HomeMy WebLinkAboutENVIRONMENTAL ABATEMENT - INSURANCE CERTIFICATE (3)ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID
DATE(MMIDDIYYYY)
ENVIRI2
10 19 04
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Six & Geving/Denver Office
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 A: Zurich American Insurance Co
INSURER B. Allied Insurance Group42579
Environmental Abatement Ser.
of Denver, Inc.
4301 S. Federal Blvd.#112
Englewood CO 80110
INSURERC: Pinnacol Assurance
INSURER D:
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 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.
LTR
INSR
TYPE OF INSURANCE
POLICY NUMBER
DATEYMMIDDIYY
DATE MMIDD/YYN
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
A
X COMMERCIAL GENERAL LIABILITY
GL02976798-03
11/22/03
11/22/04
PREMISES (Ea occurence)
$50,000
CLAIMS MADE 'X OCCUR
MED EXP (Any one person)
s5,000
PERSONAL & ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
$1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$ 1,000,000
POLICY X PRO LOC
JECT
AUTOMOBILE
X
LIABILITY
COMBINED SINGLE LIMIT
$ 1 000 000
B
, ANY AUTO
ACP7540672094
06/06/04
06/06/05
(Ea accident)
BODILY INJURY
ALL OWNED AUTOS
SCHEDULED AUTOS
(Per person)
$
X
HIRED AUTOS
BODILY INJURY
X
NON -OWNED AUTOS
(Per accident)
$
PROPERTY DAMAGE
$
(Per accident)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EAACC
$
ANY AUTO
$
AUTO ONLY: AGG
EXCESSIUMBRELLA LIABILITY
EACH OCCURRENCE
$
OCCUR CLAIMS MADE
AGGREGATE
$
DEDUCTIBLE
RETENTION $
$
WORKERS COMPENSATION AND
X TLIMITS ER ORY
C
EMPLOYERS'LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
4060937
09 /01 /O4
09/01/05
E.L. EACH ACCIDENT
$1, QQQ, QQQ
OFFICERIMEMBER EXCLUDED?
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
If yes, describe under
E.L. DISEASE - POLICY LIMIT
$ 1 000 , 000
SPECIAL PROVISIONS below
OTHER
A
Pollution Liabilit
CPL5393193-01
11/22/03
11/22/04
1,000,000
B I
Contr Equip
ACP7540672094
06/06/04
06/06/05
RENT/LEAS 25,000
DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Re: 3792 City of Ft Collins Lead Nix Farms. City of Fort Collins is named as
additional insured as respects all work performed by the named insured.
l.A1Vl:CLLA I IVN
FORTCOL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO
City of Fort Collins DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
Director of Purchasing and NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
Risk IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
mt
PO BOXX 580 Fort Collins CO 80522 REPRESENTATIVES. U
/08) @&tORD CO RATION 1988