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551971 FEHR & PEERS - INSURANCE CERTIFICATE (8)
FEHR&PE-01 THOMPSONC ,A�o�RO CERTIFICATE OF LIABILITY INSURANCE DATE(M/201YYY) 4/242017 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 I A Insurance Services PHONE FAX 3875 Hopyard Road (A/C, No, Ext): (A/C, No):(925) 416-7869 Suite 240E-MAIL E Pleasantnton, CA 94588 SS: Cassandra.Thompson@ioausa.com -- ___ INSURERS) AFFORDING COVERAGE NAIC INSURED Fehr & Peers 100 Pringle Avenue, Suite 600 Walnut Creek, CA 94596 nnVFRAnPA r'-FDTIFIr:ATF All IMRFD- INSURER A:RLI Insurance Company �INSURER III: Hartford Insurance CompaM of the M INSURER C: Liberty Insurance Underwriters Inc INSURER D : INSURER E : INSURER F : owieinu ur mnn�n. 13056 THIS IS TO CERTIFY THAT THE POLICIES OF I.JSURANCE 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. ILTRNSR TYPE OF INSURANCE AN Dp S R, POLICY NUMBER MMLDDY YYY MOLI D(YExP LIMITS A X _ COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 1,000,000 CLAIMS -MADE X OCCUR PSB0006683 12/06/2016 12/06/2017 PREMI$ES�Ea occurrence $ MEDEXPLAnyone arson _ $ 101000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY LX ru LOC 2,000,000 JECT PRODUCTS - COMP/OP AGG $ OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT LEa-accident)-_ 1,000,000 $ - ANY AUTOOWNED PSA0002276 12/06/2016 12/06/2017 BODILY INJURY (Per person) $ SCHEDULED -- AUTOS ONLY AUTOS X HIRED IL X NON -OWNED BODILY INJURY Per accident $ PROPERTY AMAGE Peraccident � AUTOS ONLY AUTOS ONLY $ $ A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 X LIA CLAIMS -MADE PSE0002889 12/06/2016 12/06/2017 AGGREGATE �$ 5,000,000 DEDESS RETENTION $ Is B WORKERS COMPENSATION X I PER OTH- AND EMPLOYERS' LIABILITY Y / N STAT TE ER ANY PROPRIETOR/PARTNER/EXECUTIVE 57WEGZJ1989 05/01/2017 05/01/2018 $ 1,000,000 OFFICER/MEMBER EXCLUDED? N (Mandatory in NH) N/A, _E.L,EACHACCIDENT 1,000,000 yes. describe under E.L DISEASE -EA EMPLOYEE $If DESCRIPTION OF OPERATIONS below E L DISEASE - POLICY LIMIT $ 1,000,000 C Professional L.iab AEiNYABEFJ2001 12106!2016 12/06/2017 F'er Claim 3,000,006 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 relred) Re: ALL OPERATIONS OF THE NAMED INSURED. Fort Collins Transportation Air Quality Manual / DN16-0515 V City of Fort Collins is Additional Insured to General and Auto Liability. 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;Attn: Purchasing Dept. PO Box 580 Fort Collins. 22-0 ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD