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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