HomeMy WebLinkAboutCORRESPONDENCE - GENERAL CORRESPONDENCE - INSURANCE CERTIFICATEACORD. CERTIFICATE OF LIABILITY INSURANCE 01/10/2004
PRODUCER FAX (303) 756-8818 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Keller -Lowry Insurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1777 S Harrison St #700 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Denver, CO 80210
INSURERS AFFORDING COVERAGE
INSURED Walsh Environmental Scientists & INSURERA: Hartford Insurance Co
Engineers, LLC INSURER B: Pinnacol Assurance
Creekside Two, Suite 280 INSURER C:
2629 Redwing Road INSURER D:
Fort Collins, CO. 80526 INSURER E:
✓ V � Gr\f1V GJ
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
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MMIDDIYY
POLICY EXPIRATION
DATE 1MM/DD[YY1
LIMITS
GENERAL LIABILITY
34UUNEM8078
01/10/2004
01/10/2005
EACH OCCURRENCE
$ 1,000,000
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE FKOCCUR
FIRE DAMAGE (Any one fire)
$ 300,000
MED EXP (Any one person)
$ 5,00(
A
PERSONAL & ADV INJURY
$ 1,000,00(
GENERAL AGGREGATE
$ 2,000,00(
GEN'L AGGREGATE LIMIT APPLIES PER:
X POLICY PRO
JELOC
CT
PRODUCTS - COMP/OP AGG
$ 2,000,00(
AUTOMOBILE
LIABILITY
ANY AUTO
34UUNEM8078
01/10/2004
01/10/2005
COMBINED SINGLE LIMIT
(Ea accident)
$ 1,000,000
X
BODILY INJURY
(Per person)
$
A
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
ANY AUTO
OTHER THAN EA ACC
$
AUTO ONLY: AGG
$
EXCESS LIABILITY
X OCCUR ❑ CLAIMS MADE
34XHUEU4384
01/10/2004
01/10/2005
EACH OCCURRENCE
$ 4,000,000
AGGREGATE
$ 4,000,000
A
$
DEDUCTIBLE
RETENTION $
$
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
9066221
07/01/2003
07/01/2004
X TORY LIMITS X ER
E.L. EACH ACCIDENT
$ 1,000,000
B
E.L. DISEASE - EA EMPLOYEd
$ 1,000,000
E.L. DISEASE -POLICY LIMIT I
$ 11000,00
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
e: P-818 Environmental Services for the City of Fort Collins
'10 Day Cancellation for Non -Payment of Premium Applies.
"Professional Liability Coverages Are Excluded from the above policies."
City of Fort Collins
Attn: James B. O'Neill, II
PO Box 580
Fort Collins, CO 80522-0580
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
'` 3O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE 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
Robert Sibelius. CIC/HAPPY
FAX: (970)221-6707