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HomeMy WebLinkAbout130088 ICON ENGINEERING INC - INSURANCE CERTIFICATE (57)--'^1 ICONENG-01 DAWNG AcoRO CERTIFICATE OF LIABILITY INSURANCE DATE01 I(0/2017M4 `--� /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. (A/c, No, Ext : (303) 799-0110 (A/C, No):(303) 799-0156 Suite 500 E-MAIL gethF thinkcci com APDRESS; @ 9 Greenwood Village, CO 80111 INSURED ICON Engineering Inc Douglas Williams 7000 S Yosemite St #120 Centennial, CO 80112 INSURER A : The Hartford I F: CnVFRAnFR CFRTIPIr:ATF NIIMRFR• RFVICIr)m kIIIMRFR- 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 LTRMMIDDIYYM TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP M! /YY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ' X OCCUR X 34SBAPD8771 01/30/2017 01/30/2018 EACH OCCURRENCE $ 21000,000 DAMAGE TO RENTED N Ewen $ 300,000 MED EXP Any oneperson) $ 10,000 PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- L � LOC JECT GENERAL AGGREGATE $ 4,000,000 PRODUCTS - COMP/OP AGG 4,000,000 $ $ OTHER: A AUTOMOBILE LIABILITY CO aBINEDcdenfSINGLE LIMIT $ 1,000,000 BODILY INJURY Perperson) $ ANY AUTO X 134SBAPD8771 01/30/2017 01/30/2018 BODILY INJURY Per accident $ OWNED SCHEDULED AUTOS ONLY AUTOS X PROPERTY DAMAGE Per accident $ HIRED X NON-OWNF AUTOS ONLY AUTOS ONLY A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 EXCESS LIAB CLAIMS -MADE 34SBAPD8771 01/30/2017 01/30/2018 DED I X RETENTION $ 10,000 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OpFFICER/MEMBER EXCLUDED (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A 4077567 02/01/2017 02/01/2018 PER OTH- T R .. ELEACH ACCIDENT _ 1,000,ODU $ E.L. DISEASE - EA EMPLOYEE _ $ 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 $ I DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) Project: 8073 Engineering Services for Future Water, Wastewater & Stormwater Capital Improvements. The City, its officers, agents and employees shall be named as additional insureds on the General Liability and Automobile liability policies for any claims arising out of work performed under this Agreement. The insurance evidenced will not be cancelled, except after Certificate Holder Note: thirty (30) days written notice has been received by the City of Fort Collins. L:tK I IFIL;A It HULUtK CANCELLATION City of Fort Collins Attn: Ms Pat Johnson CPPB 700 Wood Street Fort Collins, CO 80521 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 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD