HomeMy WebLinkAbout267059 COLORADO ENVIRONMENTAL SERVICES - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE OP ID
DATE(MMIDDIYYYY)
COLO-12
04 27 06
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Forsberg Engerman Company
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
3575 S . Sherman St.
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Englewood CO 80113
Phone: 303-762-1717
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
INSURER A: Pinnacol Assurance
INSURER B: Westchester Surplus Lines Ins.
Colorado Environmental Svcs.
..
RIJung, Inc.
4601 Glencoe Street
Denver CO 80216
INSURER C: Clarendon National Ins. Co.
NSURER D:
INSURER E:
COVERAGES
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.
LTR
INSIR
TYPE OF INSURANCE
POLICY NUMBER
DATE MM/DDIYY1'
EXPIRATIONPOLICYIEFFECTIVE POLICY
DATE MM/DDIYY
LIMITS
B
GENERAL LIABILITY
X COMMERCIALGENERAL LIABILITY
CLAIMS MADE FX] OCCUR
G22073527-001
03/01/06
03/01/07
EACH OCCURRENCE
s200000
PREMISES IEaEoccurence)
$ 50000
MED EXP (Any one person)
$ 5000
PERSONAL &ADV INJURY
_
s2000000
GENERAL AGGREGATE
$ 2000000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PECTRO LOC
J
PRODUCTS-COMP/OP AGG
s2000000
C
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIREDAUTOS
NON -OWNED AUTOS
DMA000003733
03/22/06
03/22/07
COMBINED SINGLE LIMIT
(Ea accident)
$ 1 000 000
r r
BODILY INJURY
(Per person)
$
X
X
BODILY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGG
$
$
EXCESSIUMBRELLA LIABILITY
OCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION $
EACH OCCURRENCE
$
AGGREGATE
$
$
A
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICERIMEMBER EXCLUDED?
If yes, describe untler
SPECIAL PROVISIONS below
4064483
02/01/06
02/01/07
- -
X TORY LIMITS ER
E.L. EACH ACCIDENT
$1000000
E.L. DISEASE - EA EMPLOYEE
$1000000
E.L. DISEASE -POLICY LIMIT 1
$1000000
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS
I.CK I IrIL,A I C KULIJtK CANCELLATION
City of Fort Collins
Purchasing Dept.
P.O. BOX 580
Ft. Collins CO 80522
CITYFOR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO!
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
25 (2001/08)
,
1988