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HomeMy WebLinkAbout450906 MULLER ENGINEERING COMPANY - INSURANCE CERTIFICATE (19),aco CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIWYY) �.� 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 NAME: Marsh Sponsored Programs PHONE FAX ac No •800-338-1391 AIC Nc 888-621-3173 a division of Marsh USA Inc. E-MAIL PO Box 14404 ADDRESS:acecclientrequest@marsh.com Des Moines IA 50306 1 URERISI AFFORDING COVERAGE NAICO INSURED Muller Engineering Co., Inc. 777 S.Wadsworth Blvd., Ste 4100 Lakewood, CO 80226-4300 INSURERA:Hartford Accident & Indemnity Co 22357 INSURERB:Property Casualty Insurance Co. -Hartford 34690 INSURER C: Hartford Underwriters Insurance Co 30104 INSURER D : 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. INSR LTR I TYPE OF INSURANCE ADDL S SUBR POLICY NUMBER POLICY EFF MWDDIY POLICY EXP MMIDDIYYY LIMITS A GENERAL LIABILITY Y 84SBWCT1553 11/01/2017 11/01/2018 EACH OCCURRENCE $2,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE IOCCUR Prof. Liab Excl DAMAGE TO RENTEU PREMISES occurrence $2, 000, 000 MED EXP (Any one person) $10,000 PERSONAL &ADV INJURY s2,000,000 GENERAL AGGREGATE $4,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOPAGG $4,000,000 POLICY 7X j�7 LOC $ C AUTOMOBILE LIABILITY Y 84UEGNS8431 11/01/2017 11/01/2018 COMBINED SINGLE LIMIT Ea accident $2 000 000 BODILY INJURY (Per person) $ X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ $ A X UMBRELLA LIAB X OCCUR Y 84SBWCT1553 11/01/2017 11/01/2018 EACH OCCURRENCE $2,000,000 AGGREGATE $2 , 0 0 0, 0 0 0 EXCESS LIAR CLAIMS -MADE DED I X I 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 ORY LIMITS . E.L. EACH ACCIDENT $1, 000, 000 OFFICER/MEMBER EXCLUDED? ❑ NIA E.L. DISEASE - EA EMPLOYEE $1, 000, 000 (Mandatory in NH) If yyes, describe under DESCRIPTIONOFOPERATIONS Wow E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) RE: P1147 SIGNAL TIMING PROGRAM. THE CITY, ITS OFFICERS AND EMPLOYEES IN ACCORDANCE WITH COLORADO LAW ARE INCLUDED AS ADDITIONAL INSURED FOR ABOVE COVERAGES EXCEPT W/C AS REQUIRED BY WRITTEN CONTRACT. CERTIFICATE HOLDER CANCELLATION CITY OF FT. COLLINS ATTN: JAMES B. O'NEILL PO BOX 580 FT. COLLINS, CO 80522-0580 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 REPRESENTATIVE © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD