HomeMy WebLinkAbout125216 WALSH ENVIRONMENTAL SCIENTISTS - INSURANCE CERTIFICATE (8)rlinnNt• Al?
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ACORD,a CERTIFICATE OF LIABILITY
INSURANCE
01117/05°"YY"
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
HRH of Upstate NY LLC
3" Delaware Ave
Buffalo, NY 14202
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
716 856-1100
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
Walsh Environmental Scientists and
Engineers, LLC
4888 Pearl E Circle, Suite 108
Boulder, CO 80301
INSURER A: Commerce 8r Industry Ins. Co.
19410
INSURER B:
INSURER C:
INSURER D:
INSURER 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
INS
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE p
POLICY EXPIRATION
LIMITS
A
GENERAL LIABILITY
GL4178739
01110/05
08/01/05
EACH OCCURRENCE
$3000000
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE � OCCUR
DAMAGE TO RENTED nca)$5OO
_
OOO
MED EXP (Any one person)
$50 000
PERSONAL B ADV INJURY
$3 00D 000
GENERAL AGGREGATE
s3,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$3 DUD 0OO
POLICY X PRO LOC
AUTOMOBILE
LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT
(Ea accident)
$
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
A
EXCESS/UMBRELLALIABILITY
X OCCUR CLAIMS MADE
BE2681784
01/10/05
08/01/05
EACH OCCURRENCE
$1000U 000
AGGREGATE
$1 O 00O 000
DEDUCTIBLE
X RETENTION $ 10000
$
WORKERS COMPENSATION AND
WC STATU- 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 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
EPIC FACILITY (T7)
CITY OF FORT COLLINS
PO 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 3_ 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
••� -� t-�� ••��/ T OT c TFNlsa401 SMD G ACORD CORPORATION 1988