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HomeMy WebLinkAbout125216 WALSH ENVIRONMENTAL - INSURANCE CERTIFICATE (10)Client#: 812 ECOLENV ACORDTM CERTIFICATE OF LIABILITY INSURANCE osozroSD"YYY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HRH of Upstate New York, LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE r 344 Delaware Avenue 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 # INSURED INSURER A: Commerce & Industry Ins. Co. 19410 Walsh Environmental Scientists and Engineers, LLC. NSURER B: 4888 Pearl E Circle, .Suite 108 INSURER C: Boulder, CO 80301 INSURER D: INSURER E: UUVE 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 NSRd TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE (MMIDDIYYI POLICY EXPIRATIONDATE DATE fMM1DD/YY1 LIMBS A GENERAL LIABILITY GL4178739 08/01/05 08/01/06 EACH OCCURRENCE $3 000 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES jaMED $5OO OOO EXP (Any one person) $50000 CLAIMS MADE a OCCUR PERSONAL &ADV INJURY s3.000.000 GENERAL AGGREGATE s3 00D 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $3 00O 000 POLICY PRO LOC A AUTOMOBILE X LIABILITY ANY AUTO CA5053647 08/01/05 08/01/06 COMBINED SINGLE LIMIT (Ea accident) $2,DOO,UDO BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC E ANY AUTO $ AUTO ONLY: AGG A EXCESSIUMBRELLA LIABILITY X OCCUR CLAIMS MADE BE2681858 08/01/05 08/01/06 EACH OCCURRENCE $10 000 000 AGGREGATE $10 00D 000 E RDEDUCTIBLE X RETENTION $10000 $ WORKERS COMPENSATION AND WC STATU- OTH- TORY LIMITS I PR EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? If yes de — be under SPECIAL PROVISIONS below E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS 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 An 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 ^- ••- -� r-�� „vvI I OT c iFMJ4!JVZ SMD 0 ACORD CORPORATION 1988 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. ACORD 25S (2001108) 2 of 2 #M34992 ClinnHt• Rig �n�r r•uv ACORD.M CERTIFICATE OF LIABILITY INSURANCE DATE( 5D""YY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION I RH of Upstate New York, LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 344 Delaware Avenue 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 # INSURED INSURERA: Commerce 8: Industry Ins. Co. 19410 Walsh Environmental Scientists and INSURERS: Engineers, LLC. 4888 Pearl E Circle, Suite 108 INSURER C: Boulder, CO 80301 INSURER D: INSURER E: CO 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 INSRd TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE (MWDDIYYI POLICY EXPIRATIONDATE DATE (MMIDDnM LIMBS A GENERAL LIABILITY GL4178739 08/01/05 08/01/06 EACH OCCURRENCE $ 3 000 000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE O OCCUR DAMAGE TO RENTED $500 000 MED EXP (Any one person) $50000 PERSONAL &ADV INJURY s3.000.000 GENERAL AGGREGATE s3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMPIOP AGG $3000000 POLICY PRO LOC A AUTOMOBILE LIABILITY X ANY AUTO CA5053647 08/01/05 08/01/06 COMBINED SINGLE LIMIT (Ea aoddent) $2,000,000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ X HIREDAUTOS X NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Peraccident) $ GARAGE LIABILfTY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG A EXCESSIUMBRELLA LIABILITY X OCCUR ❑ CLAIMS MADE BE2681858 08/01/05 08/01/06 EACH OCCURRENCE $10 000.000 AGGREGATE $10 000 000 $ RDEDUCTIBLE X RETENTION $ 10000 $ WORKERS COMPENSATION AND WC STATU- OTH- EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? If yes, describe under E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT E SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROWSIONS PARK SHOP MOLD ASSESS(TL) 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 ,RD_ 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 --^- -� t--- ••��/ I Of c WIVII SMD 0 ACORD CORPORATION 1988 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. ACORD 25S (2001108) 2 of 2 #M34992