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130088 ICON ENGINEERING INC - INSURANCE CERTIFICATE (43)
ICONENG-01 LIM CERTIFICATE OF LIABILITY INSURANCE DATE 01/091201809/2018Y) 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 CONTACT Beth Ficken NAME: __ 10 Greenwood Plaza Blvd. I pn" 5 6!cc, No, Em : (720) 212-2050 I (A/C No):(303) 799-0156 Suite 500 A M I . BethF@thinkccig.com Greenwood Village, CO 80111_- INSURED ICON Engineering Inc Douglas Williams 7000 S Yosemite St #120 Centennial, CO 80112 r_nVFRAnFC r`FRTI1=1r`ATG All IRA01I Insurance Grou o��nclnr.i r.0 r�ecro. 1190 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 LIR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY RA CLAIMS -MADE X OCCUR X 34SBAPD8771 01/30/2018 01/30/2019 EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED 300,000 MED EPREMIP(Anaoneperson) 10,000 $ PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 17 jPCOT 17 LOC GENERAL AGGREGATE $ 4,000,000� PRODUCTS $ 4,000,000 _-COMP!OPAGG OTHER: A AUTOMOBILE LIABILITY �34SBAPD8771 (CEOac.d. SINGLE LIMIT $ 2,000,000 BODILY INJURY Perperson) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X 01/30/2018 01/30/2019 BODILY INJURY Per accident $ X RR PPar a ent AMAGE $ AUTOS ONLY X A�TOS ONLYY A X UMBRELLA LIAR 1 X OCCUR EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 EXCESS LIAB CLAIMS -MADE 134SBAPD8771 01/30/2018 01/30/2019 DED I X RETENTION $ 10,000 $ B WORKERS AND EMPLOYERS' COMPEN A TIOI N ANY PROPRIETOR/PARTNER/EXECUTIVE YEN WE.L. Ees, descibe uER/MEMBEREXCLUDED? andatory in under yand DSCRIPTr DION OF OPERATIONS below NSA 4077567 02/01/2018 02/01/2019 X PER OTH- STAT ER EACH ACCIDENFICT 1,000,000 $ E.L. DISEASE - EA EMPLOYEE 1,0Oi,,0CC $ E.L. DISEASE -POLICY LIMIT 1,000 � 000 i DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: 7300 Consulting Engineering Services for Clearview Channel and Future Minor Capital. As required by written contract or written agreement, the Certificate Holder is included as Additional Insured for ongoing operations under General Liability and Automobile Liability. L@1 a:a 1 City of Fort Collins Attn: Pat Johnson 700 Wood Street Fort Collins, CO 80521-1945 ACORD 25 (2016/03) 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. The ACORD name and logo are registered marks of ACORD