Loading...
HomeMy WebLinkAbout572770 WUNDERLICH-MALIC SYSTEMS INC - INSURANCE CERTIFICATEDATE (MMIDD/YYYY) A`CO,RO® CERTIFICATE OF LIABILITY INSURANCE 12/27/2016 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 Phone: (952)944-2929 CONTACT Jane Doerfler Fax: (952)944-3091 NAME: Horizon Agency, Inc. A/CNNo E (952)914-7131 FAX No : (952)944-3091 6500 City West Pkwy #100 ADDRESS: Jane@horizonagency.com Eden Prairie, Minnesota 55344 INSURERS AFFORDING COVERAGE NAIC# INSURED Wunderlich-Malec Engineering, Inc.; Wunderlich-Malec Systems, Inc. Wunderlich-Malec Services, Inc. 6101 Blue Circle Drive Eden Prairie, MN 55343 INSURER A: Travelers Property Casualty Company Of America INSURER B : The Travelers Indemnity Company Of America INSURER C : INSURER D : INSURER F CnVFPAnFS CFRTIFICOTF NIIMRFR is 1 Su 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 TYPE OF INSURANCE ADOL SUB- POLICY POLICY NUMBER MM/DD EFF POLICY MM/DD EXP LIMITS LTR 1I COMMERCIAL GENERAL LIABILITY 6306C26656717 I/1/2017 1/1/2018 EACH OCCURRENCE $ 1,000,000 A DAMAGE RENTED PREMISES a occurrence) ence 100,000 $ CLAIMS -MADE l OCCUR Blanket Additional Insured MED EXP (Any one person) $ ✓ y Primary and Non -Contributory $0 Deductible PERSONAL & ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY ✓� ECT LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: B AUTOMOBILE LIABILITY 8106C26656717 1/1/2017 1/1/2018 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ t/ ANY AUTO $1,000 Comprehensive Deductible BODILY INJURY (Per accident) $ OWNED SCHEDULED AUTOS ONLY AUTOS -� y $1,000 Collision Deductible PROPERTY DAMAGE Per accident $ ✓ HIRED NON -OWNED $50,000 Hired Physical Damage AUTOS ONLY AUTOS ONLY $ UMBRELLA LIAB OCCUR CUP6C26656717 I/1/2017 I/1/2018 EACH OCCURRENCE $ 10,000,000 A EXCESS LIAR CLAIMS -MADE Excess over CGL,AL&WC AGGREGATE $ 10,000,000 DED ✓ RETENTION $ 10,000 Per accident $ 10,000,000 ✓ y f II..,., f— a A WORKERS COMPENSATION UB6C26656717 I/1/2017 1/1/2018 H ✓ STA UTE ER AND EMPLOYERS' LIABILITY YIN E.L. EACH ACCIDENT $ 1,000,000 ANYPROPRIETOR/PARTNER/EXECUTIVE NIA A Y E.L. DISEASE - EA EMPLOYEE $ 1,000,000 OFF ICE R/M EMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - POLICY LIMIT $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below B Crime 105877082 I/1/2017 I/l/2018 EmptoyccTheft 1,000,000 $10,000 Deductible Employee Theft of client Droperty 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACCORD 101, Additional Remarks Schedule, maybe attached if more space is required) The City of Fort Collins, its officers, agents and employees shall be named as additional insureds when required by written contract. CERTIFICATE HOLDER CANCELLATION Holder's Nature of Interest : Additional Insured 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 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD