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551971 FEHR & PEERS - INSURANCE CERTIFICATE (7)
FEHR&PE-01 THOMPSO CERTIFICATE OF LIABILITY INSURANCE DAT/24/2D/YYYY) _ - 424/2017 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 License # OE67768 CONTACT Cassandra Thompson IOA Insurance Services PHONE FAX 3875 Hopyard Road _�A/C, No, Ext): (A/C, No):(925) 416-7869 Suite 240 E-MAIL Cassandra.Thompson@ioausa.com Pleasanton, CA 94588 - INSURER(S) AFFORDING COVERAGE NAIC 0 INSURED of the Midwest Fehr & Peers I INSURER C:Libe_rty Insurance Underwriters Inc 19917 100 Pringle Avenue, Suite 600 INSURER 0 Walnut Creek, CA 94596 r-- INSURER E INSURER F : COVERAGES CERTIFICATF NUMRFR- RFVl5ZInNI NI IPJ11 a• THIS IS TO c;ERTIFY THAT THE iDOLICIES 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. INSR, -. TYPE OF INSURANCE ADDL SUBR TR I _..... _._--- ---------- -- _ POLICY NUMBER POLICY EFF POLICY EXP / MM/ LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR i PSB0006683 ! 12/06/2016 12/06/2017 EACH OCCURRENCE pREMISE$aoccurrence $ 1,000,000 $ 1,000,000 MED EXP An , one person $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 210001000 GENT AGGREGATE LIMIT APPLIES PER: POLICY X PRO- JECT L] LOC PRODUCTS - COMP/OP AGG_J $ 2,000,000 OTHER: A AUTOMOBILE LIABILITY E aBc EDt, SINGLE LIMIT 1 $ 1,000,000 $ $ - ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS PSA0002276 12/06/2016 12/06/2017 BODILY INJURY (Per person) BODILY INJURY Per accident) X HIRED X NON0NED AUTOS ONLY �_j AUTOW S ONLY PROPERTY DAMAGE Per accident) . $ A UMBRELLA LIAB X OCCUR X EXCESSLIAB CLAIMS -MADE _ PSE0002889 12/06/2016 EACH OCCURRENCE 12/06/2017 AGGREGATE _ -- $ 5,000,000 5,000,000 $ $ DED RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE C�F� IN/A' CER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below X PER OTH- TgTU ER 57WEGZJ1989 06/01/2017 05/01/2018 E.L. EACH ACCIDENT .. E.L. DISEASE -EA EMPLOYEE E.L. DISEASE - POLICY LIMIT 1,000,000%F $ 1,000,000 . $ 1,000,000 C Professional Liab _ -_ AEXNYABEFJ2001 12/0'J2016 12/06/2017 Per Claim 3,000,000 C Professional Liab AEXNYABEFJ2001 12/06/2016 12/06/2017 Aggregate 3,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) RE: ALL OPERATIONS OF THE NAMED INSURED. 8068 Enhanced Travel Corridor Master Plan for West Elizabeth. The City of Fort Collings, its officers, agents and employees are Additional Insured for General Liability, but only insofar as performance under this Agreement is concerned. Insurance is primary and non-contributory. 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 City of Fort Collins; Purchasing Department Attn: Gerry Paul;PO Box 580 ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD