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HomeMy WebLinkAbout- INSURANCE CERTIFICATE (7)FCOLFNV
ACORD- CERTIFICATE OF LIABILITY
INSURANCE
01117/os°"YYY'
PRODUCER
HRH of Upstate NY LLC
344 Delaware Ave
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
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 N
INSURED
Walsh Environmental Scientists and
Engineers, LLC
4888 Pearl E Circle, Suite 108
Boulder, CO 80301
INSURERA: Commerce 8r Industry Ins. Co.
19410
INSURER B:
INSURER C:
INSURER D:
INSURER E:
CnVFRAr.FS
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
NSR9TYPE
OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MMIDDfM
POLICY EXPIRATION
DATE (MMIDDIYYI
LIMITS
A
GENERAL LIABILITY
GL4178739
01/10/05
08/01/05
EACH OCCURRENCE
$3000000
DPREMISES (Ea AMAGE TO RENTED occurrence)
$500OOO
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE 51OCCUR
MED EXP (Any one person)
$50OQO
PERSONAL B ADV INJURY
$3 000 O00
GENERAL AGGREGATE
$3 QOO 000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS-COMP/OP AGG
$3000000
POLICY FX PRO LOC
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
$
ANY AUTO
(Ea accident)
BODILY INJURY
$
ALL OWNED AUTOS
SCHEDULEDAUTOS
(Per Person)
BODILY INJURY
$
HIRED AUTOS
NON -OWNED AUTOS
(Per accident)
PROPERTY DAMAGE
$
(Per accident)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHERTHAN EAACC
$
ANY AUTO
$
AUTO ONLY: AGG
A
EXCESS/UMBRELLA LIABILITY
BE2681784
01/10/05
08/01/05
EACH OCCURRENCE
$1000O 000
X1 OCCUR CLAIMS MADE
AGGREGATE
$1 O QOO OOO
$
DEDUCTIBLE
$
X RETENTION $ 10000
WC SLIMIT O
TATUjI
WORKERS COMPENSATION AND
R
EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT
$
ANY PROPRIETOR/PARTNER/EXECUTIVE
E.L. DISEASE - EA EMPLOYEE
$
OFFICER/MEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
E.L. DISEASE - POLICY LIMIT
$
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
IEQ STUDY 117 N MASON(TR)
CITY OF FORT COLLINS
215 N MASON ST
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 30_ 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
ACORD 25 (2001/08) 1 of 2 #M33451 SMD © ACORD CORPORATION 1988