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HomeMy WebLinkAboutALLIANCE CONSULTING ENGINEERS LLC - INSURANCE CERTIFICATE (6)Client#: 1083785 ALLIACONS ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 1/09/2018 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER USI Colorado, LLC Prof Liab P.O. Box 7050 Englewood, CO 80155 800 873-8500 CONTACT NAME: PHONE g00 873-8500 F A/C No Et): A/C No): EMAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC III INSURER A : Sentinel Insurance Company Ltd. 11000 INSURED Alliance Consulting Engineers, LLC 1720 W Mulberry St, Ste CA 80521 PO Box 14 INSURER B : XL Specialty Insurance Company 37885 INSURERC: HerffordAeclMmalndemnityCompany 22357 INSURER D : Bellvue, CO 80512-0014 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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, LTRR TYPE OF INSURANCE INSRLISUBRIWVD POLICY NUMBER MM/DDY EFF MM/DDY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y 34SBWII2248 1/07/2018 01/07/2019 EACH OCCURRENCE $1,000,000 CLAIMS -MADE [� OCCUR PREMISES Ea occurrrence $1 000,000 MED EXP (Any one person) $10,000 PERSONAL &ADV INJURY $1,000,000 L AGGREGATE LIMIT APPLIES PER: PRO - POLICY XECT F7LOC r,OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG $2,000,000 $ (, AUTOMOBILE LIABILITY Y Y 34UEGZG4226 1/07/2018' 01/07/201 COMBINED SINGLE LIMIT Ea cci adent 1,000,000 BODILY INJURY (Per person) $ X� ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ X, AUTOS ONLY X NON -OWNED AUTOS ONLY PROPERTY DAMAGE Per accident _ $ $ A X UMBRELLA LIAB X OCCUR Y Y 34SBWII2248 1/07/2018 01/0712019 EACH OCCURRENCE s2,000,000 AGGREGATE s2,000,000 EXCESS LIAB CLAIMS -MADE DED I Xi RETENTION $1O 000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITYUTE Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? 7 N / A Y 34WECCE0811 5/05/2017 05/05/201 ER X POTH- E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 B Professional DPS9912013 3/18/2017 03/18/2018 $2,000,000 per claim Liability $2,000,000 annl aggr. Claimd Made DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) As required by written contract or written agreement, the following provisions apply subject to the policy terms, conditions, limitations and exclusions: The Certificate Holder and owner are included as Automatic Additional Insured's for ongoing and completed operations under General Liability; Designated Insured under Automobile Liability; and Additional Insureds under Umbrella / Excess Liability but only with respect to liability arising out of the Named Insured work performed on behalf of the certificate holder and owner. (See Attached Descriptions) City of Fort Collins P.O. Box 580 Fort Collins, CO 80522 I IUN 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) 1 of 2 #S22302585/M22300380 ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD USBZP SAGITTA 25.3 (2016/03) 2 of 2 #S22302585/M22300380