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HomeMy WebLinkAbout130088 ICON ENGINEERING INC - INSURANCE CERTIFICATE (42)i-� ICONENG-01 LIZB ACORN' CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 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 CQNTACT Beth Ficken _ _ CCIG PHONE FAX 5660 Greenwood Plaza Blvd. I (A/C, No, Ext : (720) 212-2050 (Arc, No :(303) 799-0156 Suite 500 rE-MAIL ADDRESS: BethF@thinkccig.com Greenwood Village, CO 80111 I - INSURED ICON Engineering Inc Douglas Williams 7000 S Yosemite St #12 Centennial, CO 80112 CCIVFRAAFR—_—.---__—_-- rFRTIFIrATF NI IMRFR- INSURERA:The Hartford Insurance INSURER B : Pinnacol Assurance INSURER C : INSURER D : INSURER E : I INSURER F Group RFVIRIr1Nl III IMRFR- 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 SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X I COMMERCIAL GENERAL LIABILITY CLAIMS -MADE '- I OCCUR _ 34SBAPD8771 01/30/2018 01/30/2019 EACH OCCURRENCE DAMAGE TO RENTED PREMISE$ LEa occurrence) MED EXP Aone person nem $ 2,000,000 300,000 $ _ $ 10'000 _ PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JECT LOC GENERAL AGGREGATE $ 4,000,000 _ PRODUCTS - COMP/OP AGG_ $ _ _ 4,000,000 OTHER: $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $___ 2,000,000 11 _CEaaccidant) BODILY INJURY Per erson $ ANY AUTO AWNED SCHE UTOS ONLY AUTOSULED 34SBAPD8771 01/30/2018 01/30/2019 BODILY INJURY Per accident X PROPERTY DAMAGE Per accident $ HIRED X NUT16 WTED AUTOS ONLY AUTOS ONLY I — _ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2'007 EXCESS LIAR CLAIMS -MADE 34SBAPD8771 01/30/2018 01/30/2019 DED X RETENTION $ 10,000 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A 4077567 02/01/2018 02/01/2019 X PER OH - T R E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000' E.L. DISEASE - POLICY LIMIT - 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) RE: General Consulting Services. P1044 Consulting Engineering Services W. Orchard Pond and Storm Drainage Project and Future Stormwater Minor Capital Improvements. Facilities CERTIFICATE HOLDER CANCELLATION _ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins Purchasing Department 215 N Mason St 2nd Floor THE EXPIRATION DATE THEREOF, NOTICE WILL BE ACCORDANCE WITH THE POLICY PROVISIONS. DELIVERED IN Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE ACQKLI 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD