HomeMy WebLinkAbout564112 STANLEY CONSULTANTS INC - INSURANCE CERTIFICATE (5)ACOROa DATE (MM/DDIYYYY)
CERTIFICATE OF LIABILITY INSURANCE Fi/16/2018
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 endorsements ,
PRODUCER CONTACT
NAME: Cheryl Hairless
Arthur J. Gallagher Risk Management Services, Inc. PHONE 563 316-3415 FAX 563-263-6667
104 West 2nd Street �Alc,l�°,-
Muscatine IA 52761 E'MA'E : cheryl_harless@ajg.com
INSURERA:Travelers Property Casualty Co of America 25674
INSURED INSURER B: Charter Oak Fire Insurance Company 25615
Stanleyy Consultants, Inc. INSURER c: Phoenix Insurance Company 25623
8000 S. Chester Street #500
Centennial CO 80112 INSURER0:
INSURER E :
CnVFRAGFS CFRTIFICATF NI IMRFR. 27673344 RFVirlinfu NI 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.
-
ILTR
— -- —
I TYPE OF INSURANCE
AND
WVDI
POLICY NUMBER MWDD/YYYY MMIDD/YY P
LIMITS
B
X
COMMERCIAL GENERAL LIABILITY
Y
Y
P-630-4885B479-COF-18
1/1/2018
1/1/2019
EACH OCCURRENCE
$1,000,000
CLAIMS -MADE 7 OCCUR
DAMAGE TO RENT
PREMISES Ea occurrence
$300,000
MED EXP (Any one person)
$10,000
PERSONAL & ADV INJURY
$1,000,000
GEN'L
AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$2,000,000
POLICY [X] JEST 7 LOC
PRODUCTS - COMPIOP AGG
$2,000,000
$
OTHER:
B
AUTOMOBILE
LIABILITY
Y
Y
810-4885B479-COF-18
1/1/2018
1/1/2019
(EaM accident
$1,000,000
X
BODILY INJURY (Per person)
$
ANY AUTO
OWNED ASCHEDULED
AUTOS ONLY UTOS
X
BODILY INJURY (Per accident)
$
HIRED NON -OWNED
AUTOS ONLY X AUTOS ONLY
X
DAMAGE
Per accident
—
$
A
X
UMBRELLA LIAB
X
OCCUR
ZUP-15T69985-18-NF
1/1/2018
1/1/2019
EACH OCCURRENCE
$20,000,000
EXCESS LIAB
CLAIMS -MADE
AGGREGATE
_
s20,000,000
DED X RETENTION $10,000
$
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y /N
ANY PROPRIETOR/PARTNER/EXECUTIVE ❑
OFFICER/MEMBER EXCLUDED?
NIA
Y
UB-8J736329
1/1/2018
1/1/2019
X ER OT -
STATUTE ER
$1.,000,000
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYE
(Mandatory in NH)
$1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
$1,000,000
E.L. DISEASE - POLICY LIMIT
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
RE: All assignments associated with Master #8127 Light and Power engineering design services; The City of Fort Collins, its officers, agents
and employees are is Additional Insured as respects to General Liability and Auto policies, pursuant to and subject to the policy's terms,
definitions, conditions and exclusions. 30 day cancellation notice applies.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Financial Services Purchasing Division ACCORDANCE WITH THE POLICY PROVISIONS.
PO Box 580
Fort Collins CO 80522
USA AUTHORIZED REPRESENTATIVE
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