Loading...
HomeMy WebLinkAbout112468 FELSBURG HOLT & ULLEVIG INC - INSURANCE CERTIFICATE (26)Client#: 1084418 FELSBHOL DATE (MM/DD/YYYY) ACORD,. CERTIFICATE OF LIABILITY INSURANCE 1 6/20/2018 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 have ADDITIONAL INSURED provisions or 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER 'CONTACT i NAME: USI Colorado, LLC Prof Liab PHONE - - -FAX- - - P.O. Box 7050 (AIC, No El): 800 873-8500 (A/C, No): Englewood, CO 80155 ADDREss: 800 873-8500 INSURER(S) AFFORDING COVERAGE NAIC # _ INSURER A • Phoenix Insurance Company 25623 INSURED INSURER B : Travelera Indemnity Company 25658 Felsburg Holt & Ullevig, Inc. 6300 S. Syracuse Way, #600 INSURER C:XL Specialty lnwraneecompany 37885 Centennial, CO 80111 INSURER D : Chaney Oak Fire Insurance Company 25615 -- INSURER E : COVERAGES CERTIFICATE NUMBER: RFVISION Nl1MRFR: 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. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YY POLICY EXP MM/DD/YYYY _ LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR X X 6802J252902 6/21 /2018 06/21 /2019 EACH OCCURRENCE $1 000 000 $1 0000 ON pAMA�ETO RENTED PREMISES Ea occurrence MED EXP (Any one person) $10 000 PERSONAL & ADV INJURY $11000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY I^I CPT EI LOC GENERAL AGGREGATE s2,000,000 PRODUCTS - COMP/OP AGG $2,000,000 $ OTHER: _ _ D AUTOMOBILE LIABILITY X X _ BA3008L260 6/21/2018 06/21/201 COMBINED SINGLE LIMIT Ea accident 1,000,000 X BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS AUTOS ONLY )( NON -OWNED AUTOS ONLY X BODILY INJURY ( Per ax) ident $ PROPERTY DAMAGE (par..dent _ $ B X UMBRELLA LIAR OCCUR X X CUP654OY22A 6/21/2018 06/21/201 EACH OCCURRENCE s5,000,000 H-X AGGREGATE $5 0OO OOO �- - EXCESS LIAB CLAIMS -MADE DIED X ! RETENTION $10000 -- $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/ N OFFICER/MEMBER EXCLUDED? a NIA X UB6K434639 6/21/2018 06/21/201 X PER ETH- E.L. EACH ACCIDENT $1 000,000 t- - -- E.L. DISEASE - EA EMPLOYEE $1 000,000 _ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below _ DPR9927645 E.L. DISEASE - POLICY LIMIT $1 000,000 C _ Professional Liab X _ 6/21/2018 06/21/201 $2,000,000 per claim incl Pollution $5,000,000 annl aggr. Claims Made DESCRIPTION OF OPERATIONS / LOCATIONS i VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) 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. (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: James B. O'Neill II, CPPO, FNIGP ACCORDANCE WITH THE POLICY PROVISIONS. 215 North Mason Street, 2nd Floor AUTHORIZED REPRESENTATIVE Fort Collins, CO 80524-0000 e.r ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) 1 of 2 The ACORD name and logo are registered marks of ACORD #S23319386/M23316756 HZVZP