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HomeMy WebLinkAbout125216 WALSH ENVIRONMENTAL - INSURANCE CERTIFICATE (3)3/21/2005 3:06 PM 19702216707 002 ACORA CERTIFICATE OF LIABILITY INSURANCE 03/21/2o 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 INSURER0, Pinnacol Assurance 0009 INSURER INSURERC INSURER INSURERE rnvPRAGCC 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 ADDVL TYPE OF INSURANCE POLICYNUMBER POLICYEFFECTVE DATE MWDD" POLICY EXPIRATION DATE (MMI LIMBS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY E TO REMED DAMAGPREMI $ CLAIMS MADE 1-1 OCCUR MED EXP(Ary one person) $ PERSONAL &ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS -COMPIOPAGG $ POLICY JECTT LOG AUTOMOBILE LIABILRY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED ALITOS BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ HIRED AUTOS NONOWNED AUTOS PROPERTYDAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY- EA ACCIDENT $ ANY OTHER THAN EA ACC $ AUTO ONLY: ASS $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR 71 CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION I 4 A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY FROPRIETOR/PARTNERIE':ECUTP/E 4045661 07/01/2004 07/01/2005 TO c IMI s eR E.L. EACH ACCIDENT $ 1,000,000 EL.DISEASE- EAEMPLOYEE $ 1,000,00 OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below EL DISEASE - POLICY LIMIT is 1,000 00 OTHER DESCRIPTION OF OPERATIONS) LOCATIONS f VEHICLES f EXCLUSIONS ADDED BY ENDORSEMENT[ SPECIAL PROVISIONS e: Environmental Services Agreement: P-919 'Professional Liability Coverages Are Excluded from the above policies." rFRTICIrATC Wn] I rAMrCI I ATIf1M 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 1_ 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 ' Fort Collins, CO 80522-0580 Robert Sibelius CIC HAPPY ACORD25(2001f081 FAX: (970)221-6707 ©ACORD CORPORATION *1988 ACORDM CERTIFICATE OF LIABILITY INSURANCE 03/21/2 0 ' PRODUCER (303) 756-9909 FAX (303) 756-8818 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Keller -Lowry Insurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1777 S Harrison St #700 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Denver, CO 80210 Margaret Rosa INSURERS AFFORDING COVERAGE INSURED Walsh Environmental Scientist INSURERA: Pinnacol Assurance DBA: & Engineers, LLC 4888 Pearl East Circle #108 Boulder, CO 80301 rnVFRAGFC INSURER B: INSURER C: INSURER D: INSURER E. NAIC # 0009 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 POLICY EFFECTIVE DATE (Ni POLICY EXPIRATION DATE (MM/DDIYY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑ OCCUR EACH OCCURRENCE $ DAMAGE TO RENTED $ MED EXP (Any one person) $ PERSONAL& ADV INJURY $ GENERAL AGGREGATE $ GENT AGGREGATE LIMIT APPLIES PER: POLICYF_j PROJECT LOC PRODUCTS - COMP/OP AGG $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESSIUMBRELLA LIABILITY OCCUR ❑ CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below 4045661 07/01/2004 07/01/2005 WC STATU- OTH- DRY LIMITS FIR E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEq $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS e: Environmental Services Agreement: P-818 "Professional Liability Coverages Are Excluded from the above policies." CCOTICU'ATIC 4nl n1= ! ANV`CI I ATIr%kI 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, Attn • 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. Fort Collins, CO 80522-0580 AUTHORIZED REPRESENTATIVE �) / Robert Sibelius, CIC/HAPPY ACORD 25 (2001108) FAX: t97U)LL1-b7U1 ©ACORD CORPORATION 1988 ACOR4,, CERTIFICATE OF LIABILITY INSURANCE 01/31/2 0 ' 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 INSURERA: Pinnacol Assurance 0009 INSURER B. INSURER C: INSURER D: INSURER E: CnVFRAGFR 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 POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑ OCCUR EACH OCCURRENCE $ DAMAGE TO RENTED PRr $ MED EXP (Any one person) $ PERSONAL &ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC JECT PRODUCTS - COMP/OP AGG $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS/UMBRELLA LIABILITY OCCUR ❑ CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If es, describe under SPECIAL PROVISIONS below 4045661 07/01/2004 07/01/2005 WC ORSTATUS OTH- Y LIMITS EEL E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1 , OOO , OO E.L. 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 "Professional Liability Coverages Are Excluded from the above policies." City of Fort Attn: James PO Box 580 Fort Collins, Collins B. O'Neill CO 80S22-OS80 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE M ACORD 25 (2001/OB) FAX: (970)221-6707 ©ACORD CORPORATION 1988 3/18/2005 10:49 AM 19702216707 002 ACORI? CERTIFICATE OF LIABILITY INSURANCE 0f/3iz o PRODUCER (303) 756-9909 FAX (303) 7S6-8818 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 A- Pinnacol Assurance 0009 INSURERS INSURER INSURER INSURER E rnVCR A[SC14 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 D' TYPE OF INSURANCE POLICY NUMBER POLICYEFFECTTVE DATE (MMIDDYA POLICY EXPIRATION DATE (MMI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ CLAIMS MADE ❑ OCCUR MEO EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GENT AGGREGATE LIMIT APPLIES PER PRODUCTS -COMPIOP AGG $ POLICY J CT 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 -EAACCIDENT $ ANY AUTO OTHER THAN EA ACC $ $ AUTO ONLY AGG EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ $ DEDUCTIBLE $ RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIE:CECUfI'JE 4045661 07/01/2004 07/01/2005 WC T TU OT TORY ER E.L. EACH ACCIDENT $ 1 000 00 EL.DISEASE -EA EMPLOYEE $ 1, 000, 00 OFFICERIMEMBER EXCLUDED? If yyes,'1 be under SPECIALPROVISIONSbelory EL. DISEASE -POLICYLPdIT $ 1 OOO O OTHER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS e: Environmental Services Agreement "Professional Liability Coverages Are Excluded from the above policies." CFRTIFICATF HOI OFR CAIMI I I ATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURERWILL ENDEAVOR TO MAIL City of Fort Collins _1Q__ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Attn: 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 / Fort Collins, CO 80522-0580 Robert Sibelius, CIC/HAPPYe ACORD 25 (20011081 FAX: (970)221-6707 ©ACORD CORPORATION 1988 ACDW' ,�, CERTIFICATE OF LIABILITY INSURANCE DATE 31/loos' PRODUCER (303) 756-9909 FAX (303) 756-8818 Keller -Lowry Insurance Inc 1777 5 Harrison St #700 Denver, CO $0210 Margaret Rosa THIS CERTIFICATE IS ISSUED AS A MATTFR OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Walsh Environmental Scientist DBA! & Engineers, LLC 4888 Pearl East Circle #108 Boulder, CO 90301 11 INSURERA: Pinnacol Assurance 0009 INSURER B: INSURER INSURERO: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN I$ SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR D TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE IMMIDDMI POLICY EXPIRATION UNITS Ot+NERALLIAEoU COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑ OCCUR EACH OCCURRENCE S DAMAGE TO RENTED Aamurmnol S MED EXP (Any cne pefeon) S PERSONAL& ADV INJURY S GENERAL AGGREGATE 6 GENL AGGREGATE LIMIT APPLIES PER POLICY M PRO. JECT LOC PROOVCTS • COMP/OP AGO S AUTOMOBILM LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON.OWNED AUTOS COMBINED SINGLE LIMIT (Ea aeddenp S BODILY INJURY (Per perwn) $ BODILY INJURY (Per accident) S PROPERTY DAMAGE (Per accident) $ GARAGE LIARRITY ANY AUTO AUTO ONLY - EA ACCIDENT S OTHER THAN EA ACC AUTO DNLY: AGO S b EXCEBBIUMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION S EACH OCCVRRENCE S AGGREGATE S S S 7 A WORKERS COMPENSATION AND EMPLOYERS, LIABILITY ANY PROPRIETORIPARTNERIEXECUTNE OFFICERMELMR EXCLUDED? If yes deaMbe under SPECIAL PROVISIONS below 4045661 07/01/2004 07/01/200S ORY LIMIT ER E.L. EACH ACCIDENT S 1.000100( E.L. DISEASE -EA EMPLOYEE S 1,000,00 E.L. DISEASE -POLICY LIMIT S 1,000,0 OTNER DESCRIPTION OF OPERATIONS I LOCATIOft I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS e! Environmental Services Agreement 'Professional Liability Coverages Are ExcludeO from the above policies." City of Fort Collins Attn: James S. O'Neill PO Box Sao Fort Collins, CO 80S22-OSSO SHOULD ANY Of THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THERROF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAR SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LWBILIT' OF ANY MONO UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES, AUTHORIZED REPRESENTATIVE Robert Sibelius. CIC/HAPPY ACORD25120niJDB) FAX% (970)221-6707 rnAPnon rneoneATIALI dADD W1 'd 8181'ON AdtiE:l S006'WOA