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HomeMy WebLinkAbout130088 ICON ENGINEERING INC - INSURANCE CERTIFICATE (59)ICONENG-01 DAWNG ACORG7 CERTIFICATE OF LIABILITY INSURANCE D TE 01/04/2017Y) 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: I0 Greenwood Plaza Blvd. (A/cC, No, Ext): (303) 799-0110 A/c 5 6, No):(303) 799-0156 Suite 500 E-MpRBethF thinkccig.com Greenwood Village, CO 80111 INSURERS AFFORDING COVERAGE NAIC # INSURERA:The Hartford Insurance Group 22357 INSURED INsuccm w • Pinnarnl ASLRItranCP Align ICON Engineering Inc Douglas Williams 7000 S Yosemite St #120 Centennial, CO 80112 INSURER E : INSURER F : rr1VFRAnFA rFRTIGIrATF All IMRFD• DG1/ICInK1 Kit IRRn=D- 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. ILTR NSR OF INSURANCE ADDLTYPE INSD WVDSUBR POLICY NUMBER POLICY Y PMLDD/YY ICY P LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR X 34SBAPD8771 01/30/2017 01/30/2018 EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED pR I a occurrence)$ 300,000 ME EXP (Any oneperson) $ 10,000 PERSONAL & ADV INJURY IS 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JECT � LOC GENERAL AGGREGATE $ 4,000,000 PRODUCTS - COMP/OP AGG $ 4,000,000 $ OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT a cci nt 1,000,000 $ BODILY INJURY Perperson) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X 34SBAPD8771 01/30/2017 01/30/2018 BODILY INJURY Per accident $ X PROPERTY DAMAGE Per accident HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 EXCESS LAB CLAIMS -MADE 34SBAPD8771 01/30/2017 01/30/2018 DED RETENTION $ 10,000 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/ N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? i,� (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A I 4077567 02/01/2017 02/01/2018 PER OTH- T T T E.L. EACH ACCIDENT 1,0000 0,0 $ E.L. DISEASE - EA EMPLOYEE _ $ 1,000,000 E.L DISEASE -POLICY LIMIT 1 000 000 $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) RE: 7300 Consulting Engineering Services for Clearview Channel and Future Minor Capital. As required by written contract or written agreement, the Certificate Holder is included as Additional Insured for ongoing operations under General Liability and Automobile Liability. L;tK I It-IL;A I t NULUtK CANCELLATION City of Fort Collins Attn: Pat Johnson 700 Wood Street Fort Collins, CO 80521-1945 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