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HomeMy WebLinkAbout130088 ICON ENGINEERING INC - INSURANCE CERTIFICATE (39)ICONENG-01 LIZB 14CORo CERTIFICATE OF LIABILITY INSURANCE D 01 09/2018Y) �--'�•01/09/2018 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 C NTACT Beth Ficken CCIG E. 5660 Greenwood Plaza Blvd. ac°°,"N , Ext►: (720) 212-2050 (,.JC, No):(303) 799-0156 ;Suite 500 E-MAIL BethF thinkcci com Greenwood Village, CO 80111 DOREss: 9 ...-..- .... -----•••- -- -- -- _ .. INSURED ICON Engineering Inc Douglas Williams 7000 S Yosemite St #120 Centennial, CO 80112 INSURER 8 : Plnnacol Assurance 41190 INSURERC: - INSURER D : INSURER E : INSURER F : rr)VFRArFS rFRTIFIrATF MI IMRFR- or-%liCIni'd III IM911=17• 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY XPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR 34SBAPD8771 01/30/2018 j 01/30/2019 EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED PRE MISES (Ea occurre e 300,000 $ MED EXP (Any oneperson) _ $ 10,000 j $ 2,000,000 PERSONAL & ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JE� 17 LOC OTHER: GENERAL AGGREGATE $ 4,000,000 PRODUCTS - COMP/OP AGG $ 4,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS AUTOS ONLY X AUOTOS ONE I!34SBAPD8771 j 01/30/2018 01/30/2019 COM BINED SINGLE LIMIT a a ident 2,000,000 $ BODILY INJURY Per arson $ BODILY INJURY Per accident $ X PerOacEcltlentDAMAGE $ A X UMBRELLA LIAB EXCESS LIAR X OCCUR CLAIMS -MADE 34SBAPD8771 01/30/2018 01/30/2019 EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 DED I X I RETENTION $ 10,000 B WORKERS AND EMPLOYERS' LIABILITY COMPENSATION ANYPROPRIETOR/PARTNER/EXECUTIVE Y/" OFFICER/MEMBER EXCLUDED? n /Mandatory:n NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A 4077567 U2/01/201802/01/2019 X PER OTH- E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYEE 1,00Q000 $ I E.L. DISEASE - POLICY LIMIT $ 1,000,000 —J I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Project: Box Elder Creek CLOMR Review 15-011 -BEC-41 5 K I It-IUA I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Beck Anderson 700 Wood Street Fort Collins, CO 80521 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD