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Home My WebLink AboutENVIRONMENTAL ABATEMENT SOUTHWEST - INSURANCE CERTIFICATE (7)ACORD CERTIFICATE OF LIABILITY INSURANCE CS DC DATE (MMIDDIV /YY) ENVIRI3 03 18 05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Six & Geving Insurance, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 3630 Sinton Road, Suite 200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Colorado Springs CO 80907-5034 Phone: 719-590-9990 Fax: 719-590-9992 INSURERS AFFORDING COVERAGE NAIC # INSURED Environmental Abatement INSURER A: Arch Specialty Ins Co INSURERB: Allied Insurance Group 42579 Southwest Inc.; Falcon Services, Inc.; 5615 Industrial Place, LLC INSURERC: Pinnacol Assurance INSURER D: P.O. Box 75252 Colorado Springs CO 80970 INSURER E: COVERAGES 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 NSR TYPE OF INSURANCE POLICY NUMBER DATE MMIDD DATE MMn)D LIMITS GENERAL LIABILITY EACH OCCURRENCE s2,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE I OCCUR 12EMP43438-00 11/27/04 11/27/05 PREMISES' ao Eccuwce $50,000 MED EXP (Any one person) $ 5 , 000 PERSONAL & ADV INJURY s2,000,000 X INCL POLLUTION/ ASBESTOS GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 X POLICY PRO JECT LOC B AUTOMOBILE LIABILITY ANY AUTO ACP7540805635 02/02/05 02/02/06 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULEDAUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ ANY AUTO $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE COLLINS AGGREGATE $ CITY KT MA AGES NT $ DEDUCTIBLE RIS $ $ RETENTION $ C WORKERS COMPENSATION AND EMPLOYERS•LIABILRY ANY PROPRIETOR/PARTNERIEXECUTA/E OFFICER/MEMBER EXCLUDED? WIf yree. describe under SPECIAL PROVISIONS below 4028665 04/01/05 04/01/06 X TORY LIMITS I ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT $1,000,000 OTHER B Inland Marine ACP7540805635 02/02/05 02/02/06 Contr Eqp $57,815 8 Pro -RC/S ec Form JACP7540805635 02/02/05 02/02/06 Bldg $550 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Proof of Insurance. fax: 970:221-6707. Project: Bid #5896 Asbestos Abatement at Gateway Park. Cart holder is named Liability Additional Insured CERTIFICATE HOLDER CANCELLATION FORTC-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WALL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL City of Fort Collins 215 N Mason St, 2nd Floor IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Ft. Collins CO 80522-0580 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Wayne Six • ACORD 25 (2001/08) PORATION 1988