The URL can be used to link to this page

Home My WebLink About121136 NORTHERN ENGINEERING SERVICES INC - INSURANCE CERTIFICATE (4)OP ID: TA '44c m15 111% ,..., CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDNYYY) 03/01/2017 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 Phone: 970-223-1804 Front Range Insurance Group 1100 Haxton Drive Suite 100 Fax- Fort Collins, CO 80525 David A. Wooldridge LUTCFAAI CONTACT NAME: PHONE FAX AIc No Ext : A/C No): E-MAIL ADDRESS: PRODUCER NORT-16 C STOMER ID #: INSURER(S) AFFORDING COVERAGE NAIC # INSURED Northern Engineering Services, Inc. Ketterling, Butherus 8r Norton Engineers 301 N Howes St, Ste 100 Fort Collins, CO 80521 INSURER A: RLI Insurance Company INSURER B : Pinnacol Assurance 41190 INSURER C INSURER D INSURERE: INSURER F : r nVFRAnI7A CFRTIFICOTF NIIMRFR- 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 U POLICY NUMBER POLICY EFF MM IDD/YYYY) POLICY EXP (MM/DDfYYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurrence $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY X PSB0002740 01/15/2017 01/15I2018 CLAIMS -MADE FxI OCCUR MED EXP (Any one person) $ 10,00 PERSONAL & ADV INJURY $ 1,000,00 A X Contractual Liab GENERAL AGGREGATE $ 2,000,00 GEN1 AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,00 $ POLICY X PRO LOC A AUTOMOBILE X LIABILITY ANY AUTO X PSA0001663 01/15/2017 01/15/2018 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 BODILY INJURY (Per person) $ X ALL OWNED AUTOS PSA0001663 01/15/2017 01/15/2018 BODILY INJURY (Per accident) $ SCHEDULED AUTOS HIRED AUTOS PSA0001663 01/15/2017 01/15/2018 PROPERTY DAMAGE (Per accident) $ X NON-OWNEDAUTOS PSA0001663 01/15/2017 01/15/2018 X Coll Deduct $ 1,00 Comp Deduct $ 1,00( X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4,000,00 AGGREGATE $ 4,000,00 A EXCESS LIAB CLAIMS -MADE PSE0003116 01/15/2017 01/15/2018 DEDUCTIBLE $ $ RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVEYIN OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA 4170568 01/01/2017 01/01/2018 X I WC STATU- OTH- TORY LIMITSI ER E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYE $ 1,000,00 E.L. DISEASE - POLICY LIMIT $ 1,000,00 If yes, describe under DESCRIPTION OF OPERATIONS below A Professional Liab RDP0028067 1310312017 03/03/2018 Per Claim 2,000,00 Aggregate 2,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) City of Fort Collins is covered as additional insured under the genearal 6 auto liabilty policy. The insurance evidenced by this Certificate will not reduce coverage or limits and will not be cancelled, except after thirty (30) days written notice has been received by the City of Fort Collins. r cDTlclr`ATC LJr%l nGD CANCFI I OTION CITYFC1 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 PO Box 580 Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE © 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD