HomeMy WebLinkAboutRMCAT - INSURANCE CERTIFICATE (3)».,,...
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PRODUCER THIS CERTIFICATE IS ISSUED AS A MATT Aon Risk Services, inc. of Michigan ER 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.
PHONE• 866 283-7122 FAX• 847 953-5390 INSURERS AFFORDING COVERAGE NAIC#
INSURED
INSURER A: Pinnacol Assurance Company
41190
RMCAT Environmental services, Inc.
4975 Paris Street
INSURER B: American Home Assurance Co.
19380
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Denver Co 80239 USA
wsURERC: Insurance Company of the State of PA
19429
INSURERD: American International Specialty Lines
26883
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0
INSURER E:
p
Y SIRJUyV,A
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 CONTRACTOR 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 LUdITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
ADDADDT
INSRE
TYPEOFINSURANCE
POLICY NUMBER
POLICYEFFECTIVE
POLICY EXPIRATION
LIMITS
DATE(MA1IDDUYYI
DATE(MMIDDIYY)
BGENERALLIABILITY
GL1774144
04/01/06
04/01/07
EACH OCCURRENCE
$1,000,000
X COMMERCIAL GENERAL LIABILITY
DAMAGE TO RENTED
$1,000,000
CLAIMS MADE ® OCCUR
PREMISES (Ea occurence)
(Anl one person)
000
PERSONAL &ADV INJURY
$1,000,000
m
V
GENERAL AGGREGATE
S2,000,000
GENL AGGREGATE LIMIT APPLIES PER:
^•'
PRODUCTS-COMP/OP AGG
$2, 000,000
❑ POLICY El PRO- ❑ LOC
O
IECT
n
B
AUTOMOBILE LIABILITY
ALS262356
04/01/06
04/01/07
COMBINED SINGLE LIMIT
X ANY ALTO
(Ea accident)
$1,000,000
T
ALL OWNED AUTOS
BODILY INJURY
.v
�
SCHEDULED ALTOS
( Per peru,n)
HIRED ALTOS
BODILY INJURY
L
NON OWNED AUTOS
(Per accident)
X Comp Ded $1,000
PROPERTY DAMAGE
(Per accident)
X
Coliision Ded $1.000
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
ANY AUTO
OTHER THAN EA ACC
AUTO ONLY
AGG
C
EXCESS /UMBRELLA LIABILITY
43063821
04/01/06
4
EACH OCCURRENCE
,
ElOCCUR ❑ CLAIMS MADE
AGGREGATE
$10,000,000
HDEDUCTIBLE
RETENTION
A
N'ORKERSCOMPENSATION AND
X
WC STATU-
OTH-
EMPLOYERS' LIABILITY
LIMITS
E.L. EACH ACCIDENT
$500,000
0
ANY PROPRIETOR/PARTNER/EXECUTIVE
E.L. DISEASE -EA EMPLOYEE
$500,000
OFFICER/MEMBEREXCLUDED?
_
If yes. describe under SPECIAL PROVISIONS
E.L. DISEASE -POLICY LIMIT $500, 000
bek)u
D
OTHER
CPL3779857
04/O1/06
Per claim Limit $15,000,000
_
Poilutn/env imp
contractors Poll Liab
Deductible $100,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
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 Collins
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
Attn. lames O'Neil II, CPPO,CPPB DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL
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
OF ANY KIND UPON THE INSUREITS AGENTS OR REPRESENTATIVES.
Fort Collins CO 80522 USA R
hJ
AUTHORIZED REPRESENTATIVE
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