HomeMy WebLinkAbout520308 WILSON & COMPANY INC - INSURANCE CERTIFICATE (10)ACORN` CERTIFICATE OF LIABILITY INSURANCE
6/1/2019
FDA5/23,1DD/WYY)
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
NAME:
A/C, No, EXt : A/C, No
E-MAIL
ADDRESS:
INSURERS AFFORDING COVERAGE
NAIC #
INSURER A: Liberty Insurance Corporation
42404
INSURED WILSON & CO., INC.
4011 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: 13840336 REVISION NUMBER: 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
A `r
COMMERCIAL GENERAL LIABILITY
Y
N
TB7-Z91-467382-028
6/1/2018
6/l/2019
EACH OCCURRENCE
1,000,000
CLAIMS -MADE OCCUR
PREMISES (Ea RENTED
)
$ 1,000,000
MED EXP (Any oneperson)$
10 000
PERSONAL & ADV INJURY
$ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PE LOC
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMP/OP AGG
$ 2,000000
$
OTHER:
B
AUTOMOBILE
LIABILITY
Y
N
AS2-Z91-467382-018
6/l/2018
6/1/2019
Ee aBINEDtSINGLE LIMIT
$ 1 000 000
X
BODILY INJURY (Per person)
$ XXXXXXX
ANY AUTO
AUTOS ONLY ANED UTOS
BODILY INJURY (Per accident
$ XXXXXXX
X
HINO-OWEAUTOS ONLY X AUUTOS ONLDY
Peoacc dentDAMAGE
$ XXXXXXX
$XXXXXXX
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$ XXXXXXX
EXCESS LAB
CLAIMS -MADE
NOT APPLICABLE
AGGREGATE
$ XXXXXXX
DED RETENTION S
$
B
WORKERS COMPENSATION
AND EMPLO ERS' L ABILIITY Y / N
N
WC2-Z91-467382-038
6/ 1 /201 8
6/1/2019
TH-
X STATUTE I PER OER
E.L. EACH ACCIDENT
$ 1,000,000
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
N / A
E.L. DISEASE - EA EMPLOYEE
1,000,000
in NH)and
It yes, describe under
If
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
RE: 8191 COLLEGE & PROSPECT INTERSECTION. THE CITY OF FT. COLLINS, ITS OFFICERS, AGENTS AND EMPLOYEES ARE
ADDITIONAL INSURED AS RESPECTS GENERAL 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.
13840336 AUTHORIZED REPRESENTATIVE
CITY OF FORT COLLINS
PO BOX 580
FORT COLLINS CO 80522
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