HomeMy WebLinkAbout307110 HDR ENGINEERING INC - INSURANCE CERTIFICATE (23)ACORN" CERTIFICATE OF LIABILITY INSURANCE
16.1 6/1/2018
DATE(MM/DD/YYYY)
1 5/24/2017
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 Lockton Companies
CONTAC
NAME:
444 W. 47th Street, Suite 900
Kansas City MO 64112-1906
(816) 960-9000
HONE FA
A/C, No, Ext : A/C, No):
E-MAIL
ADDRESS:
INSURERS AFFORDING COVERAGE
NAIC #
INSURER A: Lexington Insurance COmI anV
19437
INSURED HDR ENGINEERING, INC.
INSURER B :
1429583 8404 INDIAN HILLS DRIVE
OMAHA NE 68114-4049
INSURER C
INSURER D :
INSURER E :
INSURER F :
COVERAGES HDRTNOI CERTIFICATE NUMBER: 14713139 REVISION NUMBER: XXXXXXX
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
ADDL
INSD
SUBR
WVD
POLICY NUMBER
POLICY EFF
MMIDD/YYYY
POLICY EXP
MM/DD/YYYY
LIMITS
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
XXXXXXX
CLAIMS -MADE ❑ OCCUR
NOT APPLICABLE
DAMAGE TO RENTED
PREMISES Ea occurrence
XXXXXXX
MED EXP (Any oneperson)
XXXXXXX
PERSONAL & ADV INJURY
$ XXXXXXX
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ XXXXXXX
POLICY JPECT LOC
PRODUCTS - COMP/OP AGG
$ XXXXXXX
$
OTHER:
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
Ea accident
$XXXXXXX
ANY AUTO
NOT APPLICABLE
BODILY INJURY (Per person)
$ XXXXXXX
AUTOS ONLY SCHEDULED
BODILY INJURY (Per accident
$ XXXXXXX
PROPERTY DAMAGE
Per accident
$XXXXXXX
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
$
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$ XXXXXXX
EXCESS LIAB
CLAIMS -MADE
NOT APPLICABLE
k
AGGREGATE
$ XXXXXXX
DED I I RETENTION $
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE ❑
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
N / A
NOT APPLICABLE
PER OTH-
STATUTE ER
E.L. EACH ACCIDENT
$ XXXXXXX
E.L. DISEASE - EA EMPLOYEE
XXXXXXX
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
XXXXXXX
A
_
ARCH & ENG
PROFESSIONAL
N
_
N
061853691
6/1/2017
6/1/2018
PER CLAIM: $1,000,000
AGGREGATE: $1,000,000
LIABILITY
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
CERTIFICATE HOLDER CANCELLATION
14713139
CITY OF FORT COLLINS
ATTN: PURCHASING
P.O. 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
ACnRn ?s 12016/031
n 1 R-2015 ACORD CORPORATION- All rights reserved
The ACORD name and logo are registered marks of ACORD