HomeMy WebLinkAbout130088 ICON ENGINEERING INC - INSURANCE CERTIFICATE (45)----- ICONENG-01 LIZ ACORO DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 01/09/2018 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 NAME CT Beth Ficken _ CCIG 5660 Greenwood Plaza Blvd. INCNro, Ext): (720) 212-2050 jAC, No):(303) 799-0156 Suite 500 aI oRE . BethF@thinkccig.com Greenwood Village, CO 80111 INSURFRISI AFFORDING COVERAGE NAIC # INSURED INSURER 8 : Plnnacol Assurance 41190 ICON Engineering Inc INSURER C : Douglas Williams 7000 S Yosemite St #120 INSURER D : Centennial, CO 80112 INSURERE: _. INSURER F : rf1\/C0 Ar_CC !`CDTICI!`ATC All IIUIQCD• BF\/ISInKl All IMRFR- 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 I TYPE OF INSURANCE ADDL SUBR WVD POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE X OCCUR X 34SBAPD8771 01/30/2018 01/30/2019 DAMIAGETOER�EoNCEDD urnanqe)$ 500,000 ME EXP (Any oneperson) $ 10,000 PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER POLICY PRO � LOC JECT GENERAL AGGREGATE $ 4,000,000 PRODUCTS - COMP/OP AGG $ 4,000,000 OTHER. A AUTOMOBILE LIABILITY Ea accdeBINEDtSINGLE LIMIT $ 2,000,000 BODILY INJURY Perperson) $ ANY AUTO X 34SBAPD8771 01/30/2018 01/30/2019 OWNED �I SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ PROPERTY AMAGE Per accident $ X AU D ONLY X AUOTOS ONLD A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 EXCESS LIAR CLAIMS -MADE 34SBAPD8771 01/30/2018 01/30/2019 AGGREGATE $ 2,000,000 DIED I X I RETENTION $ 10,000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? (.dandatory in NH) N / A 4077567 02/01l2018 02/01/2019 X STR OTH- E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Project: 8073 Engineering Services for Future Water, Wastewater & Stormwater Capital Improvements. The City, its officers, agents and employees shall be named as additional insureds on the General Liability and Automobile liability policies for any claims arising out of work performed under this Agreement. The insurance evidenced will not be cancelled, except after Certificate Holder Note: thirty (30) days written notice has been received by the City of Fort Collins. l9_10 Lya, WL1ILei D SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN tY ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Ms Pat Johnson CPPB 700 Wood Street Fort Collins, CO 80521 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD