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HomeMy WebLinkAbout542023 GROUP 14 ENGINEERING INC - INSURANCE CERTIFICATE (7)AC� ® DATE (MMIDD/YYYY) `� CERTIFICATE OF LIABILITY INSURANCE F4/7/2017 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 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 CONTACT NAME: Daniel Jobs AssuredPartners Colorado PHONE 720 726-3226 FAX 303-861 7502 1873 S Bellaire St Ste 600 Plo, EY1)VC,Denver CO 80222 ADDREss djobs@assuredptrco.com INSURED Group14 Engineering PBC 1325 E. 16th Ave. Denver CO 80218 GROUP-3 INSURERS AFFORDING COVERAGE NAIC # INSURERA:THE HARTFORD 2229 INSURERB:PINNACOL ASSURANCE 41190 INSURER c : Endurance American Specialty INSURER D : ER F : rr1VFDAr:FC rFDTIFIrATF kili 1ARFD- AlOPA0672 DFVICInki luiIMRFD• 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 LTR TYPE OF INSURANCE INSD WVD � POLICY NUMBER POLICY EFF MM/DDfYYYY —— POLICY EXP LIMITS MMIDD/YYYY A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X 1 OCCUR Y Y 34SBAPM3227 517/2017 5/7/2018 EACH OCCURRENCE $2,000,000 EaENiED__ PREMISES Ea occurrence $1,000,000 MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JE� LOC OTHER: GENERAL AGGREGATE E4,000,000 PRODUCTS - COMP/OP AGG $4,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO AUTOSNED SCHEDULED NON -OWNED HIRED AUTOS %( AUTOS Y Y 34SBAPM3227 1/7/2017 5/7/2018 GOMBINED SINGLE L MIT Ea accident $2,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ (Per accident) $ $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE Y Y 34SBAPM3227 5/7/2017 5/7/2018 EACH OCCURRENCE $3,000,000 AGGREGATE $3,000,000 DIED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA y 3129038 B/112016 8/1/2017 X PER OTH- STATUTE ER _ E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYE $1,000,000 E.L. DISEASE - POLICY LIMIT - $1,000,000 C A Professional Liability Crime DPL10009592500 34SBAPM3227 7/20/2016 5/7/2017 7/20/2017 Professional 2,000,000 5/7/2018 Crime 250,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Protect: Pilot program for mentoring and verifying th QI of HVAC Installations City of Fort Collins, its officers, agents, and employees are named as additional insureds per written contract. CERTIFICATE HOLDER CANCELLATION City of Fort Collins PO Box 580 Fort Collins CO 80522 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 © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD