HomeMy WebLinkAboutENVIRONMENTAL ABATEMENT - INSURANCE CERTIFICATE (5)ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID
DATE (MMlDD/YYYV)
ENVIRI2
06 04 04
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
225 Union1Blvd. #5750f£ice JUN 14 2004
AMEND, EXTEND OR
HOLDER. THIS CERTIFICATE DOES ALTER THE OVERAGE AFFORDED BY OT HE POLICIES BELOW.
Lakewood CO 80228
Phone: 720-962-0930 Fax:720-962-0942
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
INSURER A: Zurich American Insurance Co
INSURER 8: Allied Insurance Group42579
Environmental Abatement Ser.
of Denver, Inc.
4301 S. Federal Blvd.#112
Englewood CO 80110
INSURERC: P1nnacol Assurance
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.
IN K
LTR
AUU
INSIR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MMIDDIYY
POLICY EXPIRATION
DATE MM/DDIYY
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$1,000,000
A
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE � OCCUR
GL02976798-03
11/22/03
11/22/04
PREMISES(Eaoccurence)
$50,000
MED EXP (Any one person)
s5,000
PERSONAL &ADV INJURY
$1,000,000
GENERAL AGGREGATE
$1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$1,000,000
POLICY PROECT LOC
J
B
AUTOMOBILE
LIABILITY
ANY AUTO
ACP7540672094
06/06/04
06/06/05
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
$
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
HIREDAUTOS
NON-OWNEDAUTOS
X
BODILY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
ANY AUTO
OTHER THAN EA ACC
$
$
AUTO ONLY: AGG
EXCESS/UMBRELLA LIABILITY
OCCUR CLAIMS MADE
EACH OCCURRENCE
$
AGGREGATE
$
DEDUCTIBLE
RETENTION $
$
`,
WORKERS COMPENSATION AND
EMPLOYERS'LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
4060937
09/01/03
09/01/04
X ITORY LIMITS ER
E.L. EACH ACCIDENT
$1,000,000
OFFICER/MEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
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 06/06/05 RENT/LEAS 25,000
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
11AIYGCLLA I IUN
FTCOL-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
CITY OF FORT COLLINS NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
117 NORTH MASON ST.
P.O. BOX 580 IMPOSE NO OBLIGATION OR LIABILITY OF ANV/x) IND UPON THE INSURER, ITS AGENTS OR
FT. COLLINS CO 80522-6707 REPRESENTATIVES. V 1-"f
ACORD 25