HomeMy WebLinkAboutRMCAT ENVIRONMENTAL - INSURANCE CERTIFICATE (4)y% .� `�' a .';.
ACORDna
, ..<:`a �- :ff DATE(MM DD YYYY)
08/2 005
PRODUCER
Aon Risk Services, Inc. of Michigan
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
3000 Town Center
AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
Suite 3000
CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE
Southfield MI 48075 USA
COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
NAIC#
PHONE 866 283-7122 FAX• 847 953-5390
INSURED
INSURER A: Pinnacol Assurance Company
41190
RMCAT Environmental Services, Inc.
4975 Paris Street
INSURERS: Insurance Company of the State of PA
19429
INSURERC: American Home Assurance Co.
19380
Denver CO 80239 USA
INSURERD: American International Specialty Lines
26883
INSURER E:
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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
ADDT
CNSRU
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE(MM\DD\YY)
POLICY EXPIRATION
DATEIMM\DD\YYJ
LIMITS
C
\ERALLIABILITY
GL7047194
04/01/05
04/01/06
EACH OCCURRENCE
$1,000,000
X COMMERCIAL GENERAL LIABILITY
DAMAGE TO RENTED
$1, 000, 000
CLAIMS MADE ® OCCUR
PREMISES (Ea occurence)
MED EXP (Anv one person)
PERSONAL & ADV INJURY
$1, 000, 000
GENERAL AGGREGATE
$2,000,000
GENT. AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OPAGG
$2,000,000
❑ POLICY ® PRO- ❑ LOC
JECT
C
AUTOMOBILE LIABILITY
AL8262001
04/01/05
04/01/06
COMBINED SINGLE LIMIT
X ANY AUTO
(Ea accident)
$1, 000, 000
ALL OWNED AUTOS
BODILY INJURY
SCHEDULED AUTOS
( Per person)
X HIRED ALTOS
BODILY INJURY
NON OWNED AUTOS
(Per accident)
X Comp Ded S1,000
PROPERTY DAMAGE
(Per accident)
Collision Ded $1.000
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
ANY AUTO
OTHER THAN EA ACC
AUTO ONLY'.
AGG
8
_H
EXCESS/UMBRELLA LIABILITY
43052604
04/01/05
04 1
EACH OCCURRENCE
,
OCCUR ❑ CLAIMS MADE
AGGREGATE
$10,000,000
BDEDUCTIBLE
RETENTION
A
11 ORKERS COMPENSATION AND
EMPLOYERS'LIABILITY
4
X
WC
T Ih11T
OTH-
E
E.L. EACH ACCIDENT
$SGO, OOO
ANY PROPRIETOR / PARTNER / EXECUTIVE
E.L. DISEASE -EA EMPLOYEE
$500,000
OFFICER/MEMBER EXCLUDED?
If yes. describe under SPECIAL PROVISIONS
E.L. DISEASE -POLICY LIMIT
$500, 000
belen'
r
OTHER
Pollutn/Env Imp
CPL3779857
Contractors Poll Liab
04/01/05
1
Per Claim Limit $15,000,000
Deductible $100,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Re: Fort Collins ER contract
waiver of Subrogation applies as required by contract.
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r.i e Va. ST2e;.::. 3 �@: y�k� •�`�t{ M i{�£ £�s� �-'. _ Cc.�J.
City of Fort Collins SHOULD
Attn. lames O'Neil II, CPPO,CPPB DATE
ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
215 North Mason, 2nd Floor 30
P.D. BOX 580 BUT
Fort Collins CO 80522 USA
DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVEQ-�
1.
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