HomeMy WebLinkAbout125216 WALSH ENVIRONMENTAL SCIENTISTS - INSURANCE CERTIFICATE (2)n1e..Mt• aa�
ML ULr N V
ACOR& CERTIFICATE OF LIABILITY INSURANCE
DATE
01117105DmrY)
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
HRH of Upstate NY LLC
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
344 Delaware Ave
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Buffalo, NY 14202
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
716 856-1100
INSURERS AFFORDING COVERAGE
NAIC #
INSURED Walsh Environmental Scientists and
INSURER A: Commerce & Industry Ins. Co.
19410
INSURERS:
Engineers, LLC
INSURER C:
4888 Pearl E Circle, Suite 108
INSURER D:
Boulder, CO 80301
INSURER E:
nnvvs... tea.
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
N
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
T
POLICY EXPIRATION
LIMITS
A
GENERAL
LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE 51OCCUR
GL4178739
01/10/05
08/01/05
EACH OCCURRENCE
$3 000 000
X
DAMAGE TO RENTED
$500 000
MED EXP (Anyone person)
$50 000
PERSONAL& ADV INJURY
$3 000 000
GENERAL AGGREGATE
$3 000 000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY X PRcoi LOC
PRODUCTS-COMPIOP AGG
$3000000
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
COMBINED SINGLE LIMIT
(Ea accident)
$
BODILY INJURY
(Per Person)
$
BODILY accident)
(Per aaident)
$
PROPERTY DAMAGE
(Per accident)
$
A
GARAGE LIABILITY
ANY AUTO
EXCESS/UMBRELLA LIABILITY
X OCCUR CLAIMS MADE
DEDUCTIBLE$ RETENTION $ 10000
Fx
BE2681784
01/10/05
08/01/05
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGG
EACH OCCURRENCE
$
$
$10 000 000
AGGREGATE
$10 000 000
$
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNER/EXECUTIVE
OFFICERIMEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
OTHER
WC STATU- I OTH-
TORYLIMIJ,9 ER
E.L. EACH ACCIDENT
$
E.L. DISEASE - FA EMPLOYEE
$
E.L. DISEASE - POLICY LIMIT $
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS
Certificate Holder is named as an additional insured as required by written contract or
agreement
BLDG 281 IAQ STUDY (BN)
eFwnrlrAT unr noo
CITY OF FORT COLLINS
P O BOX 580
FORT COLLINS, CO 80522-0580
THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ' n 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
REPRESENTATIVE
APnOn 9C Mnn4(no%
�' ` r""`"` u 1 SMD O ACORD CORPORATION 1988