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HomeMy WebLinkAboutENVIRONMENTAL ABATEMENT - INSURANCE CERTIFICATE (2)ACORD CERTIFICATE OF LIABILITY INSURANCE CAR IAHA DATE (MMI12 ENVT 207 6/07) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE'ICERTIFICATE Forsberg Engerman Company HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 3575 S Sherman St ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Englewood CO 80113 Phone 303-762-1717 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER Arch Specialty Insurance comp Environmental Abatement INSURER Redland Insurance Company Services of Denver Inc Sue Leidolph INSURER Pinnacol Assurance 4301 S Federal Blvd Ste 112 INSURER Englewood CO 60110 I,,,_„ 1019174.1VAt q.9 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 SR' D POLICY EFFEGTIYE POLZY EXPIRATION LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MMIDD/YY DATE MMIDDIYV LIMITS GENERAL LIABILITY EACH OCCURRENCE s2000000 A X X COMMERCIAL GENERAL LIABILITY 12EMP4343603 11/22/07 11/22/08 PPREMSESOCa oacrence) $50000 CLAIMS MADE 1KOCCUR MED EXP(Any one person) $5000 PERSONAL& ADV INJURY I $ 2000000 X Contractors Pollution S Mold GENERAL AGGREGATE s2000000 CLAIMS MADE GEN L AGGREGATE LIMIT APPLIES PER PRODUCTS COMPIOP AGG $2000000 X Poucv iEcr LOC iMold 1000000 B AUTOMOBILE LIABILITY ANY AUTO RICCO0001396 11/22/07 11/22/08 COMBINED SINGLE LIMIT (Edacoldem) $1000000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ B B HIRED AUTOS NON OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTOONLY EAACCIDENT 3 I OTHERTHAN EA AGO $ ANY AUTO $ AUTO ONLY AGO EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $1000000 A X OCCUR ❑ CLAIMS MADE 12EMX4389600 11/22/07 11/22/08 AGGREGATE $ 1000000 $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATNION A uTORVaLIMITS X ER C EMPLOYERS LIABILITY ANY PROPRIETORIPART OEDP OFFIGERIMEMBER EXCLUDED' 4060937 09/01/07 09/01/08 EACH ACCIDENT s 1000 000 �EL EL DISEASE LA EMPLOVEEI$ 1000000 If yes describe under SPECIAL PROVISIONS below EL DISEASE POLICY LIMIT $1010000 OTHER A Fungus/Spore/Mold 12EMP4343603 11/22/07 11/22/08 Per Claim $1000000 Liability Aggregate $1000000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS RE 4332 Warehouse, City of Fort Collins City of Fort Collins is named as an Additional Insured with respect to General Liability coverage as required by written agreement for the referenced pro3ect *10 Day notice of cancellation applies for non-payment of premium CERTIFICATE HOLDER CANCELLATION City of Fort Collins Attn John Stephen 215 N Mansion Street Fort Collins CO 80522-0580 FTCOLLI I 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 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 © ACORD CORPORATION 198E