HomeMy WebLinkAboutRMCAT - INSURANCE CERTIFICATE (2)ACORDtm ,
7 is , DATE
�. 04/07/2006
PRODUCER
ADD 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
NAIL#
PHONE- 866 283-7122 FAX- 847 953-5390
INSURED
.RMCAT Environmental Services, Inc.
4975-Paris Street
Denver CO 80239 USA
INSURER A: Plnnacol Assurance Company
41190
a:
b
INSURERB: American Home Assurance Co.
19380
INSURER : Insurance Company of the State of PA
19429
INSURER D: American International specialty Lines
26883
7
INSURER E:
O
d45, .e 4,_ •`i8 �< rh,�" "�?. ,. "� 3�,,, �� .`-%i_ ,�€ >f . Y".
, z=S� - ,'S�r< •I.` " "_- f . � •Iiv�- Y„ 'Sid i.'3KSIR .MYIAPWWY
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 OFANY 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.
R
LT
LTR
AD
INS
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE(MMBJDIYY)
POLICY EXPIRATION
DATE(MM1DIAVY)
LIMITS
e
gZ_vERALLIABILITY
GL1774144
04/01/06
04/01/07
EACH OCCURRENCE
$1,000,000
X COMMERCIAL GENERAL LIABILITY
DAMAGETORENTED
$1,000,000
CLAIMS MADE ® OCCUR
PREMISES (Ea nccureme)
(Am' One MMIM
5101000
N
V
M
PERSONAL$ ADV INJURY
$1,000,000
GENERAL AGGREGATE
$2,000,000
GENT, AGGREGATE LIMIT APPLIES PER:
❑ POLICY ® PRO- ❑ LOC
JECT
M
,^.I
CD
I`
an
PRODUCTS -COMPIOP AGG
$2,000,000
B
AUTOMOBILE LIABILITY
ANY AUTO
AL8262356
04/01/06
04/01/07
COMBINED SINGLE LIMIT
(Ea ucidem)
$1, 000, 000
'
z
ALL OWNED AUTOS
SCHEDULED AUTOS
v
q
t:
BODILY INJURY
f Per person)
X .HIRED AUTOS
NON OWNED AUTOS
ai
U
BODILY INJURY
(Per accident)
X Comp Ded $1,000
PROPERTY DAMAGE
(Per accident)
Collision Ded $1.000
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
ANY AUTO
OTHER THAN EA ACC
Fc
AUTO ONLY
AGG
-H
EXCESS /UMBRELLA LLABILITY
43063821
04/01/06
EACH OCCURRENCE
E
OCCUR ❑ CLAIMS MADE
AGGREGATE
$10,000,000
DEDUCTIBLE
RETENTION
A
WORKERS COMPENSATION AND
X
C LIMOTH-
ITSSTA7
ER
EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT
$500, 000
A -NY PROPRIETOR I PARTNER I EXECUTIVE
OFFICERIMEMBER EXCLUDED?
If yes, describe under SPECIAL PROVISIONS
E.L. DISEASE -EA EMPLOYEE
E.L. DISEASE -POLICY LIMIT
$500,000
$5001000
w
kk)%
�J
D I CPL3779857 04/01/06 Per Claim Limit 515,000,000
OTHER Contractors Poll Liab Deductible $100,000�+_�
Pollute/Env Imp
21
R-�
DESCRIPTION OF OPERATIONSA OCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
RE: Fort Collins Firing Range.
VI
City of Fort Collins SHOULD ANY OF T14E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
Attn: James O'Neil II CPPO FNIGP DATE THEREOF- THE ISSUING INSURER WILL ENDEAVOR TO MAIL
SZ_
.++y���.�.y�
215 North Mason Street M 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
OF ANY KIND UPON THE INSURER. ITS AGENTS OR REPRESENTATIVES.
Fort Collins CO 80522-0580 USA
AUTHORIZED REPRESENTATIVE
tl�
t n.,,1•,Ri $ ,. ' ° ?cr. nay
�,'� . Iya srIWO