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Home My WebLink AboutCOLORADO ENVIRONMENTAL - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE OF ID DATE (MM/DD YVVY) COLO-12 03 23 07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Forsberg Engerman Company HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 3575 S . Sherman St. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Englewood CO 80113 Phone : 303-762-1717 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA: Westchester Surplus Lines Ins Colorado Environmental INSURER B Charter oak Fire Insurance Cc Services Ltd RI INSURERC.. Pinnacol Assurance 1uGlencoe Street Denver CO 80216 INSURER D. Travelers Property Casualty Co 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. LTR INSR TYPE OF INSURANCE POLICY NUMBER DATE POLICYMMIDDm PDATE MM/DD/YY LIMITS A A GENERAL LIABILITY ?X! COMMERCIAL GENERAL LIABILITY CLAIMS MADE X❑ OCCUR X Pollution G22073527002 G22073527002 03/01/07 03/01/07 03/01/08 03/01/08 EACH OCCURRENCE $ 2000000 PREMISES(Ea occurence) $50000 MED EXP (Any one person) $ 5000 PERSONAL & ADV INJURY s2000000 GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO JECT LOC PRODUCTS - COMP/OP AGG $2000000 Pollution 2000000 B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS BA-1666L709 I 03/22/07 03/22/08 COMBINED SINGLE LIMIT (Ea accident) $ 1000000 BODILY INJURY (Per person) $ X X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per aaident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ 02/01/07 02/01/08 EACH OCCURRENCE $ AGGREGATE $ $ $ $ C WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? R yes, describe under SPECIAL PROVISIONS below 4064483 X TORY LIMITS XIOT ER E.L. EACH ACCIDENT $1000000 E.L. DISEASE - EA EMPLOYEE $ 100 0 00 0 E.L. DISEASE -POLICY LIMIT $1000000 D D OTHER Scheduled Equip Leased/Rented Equi QT-660-5455B19A QT-660-5455B19A 03/22/07 1 03/22/07 03/22/08 1 03/22/08 Limit $9494 Limit $100000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS am a Ca 912 M\Ni: [win I] M: CITYFOR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN City of Fort Collins NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Purchasing Dept PO Box 580 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Ft Collins CO 80522 REPRESENTATIVES. AUTHO D REPRES(j�TATIVE n Mw cv Lcvv uvo) icJ AL:VKU UVKYVKAI IVN IVtR%