HomeMy WebLinkAboutRMCAT ENVIRONMENTAL - INSURANCE CERTIFICATE (2)ACORD,M
,, ATE ) 04/02/2007
PRODUCER
Aon Risk Services, Inc. of Michigan
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
3000 Town Center
AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
Suite 3000
Southfield MI 48075 USA
CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE
COVERAGE AFFORDED BY THE POLICIES BELOW.
PHONE 866 283-7122 FAX- 847 953-5390
INSURERS AFFORDING COVERAGE
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INSURED
RMCAT Environmental services, Inc.
4690 Joliet Street
INSURER A: Pinnacol Assurance Company
41190
INSURERB: American Home Assurance Co.
19380
NsuxeRc: Insurance Company of the State of PA
19429
Denver CO 80239 USA
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INSURER D: American International Specialty Lines
26883
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PC
INSURER E:
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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. '
R
LTR
LT
A
INS
TYPE OF INSURANCE
POLICY NUMBER
POLICY' EFFECTIVE
DATE(MNfWMYV)
POLICY EXPIRATION
DATE(MM\DD\VY)
LIMITS
Br&NERALLIABILITY
GLI800093
04/01/07
04/01/08
EACH OCCURRENCE
$1,000,000
X COMMERCIAL GENERAL LIABILITY
DAMAGE TO RENTED
$1,000,000
CLAIMS MADE ® OCCUR
PREMISES (Ea oewrence)
(Anv one cerson)
GEN1 AGGREGATE LIMIT APPLIES PER:
POLICY PRO-
ElJECI La
-
PERSONAL R ADV INJURY
$1,000,000
00
rN
N
O
GENERAL AGGREGATE
$2,000,000
PRODUCTS - COMP/OP AGG
S2,000,000
B
AUTOMOBILE LIABILITY
X ANY AUTO
AL8262634
Auto Liability ADS
04/01/07
04/01/08
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
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BODILY INJURY
( Per person)
ALL OWNED AUTOS
SCHEDULED AUTOS
.�+
X HIRED AUTOS
NON OWNED AUTOS
V
v
U
BODILY INJURY
(Per accident)
Comp bed $1, 000
PROPERTY DAMAGE
-
(Per accident)
toll Ded $1.000
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
ANY AUTO
H
OTHER THAN EA ACC
AUTO ONLY:
AGG
c
EXCESS/UMBRELLA LIABILITY
7275289
-
04/01/07
1
EACH OCCURRENCE
,
OCCUR ❑ CLAIMS MADE
-
AGGREGATE
$11,000,000
eDEDUCTIBLE
RETENTION
A
WORKERS COMPENSATION AND
EMPLOYERS'LLYBILITY
- ANY PROPRIETOR / PARTNER /EXECUTIVE
OFFICERIMEMBER EXCLUDED?
If yes, describe under SPECIAL PROVISIONS
below
RMCAT - (Joliet) DBDVer
X
C STATU-
YLIMITS
OTH-
E.L. EACH ACCIDENT
$500,000
eo
E.L. DISEASE -EA EMPLOYEE
E.L. DISEASE -POLICY LIMIT
$500, 000
$500,000
_
is
Q1
OTHER
22
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
Subrogation applies as required by contract
city Of Fort Collins
Attn. James O'Neil II, CPPO,CPPB
215 North Mason, 2nd Floor
Insured with respects to General Liability. waiver of
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFlCATE HOLDERNAMED TO THE LEFT,
R
P.O. BOX 580
Fort Collins CO 80522 USA
BUT FAILURE TO DO SO SHALL IMPOSE NO, OR LIABILITY
OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
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