HomeMy WebLinkAboutENVIRONMENTAL ABATEMENT SOUTHWEST - INSURANCE CERTIFICATE (2)ACORD CERTIFICATE OF
LIABILITY INSURANCE CSR DATE (M 9l1
ENVIRI3 012908
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Six & Geving Insurance, Inc
HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR
3630 Sinton Road Suite 200
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
Colorado Springs CO 80907-5034
Phone 719-590-9990 Fax 719-590-9992
INSURERS AFFORDING COVERAGE
NAIC #
INSURED Environmental Abatement
Southwest Inc Falcon Services
INSURERA Arch S ecialt Ins Co
Inc EASW-TX f1C EASW-VA
LLC EASW-NM LLC
INSURER Allied Insurance Grou
42579
5Indust
61� Industrial dace LLC
INSURER Pinnacol Assurance
41190
5615 Industrial Place
Colorado Springs CO 80916
INSURER Araronaut Insurance Com an
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
NSR
TYPE OF INSURANCE
POLICY NUMBER
-MULTR'NsN
DATE MMIDO
DATFFECTM E MMIDD N
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
s2,000,000
A
X COMMERCIAL GENERAL LIABILITY
12EMP43438-03
11/27/07
11/27/08
PREMISES EaP renw
$ 50 000
CLAIMS MADE OCCUR
MED EXP(My we Person)
$5 000
X INCL POLLUTION/
PERSONAL& ADV INJURY
s2,000,000
ASBESTOS/LEAD
GENERAL AGGREGATE
$2 OOO OOO
GENL AGGREGATE LIMIT APPLIES PER
PRODUCTS COMPIOPAGG
$2 00O 000
X POLICY JET LOC
Pollution
2,000,000
AUTOMOBILE
LIABILITY
B
ANY AUTO
ACP7570805635
02/02/08
02/02/09
COMBINED SINGLE LIMIT
lEaa`adml)
$1 OOO OOO
'
X
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per Person)
$
HIRED AUTOS
NON OWNED AUTOS
BODILY INJURY
(Per acatlenl)
PROPERTY DAMAGE
$
(Per acadent)
GARAGE LIABILITY
AUTO ONLY EA ACCIDENT
$
ANY AUTO
OTHER THAN EA ACC
$
$
AUTO ONLY AGG
EXCESSIUMBRELLA LIABILITY
EACH OCCURRENCE
$
OCCUR CLAIMS MADE
AGGREGATE
$
S
DEDUCTIBLE
RETENTION $
$
WORKERS COMPENSATION AND
X TORYLIAMIIU S ER
C EMPLOYERS LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE 4028665 04/01/07 04/01/08
EL EACH ACCIDENT
$ 1 000 000
D OFFICERIMEMBEREXCLUDED? RC47665925943 T%6VALIef 04/01/07 04/01/08
Nyes tleec urI er
EL DISEASE EAEMPLOYE
$ 1 Q0Q OQO
SPECIAL PROVISIONS belmv
EL DISEASE POLICY LIMIT
$ 1 OQO 000
OTHER
B Inland Marine ACP7570805635 02/02/08 02/02/09
Contr Ecp
$303,742
B Pro -RC/S ec Form ACP7570805635 02/02/08 02/02/09
Bldg/Cont
$648 700
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Proof of Insurance Job 500 Riverside Asbestos Abatement Cert holder is
named General Liability Additional Insured fax 970-221-6707
/�LOTICrn eTC Una �e•�f _
City of Fort Collins
215 N Mason St, 2nd Floor
Fort Collins CO 80524
FORTC-1 I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOF
DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 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 25 (2001108)