HomeMy WebLinkAboutRMCAT - INSURANCE CERTIFICATEDATE MM DD YYYY)
ACORDr~
03/30/2006
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 .. PAX• 847 953-5390
INSURED it ` INSURER A: Pinnacol ASSur nce Company; 41190
°RMCAXT nvlronmental Services, Inc. ---
19975�,nvi INSURERB:. American Home isstirance-CO.
01
street
Den eriCQ'80239:USA INSURERC: Ihsurance Comp Thy;af the�State of PA 19429
INSURERD: American International Specialty Lines 26983
1 INSURER E: -
THE POLICES 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
INSRID
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
POLICY EXPIRATION
LIMITS
DATE(MMIDD\YY)
DATE(MM(DDWY)
BgWERAL
LIABILITY
GL1774144
04/01/06
04/01/07
EACH OCCURRENCE
$500,000
X COMMERCIAL. GENERAL LIABILITY
DAMAGE TO RENTED
$500,000
CLAIMS MADE OCCUR
PREMISES (Ea occurence)
( y ore person
®
m
PERSONAL &ADV INJURY
$500,000
m
on
tD
GENERAL AGGREGATE
$2,000,000
GENT. AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$2,000,000
❑ POLICY ® PRO-❑ LOC
O
O
_
,.
IECf
n
to
B
AUTOMOBILE LIABILITY
AL8262356
04/01/06
04/01/07
COMBINED SINGLE LIMIT
• ANY AUTO
(Ea.6&ct) -.
$1,000,000
z�
ALL OWNED AUTOS
u
BODILY INJURY
SCHEDULED AUTOS
i Per pt,—)
'HIRED AUTOS
ai
BODILY INJURY
NON OWNED AUTOS
(Per accident)
-
Comp Ded $1,000
PROPERTY DAMAGE
-- _
(Per awalenq "
X
Collision Ded S1,000
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
ANY AUTO
OTHER THAN EA ACC
AUTOONLY:
AGO
c
EXCESS A MBRELLA LIABILITY
43063821
04/01/06
EACH OCCURRENCE
$IU,U0U,OUU
OCCUR ❑ CLAIMS MADE
AGGREGATE
$10,000,000
eDEDUCTIBLE
RETENTION
A WORKERS COMPENSATION AND X WC STATU- 1 OTH-
LIMITS ER
EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT $500,000
=
ANY PROPRIETOR I PARTNER I EXECUTIVE
_
OFFICERIMEMBER EXCLUDED? E.L DISEASE -EA EMPLOYEE $500,000
If yes, describe under SPECIAL PROVISIONS EL. DISEASE -POLICY LIMIT $500,000
lebw
D CPL3779857 04/01/06 Per claim Limit $15,000,000
OTHER Contractors Poll Liab Deductible $100, 000
F
Pollutn/Env Imp
DESCRIPTION OF OPERATIONS,OCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
99
Re: Fort Collins ER Contract
The City of Fort Collins is included as Additional Insured with respects to General Liability. waiver of
Subrogation applies as required by contract.
City of Fort ANY THE ABOVE BE BEFORE THE EXPIRATION
SHOULDDATE
O'NeilCollnS
MAILEDL
ENDEAVORTIES
Attn. lames 'NeiII, CPPO,CPPB DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAB,
THEREOF, SUINGDESCRIBED WILL
215 North Mason, 2nd Floor 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
P.O. BOX 580 BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY
Fort Collins CO 80522 USA OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE __ ��