HomeMy WebLinkAboutENVIRONMENTAL ABATEMENT - INSURANCE CERTIFICATEAcoRO CERTIFICATE OF LIABILITY INSURANCE OP ID2 DATE (MM/DD/YYYY)
ENVIR 9 04 07
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Six 5 Geving Insurance Inc #4 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Denver Branch HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
225 Union Blvd. #575 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Lakewood CO 80228
Phone:720-962-0930 Fa3c:720-962-0942 INSURERS AFFORDING COVERAGE "" NAIC#
-"
INSURED - - INSURER A: Arch Specialty InSi
` - --- " INSURERB: Allied Insurance Grou ' " -- 42579
'Environmental Abatement Services' -'of Denver, Inc. 1NsuRERc: Pinnacol As'slirance•. 41190
4301 S. Federal Blvd.#112 INSURERD: -
Englewood CO 80110
INSURER E:
COVERAGES
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 13Y 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
DATIEYMM1DDm E
PDATE ICY MMIODIYYON
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 2 , 00O , 000
A
X COMMERCIAL GENERAL LIABILITY
12EMP4343602
11/22/06
11/22/07
PREMISEs(Eaoccurence)
$50,000
CLAIMS MADE E OCCUR
MED EXP (Any one person)
s5,000
PERSONAL & ADV INJURY
s2,000,000
GENERAL AGGREGATE
$2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMPIOP AGG
$2,000,000
X I POLICY r7 PRO LOG
B
AUTOMOBILE AUTOMOBILE
LIABILITY
ANY AUTO
ACP7550672094
06/06/07
06/06/08
COMBINED SINGLE LIMIT
(Ea accident)
$1 r OOO,QOO
X
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
X
BODILY INJURY
(Per accident).
"
$ ',
HIRED AUTOS
NON -OWNED AUTOS
X
PROPERTY DAMAGE
(Per accident) .--
$ -
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHERTHAN EA ACC
AUTO ONLY: AGG
$
ANY AUTO
$
EXCESSMMBRELLA LIABILITY
EACH OCCURRENCE
$2,000,000*
B
X OCCUR �CI_NMSMADE
ACP7550672094
06/06/07
06/06/08
AGGREGATE
$2,000,000*
*Applies
S
to Auto fi
$
DEDUCTIBLE
WC Only
$
X RETENTION $10 , 00)
C
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
4060937
09/01/07
09/01/08
A I
X TO RYLIMITS ER
E.L.EACH AC CIDENT
$1,000,000
—
E.L. DISEASE- EA EMPLOYEE$1,000,000
"
Or FlCERIMEMBEREXCLUDED?
If yes, tlescdbe under
SPECIAL PROVISIONS below
E.L. DISEASE -POLICY LIMIT
$1, QOQ, QQO
OTHER
A
Pollution Liab
12EMP4343602
11/22/06
11/22/07
Limit $2,000,000
B
Contractor Ecruir,
ACP7570672094
06/06/07
06/06/08
Scheduled $500 Ded
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS
Re: 4332 Warehouse, City of Fort Collins. City of Fort Collins is named as
additional insured as per policy terms and conditions.
CERTIFICATE HOLDER CANCELLATION
CTYFT-1
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
John
Stephen
215 N. Mansion StreetIMPOSE
NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Fort
Collins CO 80522-0580
REPRESENTATIVES.
AUTHORI;FD,REPRESENTATIVEq .
ACORD 25 (2001/08) 9 ACORD CORPORATION 1988