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HomeMy WebLinkAbout125216 WALSH ENVIRONMENTAL - INSURANCE CERTIFICATE (5)AC�BL?,, CERTIFICATE OF LIABILITY INSURANCE DATE 06/30/D2006)
06/30/2006
paoDucER (303) 756-9909 FAX (303) 756-8818 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Keller -Lowry Insurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
1777 S Harrison St #700 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Denver, CO 80210
Margaret Rosa INSURERS AFFORDING COVERAGE I NAIC #
INSURED Walsh Environmental Scientist ilNsuRERA pinnacol Assurance 10009
DBA: & Engineers, LLC wsuRERe:
4998 Pearl East Circle #108 ;NSURERG
Boulder, CO 80301 w URERD
INSURER E
L,LJ V MKAUCJ
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
T
DD'
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE IMMIDD[YYI
POLICY EXPIRATION
DATE (MMJDDfYY1
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE F OCCUR
L
DAMAGE TO RENTED
PRFM
$
MED EXP (Any one person)
$
PERSONAL B ADV INJURY
$
GENERAL AGGREGATE
S
GEN'L AGGREGATE LIMIT APPLIES PER-
POLICY PROECT LOC
J
PRODUCTS - COMP/OP AGG
$
AUTOMOBILE
LIABILITY
AUTO
(EaacccidenntSINGLE LIMIT
COMANY
$
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per person)
$
HIRED AUTOS
NON -OWNED AUTOS
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
S
ANY AUTO
1
OTHER THAN EA ACC
$
AUTO ONLY: AGG
$
EXCESS/UMBRELLA LIABILITY
OCCUR ❑ CLAIMS MADE
EACH OCCURRENCE
S
AGGREGATE
S
$
DEDUCTIBLE
$
RETENTION $
$
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
404S661
07/01/2006
07/01/2007
X WCSTATU- OTH-
E.L. EACH ACCIDENT
$ 11000,000
A
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
If yes, describe under
NO
E - DISEASE - EA EMPLOvF
c 1 , 000 , 000
E.L. DISEASE - POLICY LIMIT
S 11000,000
SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS CCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
e: Environmental Sery M
,
'Professional Liability Coverages Are Excluded from the above policies."
City of Fort Collins
Attn: James B. O'Neill
PO Box 580
Fort Collins, CO 80522-0580
SHOULD ANY OF THE ASOVI: DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL
10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
Troy Sibelius, CIC/HAPPY
M1.r nu L, lzUU Iwo) ©ACORD CORPORATION 1988