HomeMy WebLinkAboutENVIRONMENTAL ABATEMENT SERVICES - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE OP ID C 11
DATE (MMIDOIYYYY)
ENVIR12
11/01 07
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Six & 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 Fax 720-962-0942
INSURERS AFFORDING COVERAGE
NAIC #'
INSURED
INSURER Arch Specialty Ins Co-"
- J
' -
INSURER Allied Insurance °Grou
- Environmental Abatement
Services of Denver, Inc
INSURER IPinnacol Assurance -
-
'-"� 4301 S Federal Blvd.#112
INSURER
"
Englewood CO 80110
INSURER REVISED CERTIFICATE
--
'
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 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
LTft
ADD1PO
NSR
TYPE OF INSURANCE
POLICY NUMBER
ICY FFE Ti4
DATE MM/DDM'
P LI Y Ek IRATI IV
DATE MM/DOIYY
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$2,000,000
A
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE aOCCUR
12EMP4343602
11/22/06
11/22/07
'PREMISES (Ea occurence)
s50,000
MED EXP(Any one person)
$5,000
X Pollution Liab
EFF DATE OF LIMITS
PERSONAL & ADV INJURY
$2,000,000
Limit Per Claim
GENERAL AGGREGATE
$2,000,000
SHOWN - 6/19/07
GEN L AGGREGATE LIMIT APPLIES PER
PRODUCTS COMP/OPAGG
$2,0001000
X POLICY JECT IOC
Pollution
2,000,000
B
AUTOMOBILE
LIABILITY
ANY AUTO
ACP7550672094
06/06/07
06/06/08
CO BIKED
IRACOMBINED SINGLE LIMIT
$1 000,000
r
X
BODILY INJURY
(Per person)
$ ..
ALL OWNED AUTOS
SCHEDULED AUTOS
X
BODILY INJURY
(Per owdenl)
$ _
_
HIREDAUTOS
NON -OWNED AUTOS
X
PROPERTY DAMAGE
(Per acmdent)
$ _
GARAGE LIABILITY
AUTO ONLY EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY qGG
EXCESS/UMBRELLA LIABILITY
EACH OCCURRENCE
$2,000,000*
B
X7 OCCUR CLAIMS MADE
ACP7550672094
06/06/07
06/06/08
AGGREGATE
$2,000,000*
*Applies
$
to Auto &
$
ODEDUCTIBLE
X RETENTION $ 10 , 000
WC Only
$
C
WORKERS COMPENSATION AND
EMPLOYERS LIABILITY
My PROPRIETOWPARTNER/EXECUTIVE
4060937
09/01/07
09/01/0$
X TORY LIMITS ER
EL EACHACCIDENT
$1,000,000
EL DISEASE - EA EMPLOYEE
$ 1,000,000 -
OPFICERIMEMBLR EXCLUDED'+ -
If yes descnbe under
SPECIAL PROVISIONS below
E L DISEASE POLICY LIMIT
$ 1 , 000 , 000
OTHER
A
Fungus/Spore/Mold
12EMP4343602
11/22/06
11/22/07
Per Claim $1,000,000
Liability
Aggregate $1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT] SPECIAL PROVISIONS
Re: 4332 Warehouse, City of Fort Collins. City of Fort Collins is named as
an additional insured on the general liability policy as required by written
agreement for the referenced project *10 day cancellation notice for
non-payment applies
liCR l lr'ILM I C RVL V Crt UHN V CLLH I IUN
CTYFT-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL * 30 PAYS 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 Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR
Fort Collins CO 80522-0580 REPRESENTATIVES
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