDRESS, _
INSURER($) AFFORDING COVERAGE NAIC #
800 873-8500
INSURER A: Hartford Fire Insurance Company
19682
INSURED
Vaught Frye Larson Architects (VFLA)
INSURER B : Hartford Ins Co of the Midwest
37478
INSURER C:XL Specialty Insurance Company
37885
419 Canyon Ave, Ste 200
INSURER DHartford Underwriters Insurance
30104
Fort Collins, CO 80521
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 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.
LTR
TYPE OF INSURANCE
IIN R
WVD
POLICY NUMBER
MM/DDY EFF
MM/DDY EXP
LIMITS
A
GENERAL LIABILITY
X
X
34SBWVT6123
7/01/2017
07/01/2018
EACH OCCURRENCE
$1,000,000
PREMISES EsEoNcauErrDence
rMERCIAL
CLAIMS -MADE FV1OCCUR
$500OOO
MED EXP (Any one person)
$10 000
PERSONAL & ADV INJURY
$1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2,000,000
PR
POLICY Fi] E C F7 LOC
PRODUCTS - COMP/OP AGG
$ 2,000,000
$
OTHER:
D
_
AUTOMOBILE LIABILITY
X
X
34UECP08278
7/01/2017
07/01/201
COMBINED SINGLE LIMIT
Ea accident
$ 1,000,000
BODILY INJURY (Per person)
$
ANY AUTO
BODILY INJURY (Per accident)
$
$
ALL OWNED SCHEDULED
AUTOS AUTOS
HIRED AUTOSNON-OWNED
AUTOS
rx
DAMAGE
PreccideMPROPER D
A
X
UMBRELLA LIAB
X
OCCUR
X
X
34SBWVT6123
1710112017
07/01/2018
EACH OCCURRENCE
$1,000,000
AGGREGATE
EXCESS LIAB
CLAIMS -MADE
$1,000,000
DIED I X I RETENTION $10000
$
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE Y/ N
OFFICER/MEMBER EXCLUDED? 7
(Mandatory In NH)
N / A
X
34WEGKC6664
7/01/2017
07/01/201
X PER OTH-
E.L. EACH ACCIDENT
$1,000,000
E.L. DISEASE - EA EMPLOYEE
$1,000,000
E.L. DISEASE - POLICY LIMIT
$1,000,000
If yes,describe under
DESCRIPTION OF OPERATIONS below
C
Professional
DPR9915603
7/01/2017
0710112018
$2,000,000 per claim
Liability
$2,000,000 annl aggr.
Claims Made
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
** Workers Comp Information **
Proprietors/Partners/Executive Officers/Members Excluded:
JOE FRYE, ELECOFC
FRANK VAUGHT, ELECOFC
(See Attached Descriptions)
CERTIFICATE HOLDER GANGtLLA I IUN
City of Fort Collins Attn:
Purchasing
215 North Mason Street
Fort Collins, CO 80522-0000
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
#S20908003/M20904384
© 1988-2014 ACURD GORPURATIUN. All rights reserveo.
The ACORD name and logo are registered marks of ACORD
AXYZP
DESCRIPTIONS (Continued from Page 1)
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.
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,
Umbrella/Excess Liability and Workers Compensation. 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 or Workers'
Compensation.
Additional Insured: City of Ft. Collins
SAGITTA 25.3 (2014/01) 2 of 2
#S20908003/M20904384