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HomeMy WebLinkAbout143797 ANDERSON CONSULTING ENGINEERS INC - INSURANCE CERTIFICATE (9)A CERTIFICATE OF LIABILITY INSURANCE FEi2Doi7) THIS CERTIFICATEIS 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 USI COLORADO LLC/PHS 341438 P: (866) 467-8730 F: (888) 443-6112 PO BOX 33015 SAN ANTONIO TX 78265 CONTACT NAME'. �acNu.Exq: (866) 467-8730 ca ,Nor (888) 443-6112 ADDRIESS INSURER(S) AFFORDING COVERAGE NAIL# INSURERA: Hartford Casualty Ins Co INSURED ANDERSON CONSULTING ENGINEERS, INC. 1375 E HORSETOOTH RD BLDG 5 FORT COLLINS CO 80525 INSURER B: INSURER C - INSURER ID INSURER INSURER 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 j 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. INSN TYPE0FIAS0RANCE AD01 SUBA 'f POLICTNUAMEN POLICYPFF I%SM/V/.VI'YTI POLICYEAP LIMTIS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE ;.1 , 0 0 0 , 0 0 0 CLAIMS -MADE x OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) 5 , 3 0 0000 x x MED EXP (Any one person) 10,000 A General Liab 34 SBW KC5665 12/28/2017 12/28/2018 PERSONAL & ADV INJURY 51 , 0 0 0, 0 0 0 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s 2,000,000 POLICY PRO- T ❑ LOC PRODUCTS - COMP/OP AGG s2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) <1 000, 000 BODILY INJURY (Per person) ; ANY AUTO A OWNED SCHEDULED AUTOS ONLY AUTOS 34 SBW KC5665 12/28/2017 12/28/2018 x BODILY INJURY (Per accident) 5 PROPERTY DAMAGE (Per accident) x HIRED x NON -OWNED AUTOS ONLY AUTOS ONLY 5 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 8, 0 0 0, 0 0 0 A EXCESS LIAB CLAIMS -MADE 34 SBW KC5665 12/28/201V 12/28/2018 AGGREGATE $8, 000, 000 DE x RETENTION Sl 0, 0 0 0 $ Www"S(OMPEYSATION aNDEMPLOYE" LLti6ILM PER I IOTH- STATUTE ER E.L. EACH ACCIDENT ANY PROPRIETORIPARTNERIEXECUTIVEYIN OFFICERIMEMBER EXCLUDED? (Mandatory in NH) ❑ NIA E.L. DISEASE- EA EMPLOYEE " If yes, describe under E.L. DISEASE LIMIT $ DESCRIPTION OF OPERATIONS below -POLICY DESCRIPTION OF OPERATKXYS I LOCATIONS/ VEHICMRD 101, Additional Remarks Schedule, may be attached if more space is required) Those usual to the Insured's Operations. RFP 8073 Engineering Services for Future Water, Wastewater & Stormwater facilities CIP CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort C o 11 i n s PO BOX 580 AUTHORIZED REPRESENTATIVE FORT COLLINS, CO 80522 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: LOC#: ADDITIONAL REMARKS SCHEDULE Page of AGENCY USI COLORADO LLC/PHS NAMED INSURED ANDERSON CONSULTING ENGINEERS, INC. 375 E HORSETOOTH RD BLDG 5 FORT COLLINS CO 80525 POLICY NUMBER SEE ACORD 25 CARRIER SEE ACORD 25 NAIC CODE EFFECTIVE DATE SEE ACORD 25 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM FORMNUMBER: ACORD 25 FORMTITLE: CERTIFICATE OF LIABILITY INSURANCE The City, its officers, agents and employees shall be named as additional insured per the Business Liability Coverage Form SS0008, and the Hired Auto and Non -Owned Auto Endorsement SSO438 attached to this Policy. Notice of cancellation will be provided in accordance with Form SS1223 attached to this policy. Notice of cancellation will be provided in accordance with Form WC990394 attached to this policy. 0 0 0 ACORD 101 © 2014 ACORD I ne AcuKU name and logo are registered marks of ACORD reserved.