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HomeMy WebLinkAbout130088 ICON ENGINEERING INC - INSURANCE CERTIFICATE (67)ICONENG-01 DAWNG A� o�Ro 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 �L-ME_—-- CCIG ;PHONE, FAX 5660 Greenwood Plaza Blvd, A/C, No, Ext►: (303) 799-0110 Io/c, No):(303) 799-0156 Suite 500 RaMAIL RESS: BethF@thinkccig.com Greenwood Village, CO 80111 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A:The Hartford Insurance Group 22357 INSURED INSURER B : Plnnacol Assurance 141190 ICON Engineering Inc Douglas Williams 7000 S Yosemite St #120 Centennial, CO 80112 F- I INSURER F : CnVFRAnPR 1^_FRTICII^ATG All Ii11109:11I r,, — 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 TYPE OF INSURANCE ADD SiNsk UER, POLICY NUMBER POLICY EFF I /YY POLICY EXP l I Y - LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR 34SBAPD8771 01/30/2017 01/3012018 EACH OCCURRENCE ' $ 2,000,000 DAMAGE TO RENTED PREMISES Ea Occurrence)$ 300,000 MED EXP (Any one person) $ 10,000 — --� PERSONAL & ADV INJURY $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: POLICY 171 JERCo T I LOC GENERAL AGGREGATE 4,000,000 $______ I I PRODUCTS - COMP/OP AGG $ 4,000,000 $ OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT accident) $ 1,000,000 BODILY INJURY Perperson) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AU�TOpSyVNEp AUTOS ONLY X AUTOS ONLY 34SBAPD8771 01/30/2017 01/3012018 BODILY INJURY Per accident $ X PerOaccitlentDAMAGE $ A X UMBRELLA LIAB X JOCCUR EACH OCCURRENCE 2,000,000 AGGREGATE $ 2,000,000 EXCESS LIAR ICLAIMS-MADE 34SBAPD8771 01/30/2017 01/30/2018 DIED X I RETENTION $ 10,000 B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE QFFICER/MEMBER EXCLUDE[ (Mandatoryb NH) If es, describe under DESCRIPTION OF OPERATIONS below N/A 4077567 02/01/2017 02/011Z018 PER OTH- T E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE 1,000,000 1,000,000 $ E.L. DISEASE - POLICY LIMIT 1,000,000 i DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: General Consulting Services. P1044 Consulting Engineering Services W. Orchard Pond and Storm Drainage Project and Future Stormwater Facilities Minor Capital Improvements. .111 IVM 1 L IIVLVLR GANGtLLA I ION City of Fort Collins Purchasing Department 215 N Mason St 2nd Floor 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 v%.VI[V ID [4V IO/U3) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD