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HomeMy WebLinkAbout125216 WALSH ENVIRONMENTAL - INSURANCE CERTIFICATE (3)ACORD. CERTIFICATE OF LIABILITY INSURANCE
06/25/2004
PRODUCER FAX (303) 756-8818
Keller -Lover Insurance Inc
Y
1777 S Harrison St #700
Denver, CO 80210
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
INSURED Walsh Environmental Scientists &
Engineers, LLC
4888 Pearl East Circle, #108
Boulder, Colorado 80301
INSURER A: Hartford Insurance Co
INSURERB: Plnnacol Assurance
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
TYPE OF INSURANCE
POLICY NUMBER
P LI Y EFFECTIVE
DATE MMIDDIYY
POLICY EXPIRATION
DATE MM/DD/YY
LIMITS
GENERAL LIABILITY
34UUNEM8078
01/10/2004
01/10/2005
EACH OCCURRENCE
$ 1,000,000
FIRE DAMAGE (Any one fire)
$ 300,000
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE " 1 OCCUR
MED EXP (Any one person)
$ 5,00(
A
X Blkt Addl Insd End
PERSONAL &ADV INJURY
$ 1,000,00
GENERAL AGGREGATE
$ 2,000,00(
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$ 2,000,00(
X POLICY X PROECT LOC
J
AUTOMOBILE
LIABILITY
ANY AUTO
34UUNEM8078
01/10/2004
01/10/2005
COMBINED SINGLE LIMIT
(Ea accident)
$ 1,000,000
X
BODILY INJURY
(Per person)
$
A
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
AUTO ONLY: AGG
$
ANY AUTO
$
EXCESS LIABILITY
34XHUEU4384
01/10/2004
01/10/2005
EACH OCCURRENCE
$ 4,000,000
X OCCUR CLAIMS MADE
AGGREGATE
$ 4,000,000
A
$
$
DEDUCTIBLE
$
RETENTION $
B
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
4045661
EXEC OFFICERS & PARTNERS
07/01/2004
07/01/2005
X TCRY LIMITS X I ER
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - FA EMPLOYEE
$ 1,000,000
INCLUDED
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
e: Environmental Services Agreement
City of Fort Collins is added as Additional Insured for General Liability as respects their
interest by contract with the named insured.
"Professional Liability Coverages Are Excluded from the above policies."
VCRIIrII.M I C"WV UV R I^ I AUUI I IUNALINJUKLU; IN,UKLKLL I ILK: M l.N1Yl.CLLM I IVR
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY 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 COMPANY, ITS AGENTS OR REPRESENTATIVES.
Fort Collins, CO 80522-0580 AUTHORIZED REPRESENTATIVE
FAX- f447nv71-971`17