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Home My WebLink AboutCORRESPONDENCE - GENERAL CORRESPONDENCE - INSURANCECOR A CERTIFICATE_ OF LIABILITY INSURANCE DATEIMM/DD/YYYY''' 07/11/2007 PINNACOL ASSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY PRODUCER 7501 E Lowry Blvd AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE Denver, CO 80230-7006 � COVERAGE AFFORDED BY THE POLICIES BELOW. i INSURERS AFFORDING COVERAGE NAIL# INSURED INSURERA PINNACOL ASSURANCE 41190 WALSH ENVIRONMENTAL SCIENTISTS & ENGINEERS LLC wsuaeRB. — y _ 4888 PEARL E CR UNIT 108 — —--- — ---- BOULDER, CO80301 INSURER -- — --------------- INS URERD: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDNG ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMMENT 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. _ INSR I ADD'L I POLICY EFFECTIVE POLICY EXPIRATION -, LTR 'i INSRD TYPE OF INSURANCE POLICYNUMBER DATE(MM/DD/YYYY) DATE(MM/DD/YYYY)LIMITS — — — - I RAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE 0 OCCUR �I GEN'L AGGREGATE LIMIT APPLIERS PER: POLICY PROJECT I LOC AUTOMOBILE LIABILITY ANYAUTO r ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-0WNED AUTOS GARAGE LIABILITY NANY AUTO EXCESSIUMBRELLA LIABILITY OCCUR 'J CLAIMS MADE HDEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND A EMPLOYER'S LIABILITY ANY PROPRIETOR/PARTNERlEXECUTIVE 4045661 07/01/2007 08/01/2007 OFFICERIMEMBER EXCLUDED? Ifyes, please describe underS PECIAL PROVISIONS below EACH OCCURRENCE DAMAGE TO RENTED PREMISES MED EXP(Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMPIOP AGG COMBINED SINGLE LIMIT (Ea Accident) BODILY INJURY (Per person) BODILY INJURY PROPERTYDAMAGE (Per accident) ALTO ONLY - EA ACCIDENT OTHER THAN AUTO ONLY EACHOCCURRENCE AGGREGATE WC STATU- OTHER TORY LIMITS u E.L EACH ACCIDENT $1 E.L DIS EASE -EA EMPLOYEE $1 E.L DIS EASE -POL ICY LIMIT I .P,1 DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS ENVIRONMENTAL SERVICES AGREEMENT: P-818 CERTIFICATE HOLDER CANCELLATION 1001096 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF FORT COLLINS ATTN: JAMES B. O'NEILL THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO PO BOX 580 MAIL 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE FORT COLLINS CO 80522 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. _ AUTHORIZED REPRESENTATIVE Richard Dolezal ACORD 25(2001108) Underwriter ACORD CORPORATION 1988 CERTIFICATE HOLDER COPY CITY OF FORT COLLINS ATTN: JAMES B. O'NEILL PO BOX 580 FORT COLLINS CO 80522 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, certian 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 ,� CERTIFICATE OF DATE (MM/DD/YYYY) LIABILITY INSURANCE 1 _ 07/11/2007 PRODUCER PINNACOL ASSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY 7501 E Lowry Blvd AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS Denver, CO 80230-7006 CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. I I INSURERS AFFORDING COVERAGE NAIC# INSURED PINNACOL ASSURANCE 41190 SCIENTISTS 8 ENGINEERS LLC `_INSURERAWAL—.—_ 8885 EARLIE CR UNIT 10RONMENTAL 8 + -- ll �iNsuReR6;_ --- BOULDER, CO 80301 -- — F" INSURERD:—.--_—_--_---- -. ---_— INSURER E jCOVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDNG ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMMENT 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 LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRPOLICIES. ADD'L POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD TYPE OF INSURANCE POLICYNUMBER DATE(MM/DD/YYYY) DATE(MM/DD/YYYY) LIMITS LAID.00CURRENCE GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY -DAMAGE TO RENTED_ L CLAIMS MADE Ll OCCUR PREMISES MED EXP(Any one person) I PERSONAL EADV INJURY GEN-L AGGREGATE LIMIT APPLIERS PER: GENERAL AGGREGATE ~ POLICY PROJECT[—, LOC - _ - _ I _ PRODUCTS - COMP/OP AGG — J' AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT H ANY AUTO (Ea Accident) —� ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS HIRED AUTOS (Per person) _ BODILYINJURY NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE (Per accident) —� AUTO ONLY - EA ACCIDENT OTHER THAN EA ACC AUTO ONLY. AG GARAGE LABILITY ANY AUTO —i EXCESWUMBRELLA LABILITY �, OCCUR C CLAIMS MADE EACH OCCURRENCE AGGREGATE DEDUCTIBLE RETENTION $ WORMERS COMPENSATION AND WCSTATU- OTHER I A EMPLOYER'S LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE 4045661 07/01I2007 08i0112007 TO RY ITS E.L EACH ACEACHAC ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? E.L DISEASE - EA EMPLOYEE $1,000,000 If yes please describeunder SPECIAL PROVISIONS below E.L DISEASE - PC $1000000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS ENVIRONMENTAL SERVICES AGREEMENT: P1066 i CERTIFICATE HOLDER CANCELLATION 1001095 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF FORT COLLINS ATTN: JAMES B. O'NEILL THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO PO BOX 580 MAIL 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE FORT COLLINS CO 80522 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Richard Dolezal ACORD 25(2001108) Underwriter ACORD CORPORATION 1988 CERTIFICATE HOLDER COPY CITY OF FORT COLLINS ATTN: JAMES B. O'NEILL PO BOX 580 FORT COLLINS CO 80522 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, certian 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.