HomeMy WebLinkAbout125216 WALSH ENVIRONMENTAL SCIENTISTS - INSURANCE CERTIFICATE (4)rNpntfi- R19
ACORD. CERTIFICATE OF LIABILITY INSURANCE
DNYM
0ATE(MW
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
HRH of Upstate NY LLC
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
3" Delaware Ave
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Buffalo, NY 14202
716 856-1100
INSURERS AFFORDING COVERAGE
NAIC #
INSURED Walsh Environmental Scientists and
INSURER A: Commerce & Industry Ins. CO.
19410
INSURER B:
Engineers, LLC
INSURER C:
4888 Pearl E Circle, Suite 108
INSURER D:
Boulder, CO 80301
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
INSRN
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
(MWDD/YY)
POLICY EXPIRATIONDATE
DATE fMM1DD/YY1
LIMITS
A
GENERAL LIABILITY
GL4178739
01/10/05
08/01/05
EACH OCCURRENCE
$3 000,000
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE 51OCCUR
-
DAMAGE TO RENTED
$500 000
MED EXP (Any we person)
$50000
PERSONAL &ADV INJURY
$3 00Q 000
GENERAL AGGREGATE
$3 QQQ QQQ
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY FX1 PRO LOC
FCj
PRODUCTS - COMP/OP AGG
$3 000 000
AUTOMOBILE
LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT
(Ea accident)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILYPer INJURY
(Perrperson)
$
HIRED AUTOS
NON -OWNED AUTOS
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
A
EXCESSIUMBRELLA LIABILITY
X OCCUR CLAIMS MADE
BE2681784
01/10/05
08/01/05
EACH OCCURRENCE
$10000000
AGGREGATE
$10QQQ 000
DEDUCTIBLE
X RETENTION $ 10000
$
WORKERS COMPENSATION AND
WC STATU- OTH-
EMPLOYERS' LL481LffY
E.L. EACH ACCIDENT
$
ANY PROPRIETORIPARTNERIEXECUTIVE
OFFICERIMEMBER EXCLUDED?
If yes, descri under
E.L. DISEASE - EA EMPLOYEE
$
E.L. DISEASE - POLICY LIMIT
$
SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Certificate Holder is named as an additional insured as required by written contract or
agreement
FC BRWNFIELDS-HOLD(HS)
CITY OF FORT COLLINS
P.O. BOX 580
FORT COLLINS, CO 80522-0580
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _3Q_ 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
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