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HomeMy WebLinkAbout130088 ICON ENGINEERING INC - INSURANCE CERTIFICATE (46)-'1 ICONENG-01 LIZB
'`�COl2G7 CERTIFICATE OF LIABILITY INSURANCE D TE 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 C NTACT Beth Ficken
ME: _
CCIG PHONE FAX
5660 Greenwood Plaza Blvd. A/C, No, Ext : (720) 212-2050 A/C, No):(303) 799-0156
Suite 500_lg&,_,BethF@thinkccig.com
,Greenwood Village, CO 80111 - -,, I ,,,,_
INSURED
ICON Engineering Inc
Douglas Williams
7000 S Yosemite St #120
Centennial, CO 80112
IN
COVFRAnFR CFRTIFICATF NIIMRFR- RFVISIAN NIIMRFR-
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
LTRYYI
TYPE OF INSURANCE
ADDL
SUBR
POLICY NUMBER
POLICY EFF
POLICY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE EX] OCCUR
I34SBAPD8771
01/30/2018
01/30/2019
EACH OCCURRENCE
2,000,000
DAMAGE TO RENTED
REMISES Ea occurre ce
300,000
MED EXP An one person)$
1 O,000
$ 2,000,000
PERSONAL & ADV INJURY
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO- 71 LOC
OTHER:
GENERAL AGGREGATE
PRODUCTS - COMP/OP AGG
$ 4,000,000,
$ 4,000,000
$ I
A
AUTOMOBILE
LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
AUTOS ONLY X AUO70S ONES
34SBAPD8771
01/30/2018
01/30/2019
EO aBINED SINGLE LIMIT
$ 2,000,0001
BODILY INJURY Perperson)
$
BODILY INJURY Per accident
$
X
Pe�acEcldent AMAGE
A
X
UMBRELLA LIAB
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
34SBAPD8771
01/30/2018
01/30/2019
EACH OCCURRENCE
2,000,000
AGGREGATE
$ 2,000,000
DED X RETENTION $ 10,000
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITYSTATUTE
ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N
pFFICER/MEMB R EXCLUDED?
(Mandatary in N. )
If yes, describe under
DESCRIPTION OF OPERATIONS below
N /A
4077567
02/01/2018
02/01/2019
X PER OTH-
ER
E.L. EACH ACCIDENT
1,000,000
E.L. DISEASE - EA EMPLOYE
$ 1,000,000
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)
RE: Mulberry & Riverside Drainage Design 16-009-MRD-352
City of Fort Collins
Attn: Matt Fater
700 Wood Street
Fort Collins, CO 80525
CANC
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
ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD