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HomeMy WebLinkAbout130088 ICON ENGINEERING INC - INSURANCE CERTIFICATE (65)ICONENG-01 DAWNG CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 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 CCIG PHONE FAX 5660 Greenwood Plaza Blvd. (A/C, No, Ext): (303) 799-0110 A/c, No):(303) 799-0156 Suite 500 -MAIL ppgEr,s: BethF@thinkccig.com Greenwood Village, CO 80111 -^ INSURED ICON Engineering Inc Douglas Williams 7000 S Yosemite St #120 Centennial, CO 80112 INSURER F : CnVFRAnFA RFRTIFIr ATF NII IMRFR• 0C1/Iclnht K11IaaDC10- 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 JJ&Y TYPE OF INSURANCE ADDL IS POLICY NUMBER POLICY EFF POLICY EXP /V LIMITS A X COMMERCIAL GENERAL LIABILITY I _7 EACH OCCURRENCE $ 2,000,000 DAMA'EMGE TO RENTc.ED $ 300,000 CLAIMS -MADE X OCCUR 34SBAPD8771 01/30/2017 01/30/2018 MED EXP (Any oneperson) $ 10,000 PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY jPCOT 7 LOC GENERAL AGGREGATE $ 4,000,000 PRODUCTS - COMP/OP AGG 4,000,000 OTHER A AUTOMOBILE LIABILITY COMBINdEDiSINGLE LIMIT $ 1,000,000 BODILY INJURY Perperson) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS 34SBAPD8771 01/30/2017 01/30/2018 BODILY INJURY Per accident $ X PROPERTYDAMAGE Per accident $ HIRED X NONOyyNED AUTOS ONLY AUTOS ONLY A X UMBRELLA LIAR 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 I RETENTION $ 10,000 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / NLITE_ ANY PROPRIETOR/PARTNER/EXECUTIVE WFICER/MEMBER EXCLUDED? El (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below 4077567 02/0112017 02/01/2018 PER OTH- E.L. EACH ACCIDENT 1000 000 , $ ' El, DISEASE - EA EMPLOYEE _ $ 1,000,000 -- $ 1,000,000 E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) Project: Stanton Creek Stabilization 14-042-SCS-352 City of Fort Collins Attn: Mark Kempton 700 Wood Street Fort Collins, CO 80521 CAN 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 N.:.�'L•- /`'"lam ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD