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HomeMy WebLinkAbout520308 WILSON & COMPANY INC - INSURANCE CERTIFICATE (9)ACOR"fl CERTIFICATE OF LIABILITY INSURANCE 6/1/2019 FDATE(MMIDD/YYYY) 5/23/2018 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER Lockton Companies 444 W. 47th Street, Suite 900 Kansas City MO 64112-1906 (816) 960-9000 CONTACT NAME: AIC, No, EXt : A/C, No): E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: Libertv Insurance Corporation 42404 INSURED WILSON & CO., INC. 011 ENGINEERS & ARCHITECTS 4401 MASTHEAD STREET NE, SUITE 150 INSURER B : Liberty Mutual Fire Insurance Company 23035 INSURER C INSURER D : ALBUQUERQUE NM 87109 INSURER E : INSURER F COVERAGES 2 CERTIFICATE NUMBER: 14747746 RFVISInN NIIMRFR• XXXXXXX 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 INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y N TB7-Z91-467382-028 6/1,12018 6/l/2019 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE � OCCUR PREMISES (Ea RENTED ) S 1,000,000 MED EXP (Any oneperson) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN1 AGGREGATE LIMIT APPLIES PER'. POLICY? PRoi X❑ LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: 13 AUTOMOBILE LIABILITY Y N AS2-Z91-467382-018 6/1/2018 6/l/2019 (COaBINEDtSINGLE LIMIT $ 1,000 000 BODILY INJURY (Per person) $ XXXXXXX ANY AUTO OWNED SCHEDULED ONLY AUTOS Ix BODILY INJURY (Per accident $ XXXXXXX HIRAUTOS AUTOS ONLY X NON-OWNED ONLYY Pe a CldentROPER DAMAGE $ XXXXXXX $ XXXXXXX UMBRELLA LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ XXXXXXX EXCESS LIAB NOT APPLICABLE AGGREGATE $ XXXXXXX DED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN N WC2-Z91-467382-038 6/1/2018 6/1/2019 ER X I STATUTE OER E.L. EACH ACCIDENT $ 11000,000 AN OF EXCLUDED? PROPRIETOR/PARTNER/EXECUTIVE N❑ (Mandatory in NH) If yes describe under DESCRIPTION OF OPERATIONS below N / A E.L. DISEASE - EA EMPLOYEE 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000.000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: HORSETOOTH & COLLEGE INTERSECTION IMPROVEMENTS. THE CITY OF FORT COLLINS, ITS OFFICERS AND EMPLOYEES ARE ADDITIONAL INSUREDS AS RESPECTS GENERAL LIABILITY AND AUTO LIABILITY, AS REQUIRED BY WRITTEN CONTRACT. 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. 14747746 AUTHORIZED REPRESENTATIVE CITY OF FORT COLLINS PO BOX 580 FORT COLLINS CO 80522 j' fi ACORD 25 (2016/03) ©19$8-2015 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD