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HomeMy WebLinkAbout611149 ENGINUITY ENGINEERING SOLUTIONS INC - INSURANCE CERTIFICATE (3)CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDNYYY) 6/4/2018 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 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 endorsemen s . PRODUCER BENCHMARK INSURANCE AGENCY LLC 66 W Springer Dr #215 Highlands Ranch, CO 80129 COINTACTMARK R. BEASLEY PHONE (303) 730-2852 AX (303) 730-2910 -MAIL bencbm.qrkinsurance90@yahoo.com INSURE S AFFORDING COVERAGE NAIC0 INSURERA Ohio Casualty Insurance Company INSURED Enginuity Engineering Solutions, Inc. 10106 W San Juan Way, Suite 215 Littleton, CO 80127 (720)306-8222 INSURER8: LLOYDS OF LONDON INSURER D: 1 INSURER F rn\/FRAr,FC r PPTIFIr.ATF NI IMRFR• RFVI.SION 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 BYPAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY YY POLICY Y LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2 000,000 P N'ti u n $ 2,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ®R OCCUR MEDEXP (Anyoneperson) $ 15,000 PERSONAL B ADV INJURY $ 2,000,000 A BZS 16-55143751 07/03/2016 7/03/2119 x GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OPAGG $ 4,000,000 $ MX POLICY M PRO- LOC AUTOMOBILE LIABILITY -COMBINED SINGLE LIMIT a accident) $ r BODILY INJURY (Per person) $ A ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED X HIRED AUTOS N AUTOS X BZS 16-55143751 07/03/2016 7/03/2019 BODILY INJURY (Per accident) $ P PROPERTY DAMAGE $ X UMBRELLA LIAB X OCCUR USO 16-55143751 07/03/2016 7/03/2019 EACH OCCURRENCE $ 5, 000 r 000 AGGREGATE $ A EXCESS LIAB CLAIMS -MADE DIED I X 10 000 WORKERS COMPENSATION X WC STATU- OTH- TnpY ANDEMPLOYERS'LIABILITY y�ry ANY PROPRIETOR/PARTNER/EXECUTIVE 1"—'1 E.L. EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? U N/A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ T If yes, describe under F EACH CLAIM 1,000,000 C PROFESSIONAL E&O ANE1486206.16 09/10/2017 9/10/2018 AGGREGATE 2,000,000 DEDUCTIBLE 5,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101,Additlonal Remarks Schedule, It more space is required) Certificate holder is additional insured with request to General Liability and Automobile. rin nTr u!v n�o rAK1f CI I ATlnnl City of Fort Collins Purchasing Department g p SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO BOX 580 ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE / p © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD