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HomeMy WebLinkAbout125216 WALSH ENVIRONMENTAL - INSURANCE CERTIFICATE (6)ACORD. CERTIFICATE OF LIABILITY INSURANCE 0DATE 6/30/2003) PRODUCER FAX (303) 756-8818 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 INSURERB: Plnnacol Assurance INSURERC: 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. INSIR LSI OF INSURANCE POLICY NUMBER POLICYIEFFECTTYPE DATE (NiM POLICY EXPIRATION DATE EXPIRATION LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE a OCCUR 34UUNEM8078 01/10/2003 01/10/2004 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any one fire) $ 300,00 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,000 GEHL AGGREGATE LIMIT APPLIES PER: X POLICY PROJECT LOC PRODUCTS - COMP/OP AGG $ 2,000,000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULEDAUTOS HIRED AUTOS NON-OWNEDAUTOS 34UUNEM8078 01/10/2003 01/10/2004 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 01/10/2003 01/10/2004 EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 4,000,00 $ $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 9066221 07/01/2003 07/01/2004 X TDRY LIMBS X OT 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 OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS 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." 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' *30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Attn: James B . O'Neill, II 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-OS80 AUTHORIZED REPRESENTATIVE Robert Sibelius, CIC HAPPY ACORD 25-S (7/97) FAY- C9701??7-67n7 ©ACORDCORPORATION 'IARA ACORD. CERTIFICATE OF LIABILITY INSURANCE 0DATE (MMIDDNY) 6/30/2003 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 P LI Y E DATE MMIDMIDDI R DATEY FXPIN LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE a OCCUR X Blkt Addl Insd End 34UUNEM8078 01/10/2003 01/10/2004 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Anyone fire) $ 300,00 MED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY X PRO LOC JECT PRODUCTS -COMP/OPAGG $ 2,000,00 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON-OWNEDAUTOS 34UUNEM8078 01/10/2003 01/10/2004 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 X1 OCCUR ❑CLAIMS MADE DEDUCTIBLE RETENTION $ 34XHUEU4384 01/10/2003 01/10/2004 EACH OCCURRENCE $ 4,000,00 AGGREGATE $ 4,000,00 $ $ $ BEXEC WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 4045661 OFFICERS & PARTNERS INCLUDED 07/01/2003 07/01/2004 WC STATU­ TORY LIMITS I X ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 E.L. DISEASE -POLICY LIMIT $ 1.000,00 OTHER DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS 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." 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 FAY! (e7nI221-67n7