HomeMy WebLinkAboutRMCAT ENVIRONMENTAL - INSURANCE CERTIFICATE (6)ACORDM
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DATE MM/DD/YYYY)
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04/01/2005
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PRODUCERnnRisk Services, Inc. of Michigan
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CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
3000 Town Center
AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
Suite 3000
CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE
Southfield MI 48075 USA
COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
NAIC#
PHONE- 866 283-7122 FAx- 847 953-5390
INSURED
INSURER A: PlnnaCol Assurance Company
41190
RMCAT Environmental Services, Inc.
INSURFRB: Insurance Company of the State of PA
19429
4975 Paris Street
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INSURER C: American Home Assurance Co.
19380
Denver CO 80239 USA
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INSURERD: American International Specialty Lines
26883
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INSURER E:
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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
ADDI.
INS
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVEPOLICY
EXPIRATION
LIMITS
DATE(MMWMYV)
DATE(MMWDIYY)
C
ULiERALLIABI,ITY
G0047194
04/01/05
04/01/06
EACH OCCURRENCE
$1,000,000
X COMMERCIAL GENERAL LIABILITY
DAMAGE TO RENTED
$1, 000 , 000
CLAIMS MADE ® OCCUR
PREMISES (Ea oc
( y onea Person)
p
PERSONAL& ADV INJURY
S1,000,000
N
GENERAL AGGREGATE
$2,000,000
t0
r.
GEN'L AGGREGATE LIMIT APPLIES PER:
C'PRODUCTS-COMP/OP
,m-I
AGG
$2,000,000
❑ POLICY ® PRO- ❑ LOC
O
O
JECT
n
C
AUTOMOBILE LIABILITY
ALS262001
04/01/05
04/01/06
COMBINED SINGLE LIMIT
ANY AUTO
(Ea accident)
S1,000,000
Z
ALL OWNED AUTOS
d
p
BODILY INJURY
SCHEDULED AUTOS
(Per person)
E:
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HIRED AUTOS
BODILY INJURY
NON OWNED AUTOS
(Per accident)
X Comp Ded $1,000
PROPERTY DAMAGE
(Per accident)
Collision Ded $1,0DO
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
ANY AUTO
OTHER MAN EA ACC
AUTO ONLY
AGG
B
EXCESS/UMBRELLA LIABILITY
43052604
54/O1/05
FACHOCCURRFNCE
$10,000,000
19 OCCUR ❑ CLAIMSMADE
AGGREGATE
$10,000,000
DEDUCTIBLE
RETENTION
A
AND
X C STATU-
LIMrr
OTH-
ER
EMPLOYSCOMPENSATION
EMPLOYERS' LIABILITY
eo
E.L. EACH ACCIDENT
$500,000
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
If yes, describe under SPECIAL PROVISIONS
E.L. DISEASE -EA EMPLOYEE
E.L. DISEASE -POLICY LIMIT
S500, 000
$500,000
below
D CPL 3779857 04/01/05 Per c aim Limit $15,000,000
OTHER
Contractors Poll Liab Deductible $100,000
Pollutn/Env Imp
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
RE: FORTH COLLINS FIRING RANGE.
CITY OF FORT COLLINS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
ATTN: JAMES O' NEIL II CPPO FNIGP DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
215 NORTH MASON STREET 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
P.O. BOX 580 BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
FORTH COLLINS CO 80522-0580 USA
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AUTHORIZED REPRESENTATIVE,