HomeMy WebLinkAbout125216 WALSH ENVIRONMENTAL SCIENTISTS - INSURANCE CERTIFICATE (8)rrantfi- R19
ACORD- CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD/YYYY)
01/17/05
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
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 81 Industry Ins. Co.
19410
Engineers, LLC
INSURER B:
4888 Pearl E Circle, Suite 108
INSURER C:INSURER
Boulder, CO 80301
D:
INSURER E:
NVY
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 fMWDDIYYI
POLICY EXPIRATION
DATE (MMIDDIYYI
LIMBS
A
GENERAL LIABILITY
GL4178739
01/10/05
08/01/05
EACH OCCURRENCE
$ 3 000 000
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE � OCCUR
DAMAGE TO RENTED
PREMISE (E' �rrarcel MED EXP (Any one person)
$5OO OOO
$50 000
PERSONAL & ADV INJURY
s3,000,000
GENERAL AGGREGATE
$3 00O OOO
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$3 00O 000
POLICY X PRO I LOC
AUTOMOBILE
LIABILITY
AUTO
COMBINEANY
(Ea accident) ANGLE LIMIT
$
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per person)
HIRED AUTOS
NON -OWNED AUTOS
BODILY INJURY
(Per accident)
$
PROPERTYDAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
E
ANY AUTO
$
AUTO ONLY: AGG
A
EXCESSIUMBRELLA LIABILITY
X OCCUR CLAIMS MADE
BE2681784
01/10/05
08/01/05
EACH OCCURRENCE
$10 000 000
AGGREGATE
$1000O 000
$
DEDUCTIBLE
X RETENTION $ 10000
$
WORKERS COMPENSATION AND
WC STATU- I OTH-
EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT
$
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICERIMEMBER EXCLUDED?
If yes, describe under
E.L. DISEASE - EA EMPLOYEE
$
E.L. DISEASE - POLICY LIMIT
$
SPECIAL PROVISIONS below
OTHER
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
FIRING RANGE -LEAD SAM(T7)
CITY OF FORT COLLINS
300 LAPORTE AVE, 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
A^^e M n
I "r 4 *n'-31401 SMD O ACORD CORPORATION 1986