The URL can be used to link to this page

Home My WebLink AboutBelfor Environmental, Inc. - Insurance Certificate 2023-2025 ATE A " CERTIFICATE OF PROPERTY INSURANCE D06/30/2023 YYYY) 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. PRODUCER CONTACT AOn Risk Services Central, Inc. NAME: MSC# 17385 (A/C..N No.Exq: (866) 283-7122 (NC.No.): (800) 363-0105 AOn EDMAIL A PO BOX 1447 PRODUCER 570000005415 O Lincolnshire IL 60069 USA CUSTOMERIDk: INSURERS AFFORDING COVERAGE NAIC# PC INSURED INSURER A: Travelers Property Cas CO of America 25674 d "O Belfor Environmental, Inc. INSURERB: 5535 w 56th Ave., suite 104 INSURERC: �+ Arvada CO 80002 USA INSURERD: INSURER : INSURER F: COVERAGES CERTIFICATE NUMBER: 570100477130 REVISION NUMBER: LOCATION OF PREMISESI DESCRIPTION OF PROPERTY(Attach ACORD 101,Additional Remarks Schedule,if more space is required) 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 O CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, r^ r� EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION COVERED PROPERTY LIMITS O LTR DATE(MM/DD/VYYY) DATE (MM/DD/YYYY) p p QT B TIL 0 01 2023 07 01 2024 0 X PROPERTI' BUILDING O CAUSES OF LOSS DEDUCTIBLES PERSONAL PROPERTY Ul) BASIC BUILDING BUSINESS INCOME cc BROAD EXTRA EXPENSE LLI m CONTENTS X SPECIAL RENTALVALUE BLANKET BUILDING Z EARTHQUAKELLI BLANKET PERS PROP Q WIND FLOOD X BLANKET BLDG&PP $79,479,636 9 ILL SIM B&PP Ded cc W U INLAND MARINE TYPE OF POLICY CAUSES OF LOSS POLICY NUMBER NAMED PERILS CRIME TYPE OF POLICY I� BOILER&MACHINERY/ EQUIPMENT BREAKDOWN SPECIAL CONDITIONS!OTHER COVERAGES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) z�'C rn CERTIFICATE HOLDER CANCELLATION 8 Y— m F- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION o DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY r S PROVISIONS. ��'• City of Fort Collins i o Attn: Purchasing Director P0 BOX 580 AUTHORIZED REPRESENTATIVE �G'' o Fort Collins CO 80522 USA &6//n VLy ykt 8 8 01995-2015 ACORD CORPORATION.All rights reserved. ACORD 24(2016/03) The ACORD name and logo are registered marks of ACORD � 11 & DATE(MM/DD/YYYY) AFRO CERTIFICATE OF LIABILITY INSURANCE D6/,6/2023 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT -p AOn Risk Services Central, Inc. NAME. FAX L MSC# 17385 (A/C.No.Ext): (866) 283-7122 A/C. No.): (800) 363-0105 nBox 1447 ADDRESS: _ PO Lincolnshire IL 60069 USA INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: ACE American Insurance Company 22667 Bel for Environmental, Inc. INSURER B: 5535 w 56th Ave., suite 104 Arvada CO 80002 USA INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570100036488 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. Limits shown are as requested INSR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY HDOG47324075 777=Z77U7= EACH OCCURRENCE $10,000,000 CLAIMS-MADE ❑X OCCUR PREMISES Ea occurrence $2,000,000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $10,0009000 0 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $10,000,000 POLICY X PRO, E� ❑X LOC PRODUCTS-COMP/OPAGG $10,000,000 0 OTHER: � t` A ISA H10715763 07/01/2023 07/01/2024 COMBINED SINGLE LIMIT `-) AUTOMOBILE LIABILITY $2,000,000 Ea accident) „ X ANYAUTO BODILY INJURY(Per person) C Z X OWNED SCHEDULED BODILY INJURY(Per accident) Gr AUTOS ONLY AUTOS X HIREDAUTOS X NON-OWNED PROPERTY DAMAGE V ONLY AUTOS ONLY 11 (Per accident _ r UMBRELLALIAB OCCUR EACH OCCURRENCE U EXCESS LIAB CLAIMS-MADE AGGREGATE DED RETENTION A WORKERS COMPENSATION AND WLRCZO6 07 01 20 3 07 01 2024 X I PER STATUTE I OTH- EMPLOYERS'LIABILITY Y/N ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000- l� DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Q� City of Fort Collins, its officers, agents and employees are included as Additional Insured in accordance with the policy provisions of the General Liability and Automobile Liability policies. Should General Liability, Automobile Liability and workers' Compensation policies be cancelled before the expiration date thereof, the policy provisions will govern how notice of cancellation may be delivered to certificate holders in accordance with the policy provisions. CERTIFICATE HOLDER CANCELLATION 21 f� o SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE o EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. g M ,;'•' City of Fort Collins AUTHORIZED REPRESENTATIVE =r o Attn: Purchasing Director 2 PO Box r# S Fort Collinsli CO 80522 USA �, /l�.y � 1 p � SdQ/'cJ BGt,�G _ g 01988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD E(Mos/zs/zoza F77M/DD/YYYY) A�oRa CERTIFICATE OF LIABILITY INSURANCE 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Aon Risk Services Central, Inc. NAME: L MSC# 17385 (AIC.No.Ext): (866) 283-7122 FAX (g00) 363-0105 (A/C.No.): Aon E-MAIL PO BOX 1447 ADDRESS: _ Lincolnshire IL 60069 USA INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: ACE American Insurance Company 22667 Bel for Environmental, Inc. INSURER B: 5535 W 56th Ave., Suite 104 Arvada CO 80002 USA INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570106857134 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. Limits shown are as requested INSR LTR TYPE OF INSURANCE INSAuuD WVD POLICY NUMBER MM/DD/YYYY MWDD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY HDOG EACH OCCURRENCE $10,000,000 CLAIMS-MADE ❑X OCCUR PREMISES Ea occurrence $2,000,000 VIED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $10,000,000 A GEN'LAGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $10,000,000 - PE0 ❑X LOC PRODUCTS $10,000,000 POLICY ❑X 0 OTHER: A AUTOMOBILE LIABILITY ISA H10719409 07/01/2024 07/01/2025 COMBINED SINGLE LIMIT 'n E ciden $2,000,000 A1NYAUTO BODILY INJURY(Per person) 0 Z X OWNED SCHEDULED BODILY INJURY(Per accident) 0) AUTOS AUTOS V PROPERTY DAMAGE X HIREDAUOTO S X NON-OWNED ONLY AUTOS ONLY X Per accident d UMBRELLA LIAB OCCUR EACH OCCURRENCE V EXCESS LIABF CLAIMS-MADE AGGREGATE DED I RETENTION A WORKERS COMPENSATION AND WLRCC5069849A 7 O1 2024 07 01 2025 X I PER STATUTE I OTH. EMPLOYERS'LIABILITY Y/N ER ANY PROPRIETOR!PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? [ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000— DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) City of Fort Collins, its officers, agents and employees are included as Additional Insured in accordance with the policy provisions of the General Liability and Automobile Liability policies. should General Liability, Automobile Liability and Workers' Compensation policies be cancelled before the expiration date thereof, the policy provisions will govern how notice of cancellation may be delivered to certificate holders in accordance with the policy provisions. CERTIFICATE HOLDER CANCELLATION f SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins AUTHORIZED REPRESENTATIVE Attn: Purchasing Director Irk PO Box 580 Fort Collins Co 80522 USA �ddddd(G�fG/fc�JJ/ 01988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD ACOO CERTIFICATE OF PROPERTY INSURANCE 7OTE 03/2024 Y) 7/03/2024 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. PRODUCER CONTACT Aon Risk Services central, Inc. NAME. AX MSC# 17385 (A CNNo.Ext): (866) 283-7122 FaC.No.): (800) 363-0105 Aon E-MAIL Po BOX 1447 ADDRESS: aJ Lincolnshire IL 60069 USA PRODUCER 570000005415 y CUSTOMER ID#: INSURERS AFFORDING COVERAGE NAIC# "o INSURED INSURER A: Travelers Property Cas CO of America 25674 C Belfor Environmental, inc. INSURER B: � 5535 w 56th Ave., Suite 104 INSURERC: xi Arvada Co 80002 USA INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570107121687 REVISION NUMBER: LOCATION OF PREMISES/DESCRIPTION OF PROPERTY(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) 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, 00 EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. r i N INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION COVERED PROPERTY LIMITS n LTR DATE(MWDD/YYYY) DATE (MM/DD/YYYY) A X PROPERTY QT a r1L 07 Ol 2024 07 01 2025 BUILDING p CAUSES OF LOSS DEDUCTIBLES PERSONALPROPERTY rn BASIC BUILDING BUSINESS INCOME BROAD EXTRA EXPENSE W CONTENTS m X SPECIAL RENTALVALUE EARTHQUAKE BLANKET BUILDING Z BLANKET PERS PROP LU WIND ~ Q FLOOD X BLANKET BLDG&PP $63,239,586 U Bikt B&PP Ded ~ W U INLAND MARINE TYPE OF POLICY CAUSES OF LOSS POLICY NUMBER NAMED PERILS CRIME TYPE OF POLICY BOILER&MACHINERY/ EQUIPMENT BREAKDOWN �t SPECIAL CONDITIONS/OTHER COVERAGES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION O 0 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY o0 PROVISIONS. City of Fort Collins �� o Attn: Purchasing Director Z1 m PO BOX 580 AUTHORIZED REPRESENTATIVE Fort Collins CO 80522 USA o C.�F07d a!�t�i�iL4EL� �LiES7Zd ✓71G1 o 01995-2015 ACORD CORPORATION.All rights reserved. ACORD 24(2016/03) The ACORD name and logo are registered marks of ACORD