HomeMy WebLinkAbout125216 WALSH ENVIRONMENTAL - INSURANCE CERTIFICATE (4)3/21/2005 3:06 PM
19702216707 002
ACORQ. CERTIFICATE OF LIABILITY INSURANCE
03/21/2 o
PRODUCER (303) 756-9909 FAX (303) 756-8818
Keller -Lowry Insurance Inc
1777 S Harrison St #700
Denver, CO 80210
Margaret Rosa
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.
INSURERS AFFORDING COVERAGE
NAIC#
INSURED Walsh Environmental Scientist
DBA: & Engineers, LLC
4888 Pearl East Circle #108
Boulder, CO 80301
INSURER Pinnacol Assurance
0009
INSURER
INSURER C.
INSURER1)
INSURER E'
rnVFDAGFA
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
ADD'L
TYPE OF INSURANCE
POLICY NUMBER
POLICYEFFECTNE
MMVDDA-n
POLDATE TE [MI
LIICY EXPIRATIONum
LIMBS
GENERAL LIABILITY
EACH OCCURRENCE
$
COMMERCIAL GENERAL LIABILITY
DAMAGE TO RENTED
PRE arn"d
$
CLAIMS MADE OCCUR
MED EXP (Anyone person)
$
PERSONAL & ADV INJURY
$
GENERAL AGGREGATE
$
GEN'L AGGREGATE LIMIT APPLIES PER
PRODUCTS- COMFVOP AGG
$
POLICY JEa LOC
AUTOMOBILE
LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT
(Ea accident)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per person)
$
HIRED AUTOS
NON OWNED AUTOS
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY EA ACCIDENT
$
ANY AUTO
OTHER THAN EA ACC
$
$
AUTO ONLY AGO
EXCESSIUMBRELLA LIABILITY
EACH OCCURRENCE
$
OCCUR 171 CLAIMS MADE
AGGREGATE
$
$
$
DEDUCTIBLE
$
RETENTION • $
A
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
W
ANY PROPRIETORIPARTNEE)(ECUTIVE
4045661
07/01/2004
07/01/2005
rDRYLwoTs °R
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EAEMPLOYEE
$ 1,000,00
OFFICERIMEMBER EXCLUDED?
If yes describe under
SPECIAL PROVISIONS bemw
JEL. DISEASE -POLICY LIMIT
$ 1,000.000
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS
e: Environmental Services Agreement: P-818
"Professional Liability Coverages Are Excluded from the above policies."
CERTIFICATE HOLDER CANCFI I ATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
City of Fort Collins
10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
At tn: James B. O'Neill
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
PO Box 580
OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE / /y
Fort Collins, CO 80522-OS80
Robert Sibelius CIC/HAPPY
ACORD25I2001/081 FAX: (970)221-6707 OOACORDCORPORATION 1988