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HomeMy WebLinkAbout125216 WALSH ENVIRONMENTAL - INSURANCE CERTIFICATE (9)PrI711 FNV
ACORUM CERTIFICATE OF LIABILITY
INSURANCE
01/17//05Dl""")
PRODUCER
HRH of Upstate NY LLC
344 Delaware Ave
Buffalo, NY 14202
716 856.1100
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
NAIC #
INSURED
Walsh Environmental Scientists and
Engineers, LLC
4888 Pearl E Circle, .Suite 108
Boulder, CO 80301
INSURER A: Commerce 8r Industry Ins. Co.
19410
INSURER B:
INSURER C:
INSURER D:
INSURER E:
f'nVFQAGFS
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
LTR
N RDATE
TYPE OF INSURANCE
POLICY NUMBER
POLICYMFFECTIVE
(WDD/YYI
POLICY EXPIRATION
DATE (MM/DDNY)
LIMBS
A
GENERAL LIABILITY
GL4178739
01110/05
08/01/05
EACH OCCURRENCE
$3 000 000
DAMAGE TO RENTED
$500 000
X COMMERCIAL GENERAL LIABILITY
MED EXP (Any one person)
$50 000
CLAIMS MADE 51OCCUR
PERSONAL & ADV INJURY
$3 000 000
GENERAL AGGREGATE
$3 000 000
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
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
EXCESS/UMBRELLA LIABILITY
BE2681784
01/10/05
08/01/05
EACH OCCURRENCE
$10 000 000
X1 OCCUR CLAIMS MADE
AGGREGATE
$1 O 00O 000
$
RDEDUCTIBLE
$
X RETENTION $ 10000
WORKERS COMPENSATION AND
WC SLIMITTATUj TH-
OPR
E.L. EACH ACCIDENT
$
EMPLOYERS' LIABILITY
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 / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Certificate Holder is named as an additional insured as required by written contract or
agreement
SPCC PLAN UTIL DEPT (T7)
CFRTIFICATF HOLnFR CANCFLLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
CITY OF FORT COLLINS
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30_ DAYS WRITTEN
UTILITIES DEPARTMENT
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
PO BOX 580
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
FORT COLLINS, CO 80522-0580
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
ACORD 25 (2001/08) 1 of 2 #M33451 SMD o ACORD CORPORATION 1988
Prnl FAIv
ACORM CERTIFICATE OF LIABILITY INSURANCE
oi;i/05°'""""'
PRODUCER
HRH of Upstate NY LLC
344 Delaware Ave
JAN 2 4 7005
Buffalo, NY 14202
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.
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
INSURERS:
INSURER C:
INSURER D:
INSURER E:
rnVFRAnFR
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
NSRDATE
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
(MMIDDNY)
POLICY EXPIRATION
DATE 111111I
LIMITS
A
GENERAL LIABILITY
GL4178739
01/10/05
08/01/05
EACH OCCURRENCE
$3 000 000
DPREMISES (Ea occutrancal AMAGE TO RENTED
$SOO OOO
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE 51OCCUR
MED EXP (Any one person)
s50000
PERSONAL &ADV INJURY
s3,000,000
GENERAL AGGREGATE
s3 000 000
GENIL AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$3 000 000
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
$
OTHERTHAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
A
EXCE3SAIMBRELLA LIABILITY
BE2681784
01/10/05
08/01/05
EACH OCCURRENCE
$10000 000
X OCCUR CLAIMS MADE
AGGREGATE
$10000 000
$
DEDUCTIBLE
$
X RETENTION $ 10000
COMPENSATION AND
WC SLIMIT OTH-
TATUWORKERS
iA1
EMPLOYERS'LIABILITY
ANY PROPRIETORIPTOR/PARTNERlEXECUTIVE
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
$
OFFICER/MEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
E.L. DISEASE -POLICY LIMIT
$
LOTHER
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
PARK SHOP MOLD ASSESS(TL)
CITY OF FORT COLLINS
835 WOOD ST
FORT COLLINS, CO 80526
LO 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 a ACORD CORPORATION 1988
(Niwnflf• 912
ECOLENV
ACORD,. CERTIFICATE OF LIABILITY INSURANCE
01/17/05°"YYY'
PRODUCER
HRH of Upstate NY LLC
344 Delaware Ave JAN 2 4 2005
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.
Buffalo, NY 14202
716 856-1100
INSURERS AFFORDING COVERAGE
NAIC 0
INSURED
INSURER A: Commerce & Industry Ins. Co.
19410
Walsh Environmental Scientists and
Engineers, LLC
4888 Pearl E Circle, Suite 108
Boulder, CO 80301
INSURERS:
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
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MWDDrM
POLICY EXPIRATION
DATE (MMIDDIYYI
LIMITS
A
GENERAL LIABILITY
GL4178739
01/10/05
08/01/05
EACH OCCURRENCE
$3 000 000
X COMMERCIAL GENERAL LIABILITY
DAMAGE TO RENTED PREMISES
$SOO OOO
CLAIMS MADE 7 OCCUR
MED EXP (Any one Person)
$50 000
PERSONAL & ADV INJURY
$3 000 000
GENERAL AGGREGATE
53 000 000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$3 000000
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
$10000000
X1 OCCUR F-ICLAIMS MADE
AGGREGATE
$10 000 000
E
$
RDEDUCTIBLE
$
X RETENTION $ 10000
COMPENSATION AND
-
WC STATU- OTHFR
MITWORKERS
EMPLOYERS' LIABILITY
ANY PROPRIETOWPARTNERIEXECUTIVE
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
E
OFFICER/MEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
E.L. DISEASE -POLICY LIMIT
$
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
MOLD ASSESSMT 200 MTN(TR)
CITY OF FORT COLLINS
835 WOOD ST
FORT COLLINS, CO 80526
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30_ 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 (2001108) 1 of 2 #M33451 SMD 0 ACORD CORPORATION 1988