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HomeMy WebLinkAbout571438 HEMENWAY GROUND WATER ENGINEERING INC - INSURANCE CERTIFICATE"cam CERTIFICATE OF LIABILITY INSURANCE 875/2017 I THIS CERTIFICATEIS 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 endorsements . PRODUCER HUB INTL MTN STATES LTD/PHS 344399 P: (866) 467-8730 F: (888) 443-6112 PO BOX 33015 SAN ANTONIO TX 78265 CONTACT NAME: (A;C,,NEo,Ext): (866) 467-8730 (888) 443-6112 q RIESS: INSURER(S) AFFORDING COVERAGE NAKA INSURERA: Hartford Casualty Ins CO INSURED HEMENWAY GROUNDWATER ENGINEERING, INC_ 17011 LINCOLN AVE PMB 416 PARKER CO 80134 INSURER B : INSURER C INSURER INSURER E: INSURER F: COVERAGES 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. INSN 17RMM/DILYYY TYPE OFINSDRANCF. ADDI SCBR POLLCYNC/MBER 1Y)LATEFF POLICYEXP LLNITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE ,1 , 0 0 0 , 0 0 0 CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence) s 3 0 0 0 0 0 r X X MED EXP (Any one person) $10 r 000 A General Liab 34 SBA UH3744 09/01/2017 09/01/2018 PERSONAL & ADV INJURY ,1 , 000, 000 GENT AGGREGATE LIMIT APPLIES PER: POLICY � JECT � LOC GENERAL AGGREGATE , 2 , 0 0 0 , 0 0 0 PRODUCTS - COMP!OP AGG s2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $1 000, 000 r BODILY INJURY (Per person) $ ANY AUTO A OWNED SCHEDULED AUTOS ONLY AUTOS 344 SBA UH3744 09/01/2017 09/01/2018 X BODILY INJURY (Per amdent), PROPERTY DAMAGE (Per accident) $ X HIRED X NON -OWNED AUTOS ONLY ' AUTOS ONLY X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $1 , 000, 000 A EXCESS LIAB CLAIMS -MADE 34 SBA UH3744 09/01/2017 09/01/2018 X AGGREGATE $1, 000, 000 DE X RETENTION $10 , 0 0 0 .&P-c:-es cr)MPGA,snT10.N MDF.MPLOYEMVL"8LLr1R PER OTH- STATUTE IF I ER E-L- EACH ACCIDENT S ANY PROPRIETOR/PARTNER!EXECUTIVEY/N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) ❑ AVA E.L. DISEASE -EA EMPLOYEE If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICPMRD 101, Additional Remarks Schedule, may be attached if more space is required) Those usual to the Insured's Operations. Certificate holder is an additional insured per the Business Liability Coverage Form SS0008, the Hired Auto and Non -Owned Auto Endorsement SSO438 and the Umbrella Liability Provisions Form SX8003, attached to this policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. The City of Fort Collins AUTHORIZED REPRESENTATIVE PO BOX 580 FORT COLLINS, CO 80522 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD