HomeMy WebLinkAboutRMCAT ENVIRONMENTAL - INSURANCE CERTIFICATE (5)DATE(MM DD/YYYY)
ACDR/1M
{I Lh 01/ 04/O1/2006
.
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
ADD Risk Services, Inc. of Michigan
3000 Town Center AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
Suite 3000 CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE
Southfi el d MI 48075 USA COVERAGE AFFORDED BY THE POLICIES BELOW.
' INSURERS AFFORDING•'COVE$tl,E._._____, P3AIGIk
PHONE.866t 283�7122 FA*- 847 953-5390 t -
INSk)RED;° _-:; _, !
INSURER A: R1 nnaCOl ASSDr nclq COJlipany
41190 i
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RMC�i" nvl ronmgntal Services, � Inc. i
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INSURER American Home kssuraTice io,
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19380
� .497�r�ris`JS'tY'iet
INSURERC: I�Isurance Compdhy of'tihie State o PA
1942� ,
lDener Go 80239 USA }
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INSURERD: American Interdational SpeCldlty LlneS
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INSURER E:XM
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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
INS
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
POLICY EXPIRATION
LIMITS
DATE(MM\DD\YY)
DATE(MM\DD\YY)
BGEr
REAL 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 (Eaoccwence)
Y one person
PERSONAL &ADV INJURY
$500,000
N
N
GENERAL AGGREGATE
$2,000,000
GENL AGGREGATE LIMIT APPLIES PER:
N
PRODUCT'S - COMP/OP AGG
$2 , OOO , OOO
® POLICY ® PRO, ❑ LOC
0
JEC'
vI
B
AUTOMOBILE LIABILITY
AL8262356
04/01/06
04/01/07
COMBINED SINGLE LIMIT
X 4NYAUTO
(Eaaecident) ,.
S1,000,000
Z
ALL OWNED AUTOS
i
BODILY INJURY
_
SCHEDULED AUTOS
(Per peersui) •.
wt,tl,,
HIRED AUTOS
- NON OWNED AUTOS
-
1INJURY
(Perareident) '`
J
X Comp Ded $1,000
PROPERTY DAMAGE
-
(Per accident) -
-
IM
[ollisior Ded $1.0cC: ...�
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
ANY AUTO
OTHER THAN EA ACC
AUTO ONLY
AGG
C
EXCESS /UMBRELLA LIABILITY
43063821
04/01/06
04101107
EACH OCCURRENCEsn-mmzm
ElOCCUR ❑ CLAIMS MADE
AGGREGATE
$10,000,000
DEnUrTIBLE
RETENTION
A
WORKERS COMPENSATION AND
X
WC STATU-
OTH-
EMPLOYERS' LIABILITY
RY IMI"
ER
E.L. EACH ACCIDENT
$500,000
0
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
E.L. DISEASE -EA EMPLOYEE
_
If yes, describe under SPECIAL PROVISIONS
E.L. DISEASE -POLICY LIMIT
$500,000
`
Ixlow
Qf
D
OTHER
CPL3779857
04/O1/06
Per claim Limit $15,000,000
LEE
Pollutn/Env Imp
Contractors Poll Liab
Deductible $100,000
N
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
RE: Fort Collins Firing Range.
r
M
City of Fort Collins
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
Attn: James O'Neil II CPPO FNIGP DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
215 North Mason Street 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
�41
Fort Collins CO 80522-0580 USA OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE �j�.