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HomeMy WebLinkAboutENVIRONMENTAL ABATEMENT - INSURANCE CERTIFICATE (4)ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID DATE (MM/DD ENVIRI2 0 19/04 104 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Six & Geving/Denver Office HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 225 Union Blvd. #575 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Lakewood CO 80228 Phone:720-962-0930 Fax:720-962-0942 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: Zurich American Insurance Co INSURER B: Allied Insurance Glop 42579 Environmental Abatement Ser. of Denver, Inc. 4301 S. Federal Blvd.#112 Englewood CO 80110 INSURERC: Pinnacol Assurance INSURER D: INSURER Ei 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. INW LTR NSR TYPE OF INSURANCE POLICY NUMBER EFFECTIVE DATE_PDUCYMM/DD/VY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1 , 000 , O0O A X COMMERCIAL GENERAL LIABILITY GL02976798-03 11/22/03 11/22/04 PREMISES(Eaoccurence) $50,000 CLAIMS MADE X OCCUR MED EXP (Any one person) S 5,000 PERSONAL S ADV INJURY $ 1 , 000 , 000 GENERAL AGGREGATE $ 1,00),000 GEN'L AGGREGATE LIMIT APPLIES PER'. PRODUCTS - COMP/OP AGG $ 1,000,000 POLICY X PROECT LOC J B AUTOMOBILE LIABILITY ANY AUTO ACP7540672094 06/06/04 06/06/05 COMBINED SINGLE LIMIT (Ea accident) $ 1 OOO OOO X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EAACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERlEXECUTIVE OFFICER/MEMBER EXCLUDED? If yyes, describe under 5PECIAL PROVISIONS below 4060937 09/01/04 09/01/05 X TORY LIMITS OTH ER E.L. EACH ACCIDENT $ 1r � 000 000 E.L. DISEASE -EA EMPLOYEE $ 1 , 000,000 E.L. DISEASE - POLICY LIMIT $ 1 , 000 , 000 OTHER A Pollution Liabilit CPL5393193-01 11/22/03 11/22/04 1,000,000 B Contr Equip ACP7540672094 06/06/04 1 06/06/05 RENT/LEAS 25,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Re: 3792 City of Ft Collins Lead Nix Farms. City of Fort Collins is named as additional insured as respects all work performed by the named insured. City of Fort Director of Risk Mgmt PO BOX 580 Fort Collins Collins Purchasing and CO 80522 CANCELLATION FORTCOL I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO 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 U REPRESENTATIVES. 25 (2001/08) ©&tORD COVPORATION 1988 10/19/2004 TUE 10:35 FAX 303 653 0027 Six and Geving Insurance a 001/001 A ORv CERTIFICATE OF LIABILITY INSURANCE OP ID DATE(MMIDDNYYY) ENVIR12 10 19 04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Six & Geving/Denver Office HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 225 Union Blvd. #575 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Lakewood CO 80228 Phone:720-962-0930 Fax:720-962-0942 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A. ZYriCA American Fnauranea Ca INSURERS: Allied Insurance Group42579 Environmental Abatement 3er. INSURERC: Pinnacol Assurance 4301 S. FFederai Blvd.#112 Englewood CO 80110 INSURER D: 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 DA MMIDDW DATE LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1 , 000 000 PREMISES EaEcccurence $50 000 A X COMMERCIALGENERAL LIABILITY GL02976798-03 11/22/03 11/22/04 CLAIMS MADE a OCCUR MED EXP (Airy one person) $ 5, 000 PERSONAL & ADV INJURY $ 1 , 000 , 000 GENERAL AGGREGATE $ 1 000 000 GENT AGGREGATE LIMIT APPLIES PER PRODUCTS -COMPIOP AGG $1,000 000 POLICY X jECT LOC B AUTOMOBILE LIABILITY ANYAUTO ACP7540672094 06/06/04 06/06/05 t'INGLELIMR (Ea accident) g1,000,000 X BODILY INJURY (Per Feraon) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per student) $ HIRED AUTOS NON-OWNEDAUTOS X PROPERTY DAMAGE (Per accident) $ I GARAGE LIABILITY AUTO ONLY -EA ACCIDENT $ OTHER THAN EAACC AUTO ONLY: AGG $ ANY AUTO $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $. $ $ DEDUCTIBLE $ RETENTION $ C WORKERS COMPENSATION AND ANY ANY PR EROPRI LIABILITYETOR/PARTNERIEXECUTNE OFFICER/MEMBER EXCLUDEDW, it yes, describe trader SPECIAL PROVISIONS belay 4060937 09/01/04 09/01/05 X I TORY LIMK R E.L. EACH ACCIDENT $ 1� 000 000 E.L. DISEASE - EA EMPLOYEE $ 1, 000 , 000 E.L. DISEASE - POLICY LIMIT I s 1 000 000 OTHER A Pollution Liabilit CPL5393193-01 11/22/03 11/22/04 1,000,000 B Contr Zquip IACR7540672094 1 06/06/04 06/06 05 RENT/LEAS 25,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Re: 3792 City of Ft Collins Lead Nix Farms. City of Fort Collins is named as additional insured as respects all work performed by the named insured. FORTCOL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City Of Fort Collins DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Director of Purchasing and Risk mt PO BOX 580 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 Fort Collins CO 80522 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Sandra Ara on e�a.vn� c.s Icvv ,rwJ Vpt%,UKLJ %,uf KAI lU1V T`JCD