HomeMy WebLinkAboutRMCAT ENVIRONMENTAL - INSURANCE CERTIFICATE• - .yam t ,�. _. �..ai_ .... .. ,r-r�-`� DATE MM DD YYYY)
ACORDv=�
11/30/2006 rt -�s2�,
q .. fi...i .s ax .+. k [`i -a. • -. # a .Y.3 #E^i'P'az'-
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
Aon Risk Services, Inc. of Michigan
3000 Town Center AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
Suite 3000 CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE
Southfield MI 48075 USA COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE NAIC #
PHONE- 866 283-7122 FAX- 847 953-5390
INSURED
INSURER A: American Home Assurance Co.
19380
RMCAT Environmental. Services, Inc.
wsURERIL Insurance Company of the State of PA
19429
4975 Paris Street
a
INSURERa American International Specialty Lines
26983
Denver w 8OZ39 USA
P0
INSURERD: Pinnacol Assurance Company
41190
d
9
INSURER E:
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.
AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
ADDT
INSRD
TYPE OF INSURANCE
POLICYNUMBER
POLICY EFFECTIVE
POLICY EXPIRATION
LIMITS
DATE(MM\DD\YY)
DATE(MM\DD\YY)
A
GENERAL LIABILITY
GL1774144
04/01/06
04/01/07
EACH OCCURRENCE
$1,000,000
DAMAGE TO RENTED
$1,000,000
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE ® OCCUR
PREMISES occ
Ara:ny one person
An rso
pNp
PERSONAL &ADV INJURY
$1,000,000
GENERAL AGGREGATE
$2,000,000
a
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS -COMP/OP AGG
$2 , OOO, OOO
❑ POLICY ® JET O LOC
O
O
n
A
AUTOMOBILE LIABILITY
AL8262356
04/01/06
04/01/07
COMBINED SINGLE LIMIT
X ANY AUTO
(Ea accident)
S1,000,000
Z
ALLOWNEDAUTOS
R
BODILY INJURY
SCHEDULED AUTOS
( Per peraon)
u
w—
X HIRED AUTOS
d
BODILY INJURY
NON OWNED AUTOS
(Per accident)
V
X Comp Ded $1, DOD
PROPERTY DAMAGE
(Per accident)
X
collision Ded $1.000
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
ANY AUTO
OTHER THAN EA ACC
AUTOONLY:
AGG
B
EXCESS [UMBRELLA LIABILITY
43063821
04/01/06
4 7
EACH OCCURRENCE
19 OCCUR ❑ CLAIMS MADE
AGGREGATE
$10,000,000
BDEDUCTIBLE
RETENTION
D
S
WORKERS COMPENSATION AND
wc7171937
04/01/06
04/01/07
X
WC STATU-
IM
OTH-
EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT
$500,000
o
ANY PROPRIETOR/PARTNER/EXECUTIVE
_
OFFICERfMEMBER EXCLUDED?
If yes, describe under SPECIAL PROVISIONS
E.L. DISEASE -EA EMPLOYEE
E.L. DISEASE -POLICY LIMIT
$500,000
$500,000
below
QJ
C CPL3779857 04/01/06 Pert aim Limit $15,000,000
OTHER Deductible $100,000
Pollutn/Env Imp
7LJr
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES]EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Re: Fort Collins ER Contract
The City of Fort Collins is included as Additional Insured with respects to General Liability. waiver of
subrogation applies as required by contract.
City of Fort Collins SHOULD
ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
Attn. James O'Neil II, CPPO,CPPB
DATE THEREOF,THE ISSUING INSURER WILL ENDEAVORTO MAIL
215 North Mason, 2nd Floor 30
DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
P.O. BOX 580
BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY
Fort Collins CO 80522 USA
OFANY KIND UPONTHE INSURER, ITS AGENTS OR REPRESENTATIVES.
e
AUTHORIZED REPRESENTATIVE r ���