The URL can be used to link to this page

Home My WebLink About330179 INTERWEST CONSULTING GROUP - INSURANCE CERTIFICATE (24)— 1 a AcoRO CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 11 /3/2016 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 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 endorsements . USI Colorado, LLC Prof Liab CONTPRODUCER NAME. KathyStar PHo"E 800-873-8500 FAX P.O. Box 7050 Englewood CO 80155 E-MAIL DRESS INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:XL Specialty Insurance Company 37885 INSURED INTERCON35 INSURERB:Travelers Indemnity Company 25658 INSURERC:Travelers Indemnity Company of CT 25682 Interwest Consulting Group INSURER D :Travelers Property Cas. Co. of Amer 25674 P.O. Box 18330 Boulder CO 80308 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER' 1089165951 REVISION NUMBER: 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 LTR TYPE OF INSURANCE SO INSD WVD POLICY NUMBER POLICY EFF POLICY EXP MM/DD/YYYY MM/DD LIMITS B X I COMMERCIAL GENERAL LIABILITY CLAIMS -MADE �I' OCCUR Y Y 6806H441143 11/14/2016 11/14/2017 EACH OCCURRENCE $1,000,000 DAMAGE ED PREM SES� RENa occu ante $1,000,000 MED EXP (Any one person) $10,000 PERSONAL 8 ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG $2,000,000 _ POLICY [K IRO- ECT a LOC i OTHER: I C AUTOMOBILE LIABILITY Y Y BA7466M429 11/14/2016 11/14/2017 MEIN )_SINGLELIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO BODILY INJURY (Per accident) $ AUTOS NED SCHEDULED AUTOS x HIRED AUTOS X NON -OWNED AUTOS PROPERTY erra cidentDAMAGE $ D X UMBRELLA LIAB X OCCUR Y Y CUP133OT362 11/14/2016 11/14/2017 EACH OCCURRENCE $4,000,000 AGGREGATE $4,000,000 EXCESS LIAB CLAIMS -MADE DED X RETENT10N$0 $ p WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE Y U81339T934 j 11/14/2016 11114/2017 X STATUTE ERH E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYE $1,000,000 OFFICER/MEMBER EXCLUDED? �I (Mandatoryin NH) N / A E.L. DISEASE -POLICY LIMIT $1,000,ODU If yes, describe under DESCRIPTION OF OPERATIONS below A Professional Liability Y Pollution Liab Included DPR9726823 11/14/2016 11/14/2017 Per Claim $2,000,000 Annual Aggregate $5,000,000 Claims Made DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) As required by written contract or written agreement, the following provisions apply subject to the policy terms, conditions, limitations and exclusions: The Certificate Holder and owner are included as Automatic Additional Insured's for ongoing and completed operations under General Liability; Designated Insured under Automobile Liability; and Additional Insured's under Umbrella / Excess Liability but only with respect to liability arising out of the Named Insured work performed on behalf of the certificate holder and owner. The General Liability, Automobile Liability, Umbrella/Excess insurance applies on a See Attached... GERI IHIGAIt HULLJtK11V1 City of Fort Collins Attn: Purchasing Department P.O. Box 580 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 IUtHS-LU-14 AI�UKV %-UMr'UKAI IVrf. All IK9tRb ICbC1 VCU. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID:INTERCON35 LOC #: AC "R" ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED USI Colorado, LLC Prof Liab Interwest Consulting Group P.O. Box 18330 POLICY NUMBER Boulder CO 80308 CARRIER I NAIC CODE EFFECTIVE DATE: LnnITInMAI REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE:CERTIFICATE OF LIABILITY INSURANCE primary and non-contributory basis. A Blanket Waiver of Subrogation applies for General Liability, Automobile Liability, Umbrella/Excess Liability and Workers Compensation. The Umbrella / Excess Liability policy provides excess coverage over the General Liability, Automobile Liability and Employers Liability. Please note that Additional Insured status does not apply to Professional Liability or Workers' Compensation. Certificate Holder is additional Insured with respect to General Liability and Automobile. All policies include Thirty (30) Day Notice of Cancellation in favor of the City of Fort Collins. ACORD 101 (2008/01) V 2oos AGUKU GUKNUKAI IUN. An rlgnts reservea. The ACORD name and logo are registered marks of ACORD