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HomeMy WebLinkAbout130088 ICON ENGINEERING INC - INSURANCE CERTIFICATE (54)ICONENG-01 DAWNG ,acoizo CERTIFICATE OF LIABILITY INSURANCE D 011041201 YY) �••—�� 01 /04/2017 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 (CONTACT NAME: _ CCIG PHONE FAX 5660 Greenwood Plaza Blvd. I(A/C, No, Ext): (303) 799-0110 (A/C, No):(303) 799-0156 Suite 500 �ES ADDRS: BethF@thinkccig.com Greenwood Village, CO 80111 INSURED ICON Engineering Inc Douglas Williams 7000 S Yosemite St #120 Centennial, CO 80112 INSURER F : Pinnacol CnVFRAnFR CFRTIFICATF NIIMRFR• RFVISION NIIMRFR- 1190 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 LT TYPE OF INSURANCE ADDL IN SUER WVD POLICY NUMBER POLICY EFF MMI /YY POLICY EXP MM/ Y _ LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 7 OCCUR 34SBAPD8771 01/30/2017 01/30/2018 EACH OCCURRENCE 2,000,000 DAMAGE TO PREMISES Ea occurrence) _$ $ 300,000 MED EXP (Any oneperson) $ 10,000 PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ JE� LOC OTHER: GENERAL AGGREGATE $ 4,000,000 PRODUCTS - COMP/OP AGG $ 4,000,000 A AUTOMOBILE LIABILITY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED X I NON -OWNED AUTOS ONLY AUTOS ONLY I34SBAPD8771 01/30/2017 01/30/2018 CO a.,dEDS IINGLE LIMIT $ 1,000,000 BODILY INJURY Perperson) $ JxANY BODILY INJURY Per accident $ PROPERTY DAMAGE Per accident $ A X UMBRELLA LIAB EXCESS LAB X OCCUR CLAIMS -MADE 34SBAPD8771 01/30/2017 01/30/2018 EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 DED I X I RETENTION $ 10,000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROP RI OFFICER/MEMBER/PARTN EXCLUDED? ER/EXECUTIVE Y❑ (Mandatory in NH) It yes, describe under DESCRIPTION OF OPERATIONS below N /A 4077567 02/01/ZO17 02/01/2018 PER OTH- TAT T E E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYEE _ $ 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 $ i i DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Mulberry & Riverside Drainage Design 16-009-MRD-352 UtK I IF-K:A I It t1l City of Fort Collins Attn: Matt Fater 700 Wood Street Fort Collins, CO 80525 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 ACORD 25 (2016103) ©1988.2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD