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HomeMy WebLinkAbout564112 STANLEY CONSULTANTS INC - INSURANCE CERTIFICATE (4)ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 1 1 /24/2017 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 endorsements . PRODUCER Arthur J. Gallagher Risk Management Services, Inc. 100 West 2nd St Muscatine IA 52761 CONTACT Che I Harless PHONE . 563-263-6044 FAx 563-263-6667 E-MAIL . cheryl_harless@ajg.com INSURERS AFFORDING COVERAGE NAIC # INSURER A :Travelers Property Casualty Co of A 25674 INSURED INSURERB:Travelers Indemnity Company 25658 Stanley Consultants, Inc. 8000 S. Chester Street #500 INSURER C : Centennial CO 80112 INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 1836959999 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 INSD WVD POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MMIDDIYYYY LIMITS B X COMMERCIAL GENERAL LIABILITY Y Y P-630-4885B479-TIL-17 1/1/2017 1/1/2018 EACH OCCURRENCE $1,000,000 X� OCCUR A AGE TOCLAIMS-MADE PREM SESOEa oNcu once $1,000,000 MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 7 JPRO- POLICY LOC PRODUCTS - COMP/OP AGG $2,000,000 $ OTHER: B AUTOMOBILE LIABILITY Y Y P-810-4843A850-IND-17 1/1/2017 1/1/2018 MIN IN L LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ ANY AUTO OWNED X SCHEDULED AUTOS ONLY AUTOS x BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY %( PROPERTY DAMAGE Per accident $ A X UMBRELLA LIAB X OCCUR ZUP-15T69985-17-NF 1/1/2017 1/1/2018 EACH OCCURRENCE $20,000,000 I AGGREGATE $20,000,000 EXCESS LIAB CLAIMS -MADE DED X RETENTION $10,000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE y PVYCJ-UB-4885B47-9-17 1/1/2017 1/1/201$ x PER OTH- STATUTE ER E.L. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N / A E.L. DISEASE PA _MFLOYE $1,000,000 i (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1 $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: All assignments associated with Master #8127 Light and Power engineering design services; The City of Fort Collins, its officers, agents and employees are is Additional Insured as respects to General Liability and Auto policies, pursuant to and subject to the policy's terms, definitions, conditions and exclusions. 30 day cancellation notice applies. am Q:411l a lh11 11 :0: Lei •J =I h__ 9Lh 3SwM01C City of Fort Collins Financial Services Purchasing Division PO Box 580 Fort Collins CO 80522 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENT /ef Ai ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are- registered marks of ACORD