HomeMy WebLinkAbout542023 GROUP 14 ENGINEERING INC - INSURANCE CERTIFICATE (6)ACORa CERTIFICATE OF LIABILITY INSURANCE
FDATE(MM/DD/YYYY)
4/10/2018
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 endorsements .
PRODUCER
AssureclPartners Colorado
4582 S. Ulster St., Suite 600
CONTACT
NAME: Daniel Jobs
— J - - -- -
PHO
AICNNo. Ext : 303-863-7788 a c No): 303-861-7502
Denver CO 80237
EA DR -MAIL , djobs@assuredptrco.com
INSURER(S) AFFORDING COVERAGE NAIC ✓r
INSURER A: Sentinel Insurance Co LTD
! 11000
INSURED GROUENG-01
Group14 Engineering PBC
1325 E. 16th Ave.
INSURER B: Plnnacol Assurance
41190
INSURER C : Endurance America Specialty Insurance Co.
41718
INSURER D :
Denver CO 80218
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: 163649279 REVISION NLIMRER-
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
DL,
U
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MWDDIYYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
Y
Y
34SBAPM3227
5/7/2018
5/7/2019
EACH OCCURRENCE
$2,000,000
DAMAGE TO RENTED
PREMISES Ea occurrence
$1.000,000
CLAIMS -MADE X 'OCCUR
J
MED EXP (Any oneperson)
$10,000
PERSONAL 8 ADV INJURY
$ 2,000,000
GEN'L
AGGREGATE LIMIT APPLIES PER:
POLICY ❑ JEGTPRO- ❑ LOC
GENERAL AGGREGATE
$ 4,000,000
�(
PRODUCTS - COMP/OP AGG
$ 4.000,000
$
OTHER:
A
AUTOMOBILE
LIABILITY
Y
Y
34SBAPM3227
5,71201 B
5/7/2019
COMBINED SINGLE LIMIT
Ea accident
$ .000.0,QQ_ _
BODILY INJURY (Per person)
ANY AUTO
$
OWNED DULED
AUTOS ONLYBODILY
INJURY (Per aocldent)
$
XHIRED
EASUCT(ES NON -OWNED
AUTOS ONLY AUTOS ONLY
PROPERTY DAMAGE
Per accident
$
A
X
UMBRELLA LIAB
X
OCCUR
Y
Y
34SBAPM3227
5/7/2018
5/7/2019
EACH OCCURRENCE
$ 3,000,000
AGGREGATE
$ 3,000,000
EXCESS LIAR
CLAIMS -MADE
I DED 1 X I RETENTION
$
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
Y
3129038
8i1/2017
8/1/2018
X PER OTH-
E.L. EACH ACCIDENT
$ 1,000,000
ANYPROPRIETOR/PARTNER/EXECUTIVE
OFFICERiMEMBER EXCLUDED?
N f A
E.L. DISEASE - EA EMPLOYEE
$1,000,000
(Mandatory In NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
C
A
Professional Liability
Crime
DPL10009592501
34SEAPM3227
7120/2017
5/7/201B
7120/2018
5/7/2019
Prote"innal
Employee Dishonesty
2,000,000
250.000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
RE_ Project: Pilot program for mentoring and verifying th QI of HVAC Installations
City of Fort Collins, its officers, agents, and employees are named as additional insureds per written contract.
VCI'S I iriIiA IC r7VLtJGR 4AIVVtLLAI IVN
City of Fort Collins
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
C 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD