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Home My WebLink About125216 WALSH ENVIRONMENTAL - INSURANCE CERTIFICATEACORD- CERTIFICATE OF LIABILITY INSURANCE 0DATE 6/15/07D ) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HRH of Upstate New York, LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 344 Delaware Avenue HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Buffalo, NY 14202 716 856-1100 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA: Commerce & Industry Ins. Co. 19410 Walsh Environmental Scientists & INSURER B: Engineers, LLC INSURER C: 4888 Pearl E. Circle, Suite 108 INSURER D: Boulder, CO 80301 INSURER E: rn\)LOA!_CC 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 NSR TYPE OF INSURANCE POLICY NUMBER DATE(MMIDLICY CIYYE POLICY DATE MM/DDTION LIMITS A GENERAL LIABILITY GL4178739 08/01/06 08/01/07 EACH OCCURRENCE s3 000 000 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTEDPREMISES (Fa occurrence) ESOO DDD CLAIMS MADE 51OCCUR MED EXP (Any one person) $50 000 PERSONAL &ADV INJURY E3 00O DDD GENERAL AGGREGATE s3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $3000000 POLICY I I JECTPRO LOG A AUTOMOBILE LIABILITY ANY AUTO CA5053647 08/01/06 08/01/07 COMBINED SINGLE LIMIT (Ea accident) $2,000,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIRED AUTOS NON-OWNEDAUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG A EXCESSIUMBRELLA LIABILITY BE5190387 08/01/06 08/01/07 EACH OCCURRENCE $10 000 000 X OCCUR ❑ CLAIMS MADE AGGREGATE $1 O 00O 000 E $ FDEDUCTIBLE $ X RETENTION $ 10000 WORKERS COMPENSATION AND WC STATULIWT- O R EMPLOYERS' LIABILITY ANY PROPRIETOR(PARTNERIEXECUTIVE E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ OFFICERIMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS RE: P1066 Environmental Services --- The City of Fort Collins is named as an additional insured on the general liability as required by written contract. City of Fort Collins 215 North Mason Street P.O. Box 580 Fort Collins, CO 80522-0580 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL -'A0_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVE ACORD 25 (2001/08) 1 of 2 #M37024 SMD 0 ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. AUVKU Zos (zuuiiut%) 2 of 2 #M37024 Date: 6/27/2007 Time: 5:58 PM To: James R 19702216707 Page: 001-002 L*W. CERTIFICATE OF LIABILITY INSURANCE DATE PRODUCER (303)756-9909 FAX (303)756-8818 Keller -Lowry Insurance Inc 1777 S Harrison St #700 Denver, CO 80210 Margaret Rosa THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Walsh Environmental Scientists DBA: & Engineers, LLC 4888 Pearl East Circle #108 Boulder, CO 80301 INSURERA. Pinnacol Assurance 41190 INSURER B. INSURER C INSURER D 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 I ADD' NSFGENERAL TYPE OF INSURANCE POLICY NUMBER POLICYEFFECTIVE POLICY EXPIRATION LIMITS LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ CLAIMS MADE OCCUR MED EXP (Any one person) $ PERSONAL &ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ Pi POLICY pECT LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED At PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO 1 $ AUTO ONLY ASS EXCESSIUMBRELLALIABILITY EACH OCCURRENCE $ OCCUR ❑ CLAIMS MADE AGGREGATE $ $ $ DEDUCTIBLE $ RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER(EXECUTIVE 4045661 07/01/2007 07/01/2008 X WCSTMTT X GR EL EACH ACCIDENT $ 1,000,000 E.L. DISEASE- EA EMPLOYEE $ I, OOO, DOO OFFICERfMEMBER EXCLUDED If yes dexdbe under SPECIAL PROVISIONS below E.L DISEASE -POLICY LIMIT $ 1,000,00 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS e: Environmental Services Agreement: P1066 "Professional Liability Coverages Are Excluded from the above policies." City of Fort Collins Attn: James B. O'Neill PO Box 580 Fort Collins, CO 80522-0580 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Troy Sibelius, CIC/HAPPY' ACORD 25 (2001108) FAX: (970)221-6707 OOACORD CORPORATION 1988 Date: 6/27/2007 Time: 5:58 PM To: James @ 19702216707 Page: 002-002 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001/08)