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HomeMy WebLinkAbout611149 ENGINUITY ENGINEERING SOLUTIONS LLC - INSURANCE CERTIFICATECERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 9/22/2017 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 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 . PRODUCER BENCH1AARK INSURANCE AGENCY LLC 66 W Springer Dr #315 Highlands Ranch, CO 80129 MARK R. BEASLEY PHONE (303) 730-2852 'FAX (303) 730-2910 F-MAIL enc r insurance ya oo.com INSURERS AFFORDING COVERAGE NAICa Ohio Casualty Insurance Company INSURED Enginuity Engineering Solutions, Inc. 10106 W San Juan Way, Suite 215 Littleton, CO 80127 (720)306-8222 INSURER B: LLOYDS OF LONDON INSURERD: INSURERE: CnVFRAGFS CERTIFICATE NUMBER: 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. INSIR LTR TYPE OF INSURANCE POLICY MIPOLICY EFF MLI Y EIY YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 21000,000 occurrence)$ 2,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OOCCUR MED EXP An one rson $ 15,000 PERSONAL & ADV INJURY $ 2,000,000 A BZS 16-55143751 07/03/201 7/03/2111 " GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 $ MX POLICY r I PRO-LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (EaANYAUTO r BODILY INJURY (Per person) $ A ALLOWNED SCHEDULED AUTOS AUTOS NON -OWNED X HIREDAUTOS N AUTOS X BZS 16-55143751 07/03/2017 7/03/2016 BODILY I NJU RY (Per accident) $ PPROP accident) DAMAGE $ A X UMBRELLA LIAB EXCESS LABCLAIMS-MADE OCCUR USO 16-55143751 07/03/2017 7/03/201e EACH OCCURRENCE $ 5,000,000 N AGGREGATE $ X 10 000 WORKERS COMPENSATION X WC SI TU- OTH- RAITR FIR AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ I I If yes, describe under Dr-CRIPTION-POLICY EACH CLAIM 1,000,000 C PROFESSIONAL E&O ANE1486206.16 c7/1�/201 9/10/201e AGGREGATE 2,000,000 DEDUCTIBLE 5,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101,Additional Remarks Schedule, if more space is required) Certificate holder is additional insured with request to General Liability and Automobile. City of Fort Collins Purchasing Department PO 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 © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD