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HomeMy WebLinkAbout121438 BHA DESIGN - INSURANCE CERTIFICATE (2)Client#: 1087233 BHADES
ACORDT. CERTIFICATE OF LIABILITY INSURANCE D8/07/2/DD/YYYY)
/07/2018
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 any rights to the certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT
NAME:
USI Colorado, LLC Prof Liab PHONE 800 873-8500
A/C, No Ext : A/C No):
P.O. Box 7050 E-MAIL
ADDRESS:
Englewood, CO 80155
INSURER(S) AFFORDING COVERAGE NAIC #
800 873-8500
INSURER A • LarMy Insurance underwriters, Inc. 19917
INSURED
BHA Design, Inc.
1603 Oakridge Dr., Ste. 100
Fort Collins, CO 80525
INSURER B .
INSURER C :
INSURER D :
INSURER E :
COVERAGES CERTIFICATE Nt1MRER- RFVISInN NIIMRFR-
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 CONTRACTOR 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.
LTRR
TYPE OF INSURANCE
IANDSRL
WVp
POLICY NUMBER _
MM/DDY EFF
MM/DDm P
LIMITS
COMMERCIAL GENERAL LIABILITY
_
OCCURRENCE
$
CLAIMS -MADE L OCCUR
$
PEACH
PREMISES Eaoccu ence
MED EXP (Any one person)
$
PERSONAL & ADV INJURY
$
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$
POLICY 7 JECOT- LOC
PRODUCTS - COMP/OP AGG
$
$
OTHER:
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMB
Ea accident
BODILY INJURY (Per person)
$
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
HIRED P NON -OWNED
AUTOS ONLY AUTOS ONLY
$
UMBRELLA LIAB
HCLAIMS-MADE
OCCUR
EACH OCCURRENCE
$
AGGREGATE
EXCESS LIAB
$
DED RETENTION $
$
WORKERS COMPENSATION
PER OTH-
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
N/A
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
(Mandatory in NH)
$
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$
A
_
Professional
AEX1966270117
8/11/2018
08/11/2020
$2,000,000 per claim
Liability
$2,000,000 annl aggr.
Claims Made
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
For Professional Services.
Re: FC on -call Landscape & Streetscape Design, Irrigation & Urban Design Services
City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Attn: Purchasing Dept. ACCORDANCE WITH THE POLICY PROVISIONS.
PO Box 280
Fort Collins, CO 80522-0000 AUTHORIZED REPRESENTATIVE
©1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD
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