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HomeMy WebLinkAbout125216 WALSH ENVIRONMENTAL SCIENTISTS - INSURANCE CERTIFICATEClientlk 912 FCrli FNV ACORUM CERTIFICATE OF LIABILITY INSURANCE DrfYYY) 01/17105 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HRH of Upstate NY LLC 344 Delaware Ave ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Buffalo, NY 14202 716 856-1100 INSURERS AFFORDING COVERAGE NAIC # INSURED Walsh Environmental Scientists and Engineers, LLC 4888 Pearl E Circle, Suite 108 Boulder, CO 80301 INSURERA: Commerce & Industry Ins. CO. 19410 INSURER B: INSURER C: 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. INSR LTR N DO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMI 01/10/05 POLICY EXPIRATION DATE ININI LIMBS A GENERAL LIABILITY GL4178739 08/01/05 EACH OCCURRENCE $3 000 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTPREMISE (Ea dooED $500OOO CLAIMS MADE � OCCUR MED EXP (Any one person) 000 PERSONAL & ADV INJURY 00 000 GENERAL AGGREGATE 00 000 j GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG 00 000 POLICY 7X PR T LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per Person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG A EXCESSIUMBRELLA LIABILITY X OCCUR CLAIMS MADE BE2681784 01/10/05 08/01105 EACH OCCURRENCE $1 O OOO OOO AGGREGATE $10 000 000 $ $ DEDUCTIBLE $ X RETENTION $ 10000 WORKERS COMPENSATION AND WC STATU- OTH- ORY LIMIT EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. DISEASE - EA EMPLOYEE $ OFFICERIMEMBER EXCLUDED? If yes describe under SPECIAL PROVISIONS below E.L. DISEASE- POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES! EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Certificate Holder is named as an additional insured as required by written contract or agreement EPIC FACILITY (T7) CITY OF FORT COLLINS PO BOX 580 FORT COLLINS, CO 80522-0580 LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _R n DAYS WRITTEN :E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL iE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVE rr Wmu co {.CDDUDa) 1 of 2 #M33451 SMD 0 ACORD CORPORATION 1988 Clientlte R12 ECnLFNV ACORD- CERTIFICATE OF LIABILITY INSURANCE DATE[MMID DIYYYY) 0111705 /05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HRH of Upstate NY LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 344 Delaware Ave HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Buffalo, NY 14202 716 856-1100 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Commerce A Industry Ins. Co. 19410 Walsh Environmental Scientists and Engineers, LLC INSURER B: 4888Pearl E Circle, Suite 108 INSURER C: Boulder, CO 80301 INSURERD: 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 R TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE (MMIDDIM POLIDATE TY EXPIRATION E IMMIDDIM LIMITS A GENERAL LIABILITY GL4178739 01/10/05 08/01/05 EACH OCCURRENCE $3 000 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTPREMISES �OccEDnre ncaj $5OO OOO CLAIMS MADE O OCCUR MED EXP (Any one person) $50000 PERSONAL & ADV INJURY s3,000.000 GENERAL AGGREGATE $3 000 OOO GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s3,000,000 POLICY FX PRO LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per Person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG A EXCESSIUMBRELLA LIABILITY X1 OCCUR CLAIMS MADE BE2681784 01/10/05 08/01/05 EACH OCCURRENCE $1 O 000 000 AGGREGATE $1 O 000 000 $ DEDUCTIBLE $ X RETENTION $ 10000 WORKERS COMPENSATION AND WC STATU- OTH- LIMITPR EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ OFFICERIMEMBER EXCLUDED? If yes, describe under E.L. DISEASE - POLICY LIMIT $ SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Certificate Holder is named as an additional insured as required by written contract or agreement BLDG 281 IACI STUDY (BN) CITY OF FORT COLLINS P O BOX 580 FORT COLLINS, CO 80522-0580 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL In 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 REPRESENTATIVE AUUKU l5 (ZUUTIUB) 1 of 2 #M33451 SMD 0 ACORD CORPORATION 1988 Client#: 812 ECOLENV ACORD- OF LIABILITY INSURANCE DATE (MMID CERTIFICATE 01/17105DIYYYn PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HRH of Upstate NY LLC 344 Delaware Ave ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Buffalo, NY 14202 716 856-1100 INSURERS AFFORDING COVERAGE NAIC # INSURED Walsh Environmental Scientists and Engineers, LLC 4888 Pearl E Circle, Suite 108 Boulder, CO 80301 INSURER A: Commerce & Industry Ins. Co. 19410 INSURER B: INSURER C: 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 N TYPE OF INSURANCE POLICY NUMBER POLICYEFFECTIVE DATE 1MM1DDfYY) POLICY DATE MMID YYI LIMITS A GENERAL LIABILITY GL4178739 01/10/05 08101/05 EACH OCCURRENCE $3 000 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTEDPREMISES (Fa occurrenmi, $500 000 CLAIMS MADE 51OCCUR MED EXP (Any one person) $50 000 PERSONAL B ADV INJURY s3,000,000 GENERAL AGGREGATE s3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s3,000,000 POLICY X PRO LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG A EXCESSIUMBRELLA LIABILITY BE2681784 01/10/05 08/01/05 EACH OCCURRENCE $10 000 000 X OCCUR CLAIMS MADE AGGREGATE $10 000 000 $ DEDUCTIBLE $ X RETENTION $ 10000 WORKERS COMPENSATION AND TATUjI TH- WC SLIMIT PR EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ OFFICERIMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Certificate Holder is named as an additional insured as required by written contract or agreement NIX FARM-PB ABATEMENT(CE) CITY OF FORT COLLINS PO BOX 580 FORT COLLINS, CO 80522-0580 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _ n 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 REPRESENTATIVE AGUKU ZO (ZUUI/UIS) 1 of 2 #M33451 SMD 0 ACORD CORPORATION 1988 ACORD- CERTIFICATE OF LIABILITY INSURANCE 0DATE 1/17105D PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HRH of Upstate NY LLC 344 Delaware Ave ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Buffalo, NY 14202 716 856-1100 INSURERS AFFORDING COVERAGE NAIC # INSURED Walsh Environmental Scientists and Engineers, LLC 4888 Pearl E Circle, Suite 108 Boulder, CO 80301 INSURER A: Commerce 8t Industry Ins. Co. 19410 INSURER B: INSURER C: INSURER D: INSURER E: PnvP9Ar-Fc 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 N R TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A GENERAL LIABILITY GL4178739 01/10/05 08/01/05 EACH OCCURRENCE $3000000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTEDPREMISES (Ea �nrence) $500OOO CLAIMS MADE E_x_1 OCCUR MED EXP (Any one person) $50000 PERSONAL B ADV INJURY $3 00O 000 GENERAL AGGREGATE $3 000 000 G l AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s3,000,000 POLICY X PRO- LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG A EXCESSIUMBRELLA LIABILITY BE2681784 01/10/05 08/01/05 EACH OCCURRENCE $10 000 000 X OCCUR CLAIMS MADE AGGREGATE $1000O 000 $ DEDUCTIBLE $ X RETENTION $ 10000 WORKERS COMPENSATION AND STATU- OTH- TWCMITER EMPLOYERS' LIABILITY ANY PROPRIETORlPARTNERlEXECUTIVE E.L. EACH ACCIDENT Is E.L. DISEASE - EA EMPLOYEE $ OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Certificate Holder is named as an additional insured as required by written contract or agreement FC BRWNFIELDS-HOLD(HS) CITY OF FORT COLLINS P.O. BOX 580 FORT COLLINS, CO 80522-0580 LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 'A0_ DAYS wRRTEN :E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVE ACORD 25 (2001/08) 1 of 2 #M33451 SMD o ACORD CORPORATION 1988 ClianH!• A19 FCOLFNV ACORD- CERTIFICATE OF LIABILITY INSURANCE DATE 01/17/05D ) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HRH of Upstate NY LLC 344 Delaware Ave ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Buffalo, NY 14202 716 856-1100 INSURERS AFFORDING COVERAGE NAIC # INSURED Walsh Environmental Scientists and Engineers, LLC 4888 Pearl E Circle, Suite 108 Boulder, CO 80301 INSURER A: Commerce & Industry Ins. CO. 19410 INSURER B: INSURER C: 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 POLICY EFFECTIVE (MMIDDIYY) POLIDATE TY EXPIRATION E fMMIDDIYYI LIMITS A GENERAL LIABILITY GL4178739 01/10/05 08/01/05 EACH OCCURRENCE $3000000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES (Ea occurnencel $500OOO CLAIMS MADE � OCCUR MED EXP (Any one person) $50 000 PERSONAL &ADV INJURY $3 00Q 000 GENERAL AGGREGATE $3 O00 OOO GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s3,000,000 POLICY X PROT LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) E ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHERTHAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG A EXCESS/UMBRELLA LIABILITY BE2681784 01/10/05 08/01/05 EACH OCCURRENCE $1 O 000,000 X OCCUR CLAIMS MADE AGGREGATE $1 O 00O 000 E $ DEDUCTIBLE $ X RETENTION $ 10000 WORKERS COMPENSATION AND TH- WC ORY LIMITTATU PR EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EAQ.H ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ OFFICERIMEMBER EXCLUDED? Ayes, describe under SPECIAL PROVISIONS below E.L. DISEASE- POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Certificate Holder is named as an additional insured as required by written contract or agreement NIX FARM-PB RENOVATIO(CE) CITY OF FORT COLLINS PO BOX 580 FORT COLLINS, CO 80522-0580 LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30._ DAYS WRITTEN :E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVE ACORD 25 (2001108) 1 of 2 #M33451 SMD 0 ACORD CORPORATION 1988 r'linnfif• R49 FCOI FNV ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE (MMID 01/17/05DNYYY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HRH of Upstate NY LLC 344 Delaware Ave ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Buffalo, NY 14202 716 856-1100 INSURERS AFFORDING COVERAGE NAIC # INSURED Walsh Environmental Scientists and Engineers, LLC 4888 Pearl E Circle, Suite 108 Boulder, CO 80301 INSURER A: Commerce 8t Industry Ins. Co. 19410 INSURER B: INSURER C: 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 INSRDATE TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE (MMIDDfrn POLICY EXPIRATION DATE fMMIDDfYY) LIMBS A GENERAL LIABILITY GL4178739 01/10/05 08/01/05 EACH OCCURRENCE $3000000 DPREMISES (Fa omrnance) AMAGE TO RENTED $500OOO X COMMERCIAL GENERAL LIABILITY CLAIMS MADE a OCCUR MED EXP (Any one person) $50 000 PERSONAL &ADV INJURY $3 OOO OOO GENERAL AGGREGATE s3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s3,000,000 POLICY X PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) BODILY INJURY $ ALL OWNED AUTOS SCHEDULED AUTOS (Per person) BODILY INJURY $ HIRED AUTOS NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHERTHAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG A EXCESSIUMBRELLA LIABILITY BE2681784 01/10/05 08/01/05 EACH OCCURRENCE $10000000 X1 OCCUR CLAIMS MADE AGGREGATE $10000 000 $ DEDUCTIBLE $ X RETENTION $ 10000 WORKERS COMPENSATION AND TATUj TWOCSRYLIMIT OTH- EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ OFFICERIMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Certificate Holder is named as an additional insured as required by written contract or agreement FIRING RANGE -LEAD SAM(T7) CITY OF FORT COLLINS 300 LAPORTE AVE, PO BOX 580 FORT COLLINS, CO 80522-0580 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL A III _ 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 REPRESENTATIVE ACORD 25 (2001/08) 1 of 2 #M33451 SMD o ACORD CORPORATION 1988 ACORD,. CERTIFICATE OF LIABILITY INSURANCE 0DATE 1/17/05D PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HRH of Upstate NY LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 344 Delaware Ave HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Buffalo, NY 14202 716 856-1100 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Commerce 8r Industry Ins. Co. 19410 Walsh Environmental Scientists and INSURER B: Engineers, LLC INSURER C: 4888 Pearl E Circle, Suite 108 INSURER D: Boulder, CO 80301 INSURER E: i.wve w n_�c� 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 INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DDIM POLICY EXPIRATION DATE IMMtDDIYY) LIMITS A GENERAL LIABILITY GL4178739 01/10/05 08/01/05 EACH OCCURRENCE $3 000 000 DPREMISES (Ea occurneriml AMAGE TO RENTED $500 000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE Fx1 OCCUR MED EXP (Any one person) $50 000 PERSONAL B ADV INJURY s3,000,000 GENERAL AGGREGATE s3.000.000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $3 00O 000 POLICY X PRO LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ 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 $ ANY AUTO $ AUTO ONLY: AGG A EXCESSIUMBRELLA LIABILITY BE2681784 01/10/05 08/01/05 EACH OCCURRENCE $10 000 000 X1 OCCUR CLAIMS MADE AGGREGATE $1000O 000 $ DEDUCTIBLE Fx $ RETENTION $10000 WORKERS COMPENSATION AND TATU- - WC SOTH EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT I $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Certificate Holder is named as an additional insured as required by written contract or agreement POUDRE RIVER RESTORAT(GG) CITY OF FORT COLLINS PO BOX 580 FORT COLLINS, CO 80522-0580 LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _.30,_ DAYS WRITTEN :E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL iE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVE ACORD 25 (2001/08) 1 of 2 #M33451 SMD 0 ACORD CORPORATION 1988 ACORD- CERTIFICATE OF LIABILITY INSURANCE (MMID 0DATE 1/17/05DNYYY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HRH of Upstate NY LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 344 Delaware Ave ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Buffalo, NY 14202 716 856-1100 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Commerce & Industry Ins. Co. 19410 Walsh Environmental Scientists and INSURER B: Engineers, LLC INSURER C: 4888 Pearl E Circle, Suite 108 INSURER D: Boulder, CO 80301 INSURER E: t rAWPDAGPS 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. NS LTR N R TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE iMMIDDIYYi LIICY EXPIRATION POLDATE TE IMMIDD[M LIMITS A GENERAL LIABILITY GL4178739 01/10/05 08/01/05 EACH OCCURRENCE $3 000 000 DPREMISES (Fa occurrence) AMAGE TO RENTED ESOO OOO X COMMERCIAL GENERAL LIABILITY CLAIMS MADE Ex_] OCCUR MED EXP (Any one Person) $50000 PERSONAL B ADV INJURY $3 000 000 GENERAL AGGREGATE s3 OOO OOO GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $3 00O 000 POLICY X PRO LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG A EXCFSSIUM13RELLA LIABILITY BE2681784 01/10/05 08/01/05 EACH OCCURRENCE $10 000 000 X OCCUR CLAIMS MADE AGGREGATE $1 O 00O 000 $ RDEDUCTIBLE $ X RETENTION 00000 WORKERS COMPENSATION AND WCSLT MITTUj OFR EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE - E.L. EACH ACCIDENT -_ $ E.L. DISEASE - EA EMPLOYEE $ OFFICERIMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT 1 It OTHER DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Certificate Holder is named as an additional insured as required by written contract or agreement POUDRE RIVER CLEANUP (HS) CITY OF FORT COLLINS PO BOX 580 FORT COLLINS, CO 80522-0580 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3111 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 REPRESENTATIVE ACORD 25 (2001/08) 1 Of 2 #M33451 SMD 0 ACORD CORPORATION 1988