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HomeMy WebLinkAbout450906 MULLER ENGINEERING COMPANY - INSURANCE CERTIFICATE (18)A�RO� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 10/03/2017 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 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: Marsh Sponsored Programs a division of Marsh USA Inc. PO Box 14404 PHONE FAX A/c No Ext:800-336-1391 p/C No:888-621-3173 E-MAIL ADDRESS. Iacecclientrequest@marsh.com INSUREII AFFORDING COVERAGE NAIC# Des Moines IA 50306 INSURER A: Hartford Accident & Indemnity CO 22357 INSURED INSURER B:Property Casualty Insurance Co. -Hartford 34690 INSURER C: Hartford Underwriters Insurance Co 30104 Muller Engineering Co., Inc. 777 S.Wadsworth Blvd., Ste 4100 Lakewood, CO 80226-4300 INSURERD: INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: 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. ILTR TYPE OF INSURANCE ANSR WVD POLICY NUMBER MD POLICY IMW POLICY EXP LIMITS A GENERAL LIABILITY y 84SBWCT1553 11/01/2017 11/01/2018 EACH OCCURRENCE s2,000,000 X COMMERCIAL GENERAL LIABILITY _ CLAIMS -MADE LXJ OCCUR Prof. Liab Excl UAMAGETO RENTED PREMISES (Ea occurrence) MED EXP (Any one person) s2,000,000 $10 , 0 0 0 PERSONAL & ADV INJURY $2,000,000 GENERALAGGREGATE $4,000,000 GEN'LAGGREGATELIMITAPPLIES PER. PRODUCTS - COMP/OP AGG $4,000,000 POLICY X PRO- JBCT LOC $ C AUTOMOBILE LIABILITY y 84UEGNS8431 11/01/2017 11/01/2016 COMBINED SINGLE LIMIT Ea accident $2 000 000 X BODILY INJURY (Per person) $ ANY AUTO ALLOWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ $ A X UMBRELLALIAB X OCCUR Y 84SBWCT1553 11/01/2017 11/01/2018 EACH OCCURRENCE $2,000,000 riEXCESSLIAB AGGREGATE $2,000,000 CLAIMS -MADE DED I X RETENTION$ 10,000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE 84WEGPM0143 11/01/2017 11/01/2018 WC STATU- OTH- X TORY LIMITS ER E.L. EACH ACCIDENT 1$1,000,000 OFFICERlMEMBER EXCLUDED? NIA E.L. DISEASE- EA EMPLOY $1, 000, 000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below I I E.L. DISEASE -POLICY LIMIT 1 $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it more space is required) RE: CITY OF FORT COLLINS IS INCLUDED AS ADDITIONAL INSURED TO ABOVE COVERAGES EXCEPT W/C AS REQUIRED BY WRITTEN CONTRACT. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CITY OF FORT COLLINS PURCHASING DEPARTMENT AUTHORIZED REPRESENTATIVE 215 N. MASON 2ND FLOOR FORT COLLINS, CO 80524 © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD