HomeMy WebLinkAbout369918 ECONOMIC & PLANNING SYSTEMS INC - INSURANCE CERTIFICATE (2)CO 0 73/23/'2018
(MMDD!YYYY)
A
C CERTIFICATE OF LIABILITY INSURANCE
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: It 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 CONTACT
NAME:
220 West 20th Ave E C. No. . 650-573-1111 nic No): 650-378-4361
Andrelni & Company -San Mateo PH
San Mateo CA 94403 6 AILs : ktotten@andreini.com
INSURER(§) AFFORDING COVERAGE NAIC #
INSURER A: Federal Insurance Company 20281
INSURED ECONO-5 INSURERS: Republic Indemnity Co of Calif 43753
Economic & Planning Systems
400 Capitol Mall, 28th Floor msuREstc. Continental Casualty Company _ _ 20443
Sacramento CA 95814 INSURERD:_.._..-______._____.....______._..._.._-_....__ _
INSURER E :
INSURER F :
rnvcoer_Gc r1FRTIFICAT1= NIIMRFR• IAZ90AZZFR RFVISION 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.
_
__ ADDL'ffiClftf__. ._ ._........__PpLICY EFF POLICY EXP
ILTR— TYPE OF INSURANCE I POLICY NUMBER MM D /YYYY MM/DD! LIMITS
A
X COMMERCIAL GENERAL LIABILITY
Y
Y
35929623WCE
4l1/2018
4/1/2019
EACH OCCURRENCE
$1.000,000
CLAIMS -MADE j X 'OCCUR
DAMAGE TO F;ENTD -
PREMISS {Ee occurrenceZ _-a
$1 000,000
MED EXP (Any one arson)
$10,000
PERSONAL & ADV INJURY
$ exduded
GEN'L AGGREGATE LIMIT APPLIES PER:
L AGGREGATE
ERA,
�PRODUCTS-COMPIOPAGG
$ 3,000,000
_ ._
$ 3,000,000
` 7 PRO-
,� POI -ICY �-� JEi T � LOC
Per Project A
$ 3.000.000
X 'OTHER: Per ProjecULac
I
A
AUTOMOBILE LIABILITY
_ _
Y
Y
73558746
4/1/2018
4/1/2019
COMBINED SINGLE LIMIT
LEa,accidentZ.__._.__._.____...__
$
1
ANY AUTO
BODILY INJURY jPer person)
I $
OWNED SCHEDULED
AUTOS ONLY AUTOS.-,----------------__--
X HIRED X NON -OWNED
AUTOS ONLY AUTOS ONLY
BODILY INJURY (Per accident)
PROPERTYDAMAGE
I $
is
$
i
I
A
UMBRELLA LIAB X OCCUR
79871994
4it/2018
4/l/2019
EACH OCCURRENCE
$1,000,OOD
I X
EXCESS LIAB CLAIMS -MADE
$
AGGREGATE
$
DED RETENTION $
g WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANYPRUPRIETUR:PARTNER:EXECUTIVE YINE.L.
Y
16150815
4/1/2018
4/1l2019
H
X
._ STATUTE ER
EACH ACCIDENT- $1000000
;M
OFFICEREMBEREXCLUDED�
(Mandatory In NH)
N!A
-" --_ "'
""' n
E.L. DISEASE - EA EMPLOYEE; $1.000,DOO
E.L. DISEASE POLICY LIMIT $ 1 000,000
If yes. describe under
DESCRIPTION OF OPERATIONS below
C Errors & Omissions
Adv/Personal Injury
425343942
411/2016 4/1/2019
i
Per Claim 2.000,000
Annual Aggregate 2,000.000
DESCRIPTION OF OPERATIONS, LOCATIONS! VEHICLES (ACORD 101, Additional Remarks Schedule. may be attached if more space Is required)
City of Fort Collins its officers, agents, and employees are additional insured on a primary and non-contributory basis with regard to General and Auto Liability
and Waivers of Subrogation apply per attached policy provisions.
EPS #: 173061
r1C0TICI1"AT1: unr nCo Ce1JCF1 I ATlr1N
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Fort Collins
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Attn: Beth Diven
ACCORDANCE WITH THE POLICY PROVISIONS.
Purchasing Dept.
City Hall
300 LaPorte Avenue
AUTHORIZED REPRESENTATIVE
Fort Collins CO 80521
USA
w) iwoo-LU15 AC umiur l.unrunA 1Iuvc All riyinbr reserveu.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD