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HomeMy WebLinkAbout113618 AQUA ENGINEERING INC - INSURANCE CERTIFICATE (6)r CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 04/07/2018 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 SUBROGATIONIS 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 CONTACT NAME: USI COLORADO LLC/PHS 34343366 sac N ,Ext: 866 467-8730 ) FAx (A/C, No).(888) 443-6112 E-MAIL THE HARTFORD BUSINESS SERVICE ADDRESS INSURER(S) AFFORDING COVERAGE NAICW CENTER INSURER A: Hartford Fire and Its P&C Affiliates 0091 3600 WISEMAN BLVD SAN ANTONIO, TX 78265 INSURED INSURER B : AQUA ENGINEERING, INC. INSURERC: 4803 INNOVATION DR INSURER D : FORT COLLINS CO 80525-7307 INSURER E: 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 INSR SUB WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP AMkVDD)YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE ❑OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY ❑PRO- ❑ LOC JEGT PRODUCTS - COMP!OP AGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT accident $ ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ HIRED AUTOS NON -OWNED AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS UAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS UABILnY Y/N ruTFF S LALUTE X ER $ E.L. EACH ACCIDENT $ 1,000,000 A ANY PROPRIETOR/PARTNER/EXECUTIVE OFRGFR/MFMBFR EXCLUDED? M A 34 W EG KC2904 05/05/2018 05/05/2019 E.L. DISEASE -EA EMPLOYEE $ 1,000,000 (Mandatory In NH) It yes. describe under F.L. DISEASE - POLICY LIMIT $ 1 ,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) Those usual to the Insured's Operations_ rPiznRr-ATr: "t-ii nm CANCELLATION CITY OF FT COLLINS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE PURCHASING DIVISION EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. PO BOX 580 AUTHORIZED REPRESENTATIVE FORT COLLINS CO 80522-0580 �ua �dvZQ�u�-'ram O 1988-2015 ACORD CORPORATION_ All rights reserved.