HomeMy WebLinkAboutNKE ENGINEERING LLC - INSURANCE CERTIFICATE® DATE (MM/DD/YYYY)
ACOR" CERTIFICATE OF LIABILITY INSURANCE
1 10/24/2017
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 CONTACT
ONTABlaine Swanson
CT _
Arthur J. Gallagher Risk Management Services, Inc. -PHONE t). lame 5 1700 FAX , No): 303 295 2121
70017th Steet Suite 675 E-MAIL
Denver CO 80202 RESS: blaine_swanson@ajg.com
INSURER A:Hiscox Insurance Company Inc. 10200
INSURED NKEENGI-01 INSURER B:
NKE Engineering, LLC INSURERC:
8122 SouthPark Lane
Suite 214 INSURERD: _
Littleton CO 80120 INSURER E :
INSURER F:
wrr,Ai+Ec nrnrIErrATE hl"RADEn. 1An74F1070 DC1lICIrl1U IUIIMRFB-
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
MM/DD/YYYY
POLICY EXP
MM/DD/YYYY
LIMITS
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE '_ OCCUR
EACH OCCURRENCE
$
PR�EM SES Ea occurrence
$
MED EXP (An one person)
PERSONAL & ADV INJURY
$
$
GENT AGGREGATE LIMIT APPLIES PER:
POLICY PRO LOC
RJECT
OTHER:
GENERAL AGGREGATE
$
PRODUCTS - COMP/OP AGG
$
$
AUTOMOBILE LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
mrmucnim
Ea accident
$
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
Per accident
$
$
UMBRELLA LIAB
EXCESS LIAB
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE
$
DED RETENTION $
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N AND
ANY PROPRIETORIPARTNER/EXECUTIVE ❑
OFFICERIMEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N/A
OTH-
ER
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYE
$
E.L. DISEASE - POLICY LIMIT
-
$
A
Professional Liability
Y
Y
URA1388842.17
10/15/2017
10/15/2018
Each Claim $2,000,000
Aggregate $2,000,000
I
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Certificate Holder is listed as additional insured, with waiver of subrogation.
CFRTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
PO Box 580 ACCORDANCE WITH THE POLICY PROVISIONS.
Fort Collins CO 80522
AUTHORIZED REPRESENTATIVE
1988-ZO15 ACURD CURF'UKA I IUIV. Au rignts reserves.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD