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HomeMy WebLinkAbout130088 ICON ENGINEERING INC - INSURANCE CERTIFICATE (49)ICONENG-01 LIZB ,acoRo° CERTIFICATE OF LIABILITY INSURANCE DATE 01/09/2018 ) �--� 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 CONTACT Beth Ficken NAME: ----- ------ CCIG PHONE TFAX 5660 Greenwood Plaza Blvd. i (A/C, No, Ext): (720) 212-2050 pyc, No):(303) 799-0156 Suite 500 1E-MAIL BethF@thinkccig.com Greenwood Village, CO 80111 _ INSURED ICON Engineering Inc Douglas Williams 7000 S Yosemite St #120 Centennial, CO 80112 INSURER F : Hartford Insural acol Assurance Cf1\/G0Af_GC f•CDTICIf`ATC All IaaDCD. MM11I InkI uI IRA - 4 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 TYPE OF INSURANCE �ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR 34SBAPD8771 01/30/2018 01/30/2019 EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED —PREMISESa o c 300,000 ME EXP (Any oneperson) 10,000 PERSONAL & ADV INJURY 2,000,000 POLICY PRO- ❑ LOC �GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 _ PRODUCTS -COMP/OPAGG $ 4,000,000 OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident) 2,000,000i $ BODILY INJURY (Per arson $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS E AUTOS ONLY �. A�TOSONLDY 34SBAPD8771 01/30/2018 01/30/2019 BODILY INJURY Per accident $ X Pe�accLe t)AMAGE $ I$ A X UMBRELLA LIAB X EXCESS LIAB OCCUR CLAIMS -MADE 34SBAPD8771 I 01/30/2018 01/30/2019 EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 DED I X I RETENTION $ 10,000 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED9 (Mandatory in NHI If yes, describe under DESCRIPTION OF OPERATIONS below N /A 4077567 02/01/2018 i 02/01/2019 X PER OTH- E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ 1,000,000 $ 1,000,000 E.L. DISEASE -POLICY LIMIT 1,000,000 i I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Project: Stanton Creek Stabilization 14-042-SCS-352 GEK I IFIGATE 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 Attn: Mark Kempton ACCORDANCE WITH THE POLICY PROVISIONS. ' 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