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HomeMy WebLinkAbout571438 HEMENWAY GROUND WATER ENGINEERING INC - INSURANCE CERTIFICATE (2)HEMEGRO-01 LJENKINS ,ACORO CERTIFICATE OF LIABILITY INSURANCE DATE2912 Y01 05/29/28 8 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 rights to the certificate holder in lieu of such endorsements . PRODUCER License # 0757776 CONTACT Lori Jenkins NAME: HUB International Insurance Services (COL) 2742 Crossroads Blvd. Grand Junction, CO 81506 ('v N , Et): (72O) 207-2398 (nArC, No):(866) 243-0727 E-MAIL ADDRESS: lori.jenkins@hubinternational.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: Hartford Casualty Insurance Company 29424 INSURED INSURER B : West American Insurance Co 44393 Hemenway Groundwater Engineering, Inc 17011 Lincoln Avenue Suite #416 INSURER C: Pinnacol Assurance Company 41190 INSURER D : Travelers Property Casualty Company of America 25674 INSURER E : Parker, CO 80134 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 LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR X 34SBAUH3744 09/01/2017 09/01/2018 EACH OCCURRENCE $ 1,000,000 DAMAGE TISESO RENTED $ 300,000 MED EXP (Any oneperson) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY ❑ PEO LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMP/OPAGG $ 2,000,000 $ B AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS SSWN AUTOS ONLY q AUTOS ONEDY X BAW53537661 11/05/2017 11/05/2018 COMBINED SINGLE LIMIT fEa accident 1,000,000 $ BODILY INJURY Perperson) $ BODILY INJURY Per accident $ pPeOracEadenDAMAGE $ $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 34SBAUH3744 09/01/2017 09/01/2018 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 DIED I X I RETENTION $ 10,000 C WORKERS COMPENSATION AND EMPLOYERS'LIABILITY AFFICER/MEMBOR/EXCLUDED ECUTIVE Y❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 4080868 05/01/2018 05/01/2019 X PER TE ORH E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 $ D Prof Liability 105335985 09/01/2017 09/01/2018 iAggregate Limit 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) This section intentionally left blank. City of Fort Collins Purchasing Department 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 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD