HomeMy WebLinkAbout125216 WALSH ENVIRONMENTAL SCIENTISTS - INSURANCE CERTIFICATE (3)ACORD- CERTIFICATE OF LIABILITY INSURANCE 0ATE(MW Dom)
PRODUCER 1/17105
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
B ff
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
u alo, NY 14202
716 856-1100
INSURED
Walsh Environmental Scientists and
Engineers, LLC
4888 Pearl E Circle, Suite 108
Boulder, CO 80301
INSURERS AFFORDING COVERAGE NAIC #
INSURER A: Commerce 8r Industry Ins. Co. 19410
C:
D:
E:
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 NS
N R
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
POLICY EXPIRATION DATE (MM/DDfYY)
LIMITS
A
GENERAL
LIABIUTY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE Ex_] OCCUR
GL4178739
01/10/05
08/01/05
EACH OCCURRENCE
$3 000 000
X
DAMAGE TO RENTED
$500 000
$50000
rcei
MED EXP (Any one person)
PERSONAL & ADV INJURY
$3 000 000
GENERAL AGGREGATE
s3,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY I X I PRO LOC
PRODUCTS - COMP/OP AGG
$3 000 000
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
COMBINED SINGLE LIMIT
(Ea accident)
$
BODILY INJURY (Per
(Per person)
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
A
GARAGE LIABILITY
ANY AUTO
EXCESSIUMBRELLA LIABILITY
X1 OCCUR CLAIMS MADE
HDEDUCTIBLE
X RETENTION $ 10000
BE2681784
01/10/05
08/01/05
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGG
EACH OCCURRENCE
$
$
$10000000
AGGREGATE
$10 000 000
$
$
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITYFR
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
"yes, describe under
SPECIAL PROVISIONS below
OTHER
WC STATU- OTH-
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
$
E.L. DISEASE - POLICY LIMIT $
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS
Certificate Holder is named as an additional insured as required by written contract or
agreement
NIX FARM-PB ABATEMENT(CE)
!`CDrrerrwre u�r r��e.
CITY OF FORT COLLINS
PO BOX 580
FORT COLLINS, CO 80522-0580
LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30_ DAYS WRITTEN
.E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
iE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVE
ACr1Dn 99 19nn4 rnof .
" ` "ITW4 a I SMD 0 ACORD CORPORATION 1988