HomeMy WebLinkAbout520308 WILSON & COMPANY INC - INSURANCE CERTIFICATE (16)ACORD° CERTIFICATE OF LIABILITY INSURANCE
116.� 6/1/2018
DATE(MM/DDNYYY)
1 5/26/2017
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 endorsement(s).
PRODUCER Lockton Companies
444 W. 47th Street, Suite 900
Kansas City MO 64112-1906
(816) 960-9000
NTACT
NAME:
PHONE r-AA
A/C, No, Ext : A/C, No):
E-MAIL
ADDRESS:
INSURERS AFFORDING COVERAGE
NAIC #
INSURER A: XL S eeialh' Insurance Company
37885
INSURED WILSON & COMPANY, INC., ENGINEERS & ARCHITECTS
1048828 1675 BROADWAY, SUITE 200
DENVER CO 80202
INSURER B :
INSURER C
INSURER D :
INSURER E
INSURER F
COVERAGES W11,CC)15 CERTIFICATE NUMBER: 13840343 REVISION NUMBER: XXXXXXX
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
INSD
SUBR
WVD
POLICY NUMBER
POLICY EFF
MMIDD/YYYY
POLICY EXP
MM/DD/YYYY
LIMITS
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE ❑ OCCUR
P:::
NOT APPLICABLE
EACH OCCURRENCE
$ XXXXXXX
DAMAGE TO RENTED
PREMISES Ea occurrence
XXXXXXX
I
MED EXP (Any oneperson)
XXXXXXX
PERSONAL & ADV INJURY
$ XXXXXXX
GEN'L AGGREGATE LIMIT APPLIES PER:
JECT POLICY❑ PRO-- ❑ LOC
OTHER:
GENERAL AGGREGATE
$ XXXXXXX
PRODUCTS - COMP/OP AGG
$ XXXXXXX
$
AUTOMOBILE
LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
NOT APPLICABLE
COMBINED SINGLE LIMIT
Ea accident
$XXXXXXX
BODILY INJURY (Per person)
$ XXXXXXX
BODILY INJURY (Per accident
$ XXXXXXX
PROPERTY DAMAGE
Per accident
$XXXXXXX
UMBRELLA LIAB
EXCESS LIAB
OCCUR
CLAIMS -MADE
NOT APPLICABLE
EACH OCCURRENCE
$ XXXXXXX
AGGREGATE
$ XXXXXXX
11
DED RETENTION $
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE ❑
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
UDEes, describe under
SCRIPTION OF OPERATIONS oelow
NIA
NOT APPLICABLE
STATUTE OER
E.L. EACH ACCIDENT
$ XXXXXXX
E.L. DISEASE - EA EMPLOYEE
XXXXXXX
E.L. DISEASE -POLICY LIMIT
s XXXXXXX
A
PROFESSIONAL
LIABILITY
N
N
CPP9486269-06
6/1/2017
6/1/2018
$1,000,000 EACH CLAIM & ANNUAL
AGGREGATE FOR ALL PROJECTS.
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
RE: 8191 COLLEGE & PROSPECT INTERSECTION.
CERTIFICATE HOLDER CANCELLATION
13840343
CITY OF FORT COLLINS
PO BOX 580
FORT COLLINS CO 80522
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
ernRn 95 ronia/ns1
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