HomeMy WebLinkAbout143797 ANDERSON CONSULTING ENGINEERS INC - INSURANCE CERTIFICATE (7)CERTIFICATE OF LIABILITY INSURANCE
DATE (NMDD-'YYYY)
12/5/2016
THIS CERTIFICATEIS 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 terns 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
USI COLORADO LLC/PHS
341438 P: (866) 467-8730 F: (888) 443-6112
PO BOX 33015
SAN ANTONIO TX 78265
CONTACT
NAME:
(ACC. PHONE. ( 8 6 6 ) 467-8730
FAX
.Nu): (888) 443-6112
ADDRESS
INSURER(S) AFFORDING COVERAGE NAIC9
wsURERA: Hartford Casualty Iris Co
INSURED
ANDERSON CONSULTING ENGINEERS, INC.
375 E HORSETOOTH RD BLDG 5
FORT COLLINS CO 80525
INSURER B
INSURER C
INSURER D:
INSURER E:
INSURER
rn%1=0A!1C¢ rFRTW1r_ATF NIIMRFR• KtV1,1UN NUMI5117-K:
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,EXCLUS IONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
I
TFPEOFIN.SURANC:E
Eva
WrD
POLICY NUMBER
POLICY EFT
1PD/YYPr1
POLICY E,IT
ajmd2 ,
I,IM!TS
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
S 1, 000, 000
CLAIMS -MADE � OCCUR
DAMAGE TO RENTED
PREMISES (Ea occurrence)
e 300,000
A
General Liab
34 SEW KC5665
12/28/2016
12/28/2017
X
X
MED EXP (Any one person)
s101 000
PERSONAL & ADV INJURY
,1 , 000, 000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY X PRO ❑ LOC
JECT
GENERAL AGGREGATE
s2 r 0 0 0 , 000
PRODUCTS-COMPIOP AGG
; 2 r 000, 000
OTHER:
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
(Ea accident)
0 0 000
� 51 000,
,
BODILY INJURY (Per person)
ANY AUTO
A
OWNED SCHEDULED
AUTOS ONLY AUTOS
X HIRED X NON -OWNED
AUTOS ONLY AUTOS ONLY
34 SEW KC5665
12/23/2016
12/26/2017
BODILY INJURY (Per accident)
,
PROPERTY DAMAGE
(Per accident)
X
UMBRELLA LIAR
X
OCCUR
EACH OCCURRENCE
18, 000, 000
A
EXCESS LIAO
CLAIMS -MADE
34 SEW KC5665
12/28/2016
12/28/2017
AGGREGATE
;,8, 000, 000
DE
X
RETENTION S10 r 0 0 0
wORKE 16 COMPEffSAHOW
ANDE.MPLOYE"'LL4WMD
ANY PROPRIETORIPARTNERJEXECUTIVEYIN
PER OTH-
STATUTE ER
E.L. EACH ACCIDENT
OFFICERIMEMBER EXCLUDED? ❑
(Mandatory in NH )
wA
E.L. DISEASE- EA EMPLOYEE
It yes, describe under
E.L. DISEASE - POLICY LIMIT'
DESCRIPTION OF OPERATIONS below
—7
M
DESCRIPTION OF OPERATIONS/LOCATIONS / VEHIC(`SORD 101, Additional Remarks Schedule, may be attached it more space is required)
Those usual to the Insured's Operations. The City of Ft Collins its officers,
agents and employees is an Additional Insured per the Business Liability
Coverage Form SS0008 attached to this policy. Project: RFP 7084 Future Water,
Wastewater and Stormwater Facilities Capital Improvements projects. 10 days
notice applies due to non pay.
r1=RTIC1rAT1P unl nFR
City of Ft Collins
Attn: Pat Johnson
PO BOX 580
FORT COLLINS, CO 80522
UANI:tLLA I RUN
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
5 ACORD CORPORATION. All rights resery
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD