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HomeMy WebLinkAbout450906 MULLER ENGINEERING COMPANY - INSURANCE CERTIFICATE (20)A1RO® CERTIFICATE OF LIABILITY INSURANCEF0/03/2017 DATE M/DDlYYYY) 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 14404acecclientrequest@marsh-com PHONE FAX AIc No •800-338-1391 AIc No:888-621-3173 ADDRESS: INSURER(S) AFFORDING COVERAGE NAICO Des Moines IA 50306 INSURER A: Hartford Accident & Indemnity Co 22357 INSURED INSURER 8: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. INSR LTR TYPE OF INSURANCE ADDL INSR SUB WVD POLICY NUMBER POLICY EFF MWDD/YYY POLICY EXP MMIDD/YYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE rx-1 OCCUR y 84SBWCT1553 Prof. Liab Excl 11/01/2017 11/01/2018 EACH OCCURRENCE $2,000,000 DAMAGE TO RENTED PREMISES Ea occurrence s2,000,000 MED EXP (Any one person) $10 , 0 0 0 PERSONAL & ADV INJURY $2,000,000 GENERAL AGGREGATE $4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- LOC X JECT PRODUCTS - COMP/OP AGG $4,000,000 $ C AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS Y 84UEGNS8931 11/01/2017 11/01/2018 (COMBINED SINGLELIMIT EeaccideM $2,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Peraccident $ A X UMBRELLALUIB X OCCUR EXCESS LIAB CLAIMS -MADE DED I X I RETENTION$ 10 000 84SBWCT1553 11/01/2017 11/01/2018 EACH OCCURRENCE $2,000,000 AGGREGATE $2,000,000 $ 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 NIA 84WEGPM0143 11/01/2017 11/01/2018 X WC STATU- OTH- TORY LIMITS ER 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 (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) The City, its officers, agents and employees are named as additional insured on the above referenced policies when required by written contract. 30 days notice of cancellation will be given to cert holder per policy endorsement. 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 Attn: Purchasing Dept. AUTHORIZED REPRESENTATIVE PO Box 580 Fort Col}ins, CO 80522 © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD