HomeMy WebLinkAbout310503 ECONOMIC & PLANNING SYSTEMS - INSURANCE CERTIFICATE (9)DATE (MM'DD'YYYY)
A4C"R" CERTIFICATE OF LIABILITY INSURANCE
t�1 3/13/2018
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: 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 endorsements .
PRODUCER CONT C
NAME:
Andreini & Company -San Mateo PHONE """" " FAX
220 West 20th Ave a � 650-573-1111 A.0 1 : 650-378-4361
E-MAIL ktotten@andreini.com
San Mateo CA 94403 RESS:
INSURERS) AFFORDING COVERAGE NAIClr_.
INSURED
Economic & Planning Systems
400 Capitol Mall, 28th Floor
Sacramento CA 95814
ECONO.5
INSURERC: Continental Casualty Company
INSURERDI
INSURER E :
INSURER F :
Cr1VFRAnPR CFRTIFICATF NIIMRFR• 17AnSRRR5)1 REVISION NUMBER:
43753
20443,
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.
j .POLICY EX�-
INSRA15DLrSII�Ftj
LTR TYPE OF INSURANCE POLICY NUMBER MOLjCrYYFF
LIMITS
A X COMMERCIAL GENERAL LIABILITY Y 35929623WCE 4/1/2018 4012019
EACH OCCURRENCE $1.000.000
X
AGE Tb RENTEIS—^
CLAIMS -MADE OCCUR
PREMISES (Ea occurrenw $1.000,000
MED EXP (An onep rson) $10,000
PERSONAL & ADV INJURY $ excluded
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE $ 3,000,000
} JECTPRO-
POLICY LOC
PRODUCTS - P'OP AGG $ 3.000.000
COM
X OTHER: Per Pro ect/Loc
Per Project Agg $ 3,000,000
A
AUTOMOBILE LIABILITY
73558745
411t2016
41V2019
COMBINED SINGLE LIMIT
Ea accideM)--
$
BODILY INJURY (Per person)
$I
ANY AUTO
OWNED SCHEDULED
BODILY INJURY (Per accident)
$
AUTOS ONLY AUTOS
_ HIRED NON -OWNED
X X I
---.__.__-- -_.._--_ __ _._�__-
PROPERTY DAMAGE
is
AUTOS ONLY AUTOS ONLY
Per accident)
A
UMBRELLALUIB X OCCUR
79871994
4/1/2018 4;1/2019
EAGHOCCURRENCE
$1000,000
~
X EXCESS LIAR CLAIMS -MADE
AGGREGATE
$
DED RETENTION
i
$
B
WORKERS COMPENSATION
16150815
4/1/2018
4/1;2019
1PER OTH-
ER
AND EMPLOYERS' LIABILITY y / N
-._
E.L. EACH ACCIDENT
$1.000,000
OFFICER.�MEMBEREXCLUDED7 a
_.
,ANYPRCIPRIEIIIR'PARTNER:EXECUTIVE
(Mandatory In NH)I
E.L. DISEASE . EA EMPLOYEE
$1.000,000
E.L. DISEASE - POLICY LIMIT
$1.000 000
If yes, describe under
DESCRIPTION OF OPERATIONS below
G
Errors & Omissions
425343942
4/1/2018
41l/2019
Per Claim
2,000000
Adv/Personal Injury
Annual Aggregate
2 000:000
DESCRIPTION OF OPERATIONS ' LOCATIONS % VEHICLES (ACORD 101, Additional Remarks Schedule. may be attached it more space is required)
City of Fort Collins its officers, agents, and employees are named Additional Insureds as respects General Liability per attached form 80-02-2367.
EPS #: 173061
!^CfJTIMPATC unl nGQ CANCFI 1 ATInN
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 Divert
ACCORDANCE WITH THE POLICY PROVISIONS.
Purchasing Dept.
City Hall
300 LaPorte Avenue
AUTHORIZED REPRESENTATIVE
Fort Collins CO 80521
USA
m 1988-2015 ACQHU cUHF FHA I IUN. All rlgntS reservea.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD