The URL can be used to link to this page

Home My WebLink About125216 WALSH ENVIRONMENTAL - INSURANCE CERTIFICATE (4),. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYY) ACOR O1/10/2004 PRODUCER 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 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1777 S Harrison St #700 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Denver, CO 80210 INSURERS AFFORDING COVERAGE INSURED Walsh Environmental Scientists & INSURERA: Hartford Insurance Co Engineers, LLC INSURER B: Plnnacol Assurance Creekside Two, Suite 280 INSURER C: 2629 Redwing Road INSURER D: Fort Collins, CO. 80526 INSURER E: VVYCRMVGJ 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 POLICY EFFECTIVE DATE MM/DDIVY POLICY EXPIRATION DATE MMIDDIYY LIMITS GENERAL LIABILITY 34UUNEM8078 01/10/2004 01/10/2005 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE A I OCCUR FIRE DAMAGE (Any one fire) $ 300,00( MED EXP (Any one person) $ 5,00 A PERSONAL & ADV INJURY $ 1,000,00( GENERAL AGGREGATE $ 2,000,00( GEN'L AGGREGATE LIMIT APPLIES PER: X POLICV PROJECLOC T PRODUCTS - COMP/OP AGG $ 2,000,00( AUTOMOBILE LIABILITY ANY AUTO 34UUNEM8078 01/10/2004 01/10/2D05 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per Person) $ A ALL OWNED AUTOS SCHEDULEDAUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON-OWNEDAUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS LIABILITY X OCCUR ❑ CLAIMS MADE 34XHUEU4384 01/10/2004 01/10/2005 EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 4,000,000 A $ DEDUCTIBLE RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 9066221 07/01/2003 07/O 202004 X ITVL; LIMITS X ER E.L. ACCIDENT $ 11000,000 E.L. Ulb SE-EAEMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,00 OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS e: P-818 Environmental Services for the City of Fort Collins '110 Day Cancellation for Non -Payment of Premium Applies. 'Professional Liability Coverages Are Excluded from the above policies." City of Fort Collins Attn: James B. O'Neill, II PO Box 580 Fort Collins, CO 80522-0580 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL `30 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 COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE O vr,hu.,+ rrr /u ADDv FAX: (970)221-6707 - 1/29/2004 3:17 PM 19702216707 001 ACORQM CERTIFICATE OF LIABILITY INSURANCE ,°;;;�"�, Keller -Lowry Insurance Inc 1777 S Harrison St #700 Denver, CO 80210 Walsh Environmental Scient Engineers, LLC Creekside Two, Suite 280 2629 Redwing Road Fort Collins, CO. 80526 I HI5 CERTIFICATE 15ISSUED 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 INSURER Hartford Insurance Co INSURER B. Pinnacol Assurance INSURER C INSURER D: INSURER E. 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. N TYPE OF INSURANCE POLICYNUMBER _FMICYE"ECTIVE DATE MID POLICY EXPIRATION DATE MID LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE I OCCUR 34UUNEM8078 01/10/2004 01/10/2005 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Arty one fire) $ 300,000 MED EXP (Ary one person) $ S,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER X POLICY JEa LOC PRODUCTS- COMP/OP AGG $ 2,000,000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS "RED AUTOS NON OWNED AUTOS 34UUNEM8078 01/10/2004 01/10/2005 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 X 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 $ $ A EXCESS LIABILITY X OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ 34XHUEU4384 01/10/2004 01/10/2005 EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 4,000,000 $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 9066221 07/01/2003 07/01/2004 X TORYLIMITS I X I ER E.L. EACH ACCIDENT $ 1,000,000 E L DISEASE- EA EMPLOYEE $ 1,000,000 E L. DISEASE -POLICY LIMIT $ 1,000,00 OTHER DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS e: P-818 Environmental Services for the City of Fort Collins 10 Day Cancellation for Non -Payment of Premium Applies. 'Professional Liability Coverages Are Excluded from the above policies." City of Fort Collins Attn: James B. O'Neill, II PO Box 580 Fort Collins, CO 80522-0580 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRA71ON DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVORTO MAIL _13k 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 COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Robert Sibelius. CIC/HAPPY�" ` FAX: (970)221-6707 -"1/29/2004 3:17 PM 19702216707 002 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. 1 3/2004 3:17 PM 19702216707 001 ACORD. CERTIFICATE OF LIABILITY INSURANCE 01/10/z o PRODUCER FAX (303) 7 S6-8818 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Keller -Lowry Insurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1777 S Harrison St #700 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Denver, CO 80210 INSURERS AFFORDING COVERAGE INSURED Walsh Environmental Scientists & INSURER A: Hartford Insurance Co Engineers, LLC INSURER Pinnacol Assurance Creekside Two, Suite 280 INSURER 2629 Redwing Road INSURER Fort Collins, CO. 80526 INSURERE. 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 TYPE OF INSURANCE POLICY NUMBER DATE IMMI DATE IMMI LIMITS GENERAL LIABILITY 34UUNEM8078 01/10/2004 01/10/200S EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE aOCCUR FIRE DAMAGE (Any one fire) $ 300,00 MED EXP(Ary one person) $ 5,00 A PERSONAL & ADV INJURY $ 1,000,00( GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY JECT LOC PRODUCTS - COMP/OP ASS $ 2,000,00( AUTOMOBILE LIABILITY ANY AUTO 34UUNEM8078 01/10/2004 01/10/2005 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 X BODILY INJURY (Per person) $ A ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accidents $ HIRED AUTOS NMOWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY- EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC AUTO ONLY AGG $ $ EXCESS LIABILITY X OCCUR CLAIMS MADE 34XHUEU4384 01/10/2004 01/10/2005 EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 4,000,000 A $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 9066221 07/01/2003 07/01/2004 X I roRYLIMITs X ER EL. EACHACCIDENT $ 1,000,000 B EL. DISEASE -EA EMPLOYEE $ 1, 000, 00 E L DISEASE -POLICY LIMIT $ 1 OOO OO OTHER DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECULL PROVISIONS e: P-818 Environmental Services for the City of Fort Collins 10 Day Cancellation for Non -Payment of Premium Applies. "Professional Liability Coverages Are Excluded from the above policies." City of Fort Collins Attn: James B. O'Neill, II PO Box 580 Fort Collins, CO 80522-OS80 FAX: (970)221-6707 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVORTOMAIL i30 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 COMPANY, ITS AGENTS OR REPRESENTATIVES. HORIZED REPRESENTATIVE hPrr cihol ilia rrrnrleoov 1/_j/2004 3:17 PM 19702216707 002 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.