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HomeMy WebLinkAbout125216 WALSH ENVIRONMENTAL - INSURANCE CERTIFICATE (5)ACORD. CERTIFICATE OF LIABILITY INSURANCE ijzaoiioo PRODUCER FAX (303) 7S6-8818 Keller -Lowry Insurance Inc 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 Creekside Two, Suite 280 2629 Redwing Road Fort Collins, CO. 80526 INSURER A: Hartford Insurance Co INSURERS: 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 POLICY EFFECTIVE DATE MMIDDIYY POLICY EXPIRATION DATE MMIDDIYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE FX] OCCUR 34UUNEM8078 01/10/2004 01/10/2005 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any one fire) $ 300,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO CT LOC JE PRODUCTS - COMP/OP AGG $ 2,000,000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 34UUNEM8078 01/10/2004 01/10/2005 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 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 01/10/200S EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 4,000,000 $ $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 9066221 07/01/2003 07/01/2004 X I TOCY LIMITS X ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 OTHER DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLESIEXCLUSIONS 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 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 FAX- r47n1??1_A7n7 ACORD� CERTIFICATE OF LIABILITY INSURANCE 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 & INSURER A: Hartford Insurance Co Engineers, LLC INSURERS: Pinnacol Assurance 4888 Pearl East Circle, #108 INSURER C: Boulder, Colorado 80301 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. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDDIYY POLICY EXPIRATION DATE MMIDDIYY LIMITS GENERAL LIABILITY 34UUNEM8078 01/10/2004 01/10/2005 EACH OCCURRENCE $ 1, 000, 00 A X COMMERCIAL GENERAL LIABILITY CLAIME LIADE F`Xj OCCUR X Bl kt Addl Insd End - FIRE DAMAGE (Anyone fire) $ 300,000 MED EXP (Any one perso, i) $ 5,00( PERSONAL & ADV INJURY $ 1,000,00( GENERAL AGGREGATE $ 2,000,00( GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY X PRO LOC JECT PRODUCTS - COMP/OP AGG $ 2,000,00( AUTOMOBILE LIABILITY ANY AUTO 34UUNEM8078 01/10/2004 01/10/2005 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 '000,00 X BODILY INJURY (Per person) $ A ALL OWNED AUTOS SCHEDULEDAUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EAACC 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 4045661 07/01/2003 07/01/2004 TORY LIMITS X ER E.L. EACH ACCIDENT $ 1,000,0010 B EXEC OFFICERS & PARTNERS E.L. DISEASE - EA EMPLOYE $ 11000,000 INCLUDED E.L. DISEASE -POLICY LIMIT $ 11000,00 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." City of Fort Collins Attn: James B. O'Neill 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 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 COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Robert Sibelius. CTC/HAPPY FAX: C970)221-6707