HomeMy WebLinkAboutENGINUITY ENGINEERING SOLUTIONS, INC. - INSURANCE CERTIFICATEDA7E (MM/DD/W`!`n
� f CERTIFICATE OF LIABlLITY INSURANCE o6/ii/ao
7HI5 CERTIFICATE IS ISSUEP AS A MATTER OF INFORMATION ON�Y AND CONFERS NO RIGHTS UPON 1}IE CERTIFICA7� NOLDER. TFiIS
CERTIFICATE DDES NOT AFFIRMATIVELY OR NEGATIY�LY AMEND, EXTEND OR ALTEFt THE COVERAGE AFFORDED BY TNE POLICIES
BELOW. THIS CERTIFICATE �F INSURANCE DOES NOT CONSTRUTE A CONTRACT BETWEEN TFIE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE MOLDEFi.
IMPOR7ANT: 11 the cerllflcate holder is an ADUITIONAL INSURED, the palicy(les) must be endoraed. If SUBROGATlON IS WAIVED, aubject to
the tarms and conditlons of the policy, certein policies may require an endorsemant. A statement on this certificate does not conter rlghts to the
certlticate holdar in lieu of such endorsement(s).
PRODUCER ryp{,�E; MPaRK R. BEASLEY
BENCHMARR INSURANCE AGENCY LLC (303) 730-2852 a� Na,(303) 730-2910
66 W Springer Dr #215 n�oRess.benchmarkinsurance90@ ahoo.com
Highlands Ranch, CO 80129
HSIIIER(8) AiFOROkM COVEM/7E IMIC�
iNsuAeo Enginuity Engineering Solutiona, Inc
10106 W San Juan Way, Suite 215
Littleton, CO 80127
(720)306-8222
INSURE�i A - L1b�Ity MUt�181
INSURER B :
INSURER G LL YD F' L ND N
ItJSURER E :
INSURER F .
;dVERAGES CERTIFIGATE NUMBER: REVISION NUMBER:
7MIS IS TO C�RFiFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE 1NSURED NAMED ABOVE �OR THE POLICY PERIOD
INDICATED. NOTWfTHSTRNDING ANY REQUIREMENT, TEAM OR GONDfTION OF ANY CONTRAC7 OR OTHER DQCUMErlT' WfTH RESPEC7 TO WHiCH THIS
CERTIFICATE AAAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBE� HEREIN IS SUB.IECT TO ALL THE 7ERMS.
EXCLUSIONS AND CONDITIONS OF SUCH POLICIE5. LIMITS SNOW N MAY HAVE BE�N REDUCED BY PAID CLAIMS.
,Tp iYPE OF WSURANCE µqp �yyp POLICY NUMBER MM1D� MMlDa LIMRS
GENERAL I.IABILITY EACH 4CCURRENCE S 2 OOO OOC
X COMMERCWL GENERA! LIABILfTY PREMISES Ea occurtence S 2 OOO OOC
CLAIMS-MADE � OCCUR MED EXP (Any one person) s I5 00 C
A BZS55143751 �/03/2020 7/03/2021 pERS�NAL&ADVIWURY 5 2�fla0��0�
X GENERAL AGGREGA'fE E 4 Q O O OO C
OEN'L AGGAEGATE IIMR APPLIES PER:
X POLICY n JECT I I LOC
AUTOMOB{LE UABIL[TY
ANYAUTO
ALL OWNED Sf,liE6ULED
A AUTOS AUTOS
NON-0W N ED
X HIRED AUTOS X AUTQS
PRODUCTS - CAMPIOP AGG
5
X
}( UMBRELlR LIAB }( p�;cUR
A EXGESS LlAB GLRIMS-MADE
DED X RETENTiQlJ S ZO OOO
WORKCRS COMPENSATION
AND EMP�OYERS' LtABILfTY v, N
NJY M10PRI£TOR/PAfi7TEWEXECURVE
OKfICEW1AEA�9£R E%CLlAED7 ❑ N'�
(IAsntlafory in !Bi)
lf Yae, describe under
DESCF±IPTION OF OPERAT10N5 below
C PROFESSIONAL E&O
HZS 16-55143751
USO 16-55143751
ANE1486206.18
2,0oo,00c
T/03/2020 07/03/2021 BdDILY IN.iURY (Per person} S
E30DILY INJURY (Per eccident] S
Per accident E
S
7/03/202D 07/03/2021 �CH OCCUiiRENCE b�r p�ai 00�
AGGREGAT[ S
$
�io�zai9
E.L. [ACH ACGIDENT E
E.L DISEASE - EA EMPLOYE S
E.L. DISEASE • PnI.K;Y LIMR 5
EACH CLAIM 2,OOQ,OOC
° Aggreaqate 2,00O,OOC
DEDIICTIBLE 10,000
OESGRIP710N OF OPERA710NS I LOGAT10N5 / VEHIGLES {Attach ACqRD 101, Adddional Remarks Schedule, if mare space �s required)
Certificate holder is additional insured �ith request to General Liability and
Automobile.
City of Fort Collins
Purchasinq Department
PO Box 580
Fort Collins, CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPfRATION DATE THEREOF, NOTICE WILL 8E DELIVERED IN
AGCORDANCE W{TH 7HE POLICY PROVISIONS.
AU7HORIZED REPRESENTATNE
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