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Home My WebLink About337706 ENVIRONMENTAL ABATEMENT SERVICES AES - INSURANCE CERTIFICATEIGAR. 18. 2008 8:57AN1 FORSBERG ENGERMAN CO. NO.435 P. i Forsberg Engerman C Q M P n N V SURETY BONDS ❑ BUSINESS INSURANCE 0 WORKERS COMPENSATION 3675 S Sherman St, Englewood, CO 80113 a p- 303-762-1717 n f. 303-762-1733 u alt. p. 800-677-5306 FACSIMILE TRANSMITTAL SHEET TO.: FROM: John Stephen Mike Swaim COMPANY: DATE: City of Fort Collins 3/18108 FAX NUMBER: TOTAL NO. OF PAGES INCLUDING COVER: 870-221-6707 PHONE NUMBER: SENDER'S E-MAIL ADDRESS: m ike(caforsbem-enoerman.com RE: Certificate of Insurance for Environmental Abatement Services NOTES/COMMENTS CONFIDENTIALITY NOTICE: This message is intended for the use of the individual or entity to which it is addressed and may contain information that is privileged, confidential and exempt from disclosure under applicable law, If the reader of this message is not the intended recipient, or the employee or agent responsible for delivery of the message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is prohibited. If you have received this message in error, please notify us immediately by telephone at (303)762-1717 and also indicate the sender's name. MAR. 18. 2008- 8:51AM-FORSBERG ENGERMAN CO. NO.435 P. 2 AcaRa CERTIFICATE OF LIABILITY INSURANCE OP 11) DATE(MMInnNyyy) ENVAHAT 03 1$ 08 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 at, ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Englewood CO 80113 Phonei 303-762-1717 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: , .b ewoSalq Snauxenee C, Environmental Abatement INSURER B: Redland insurance Company 4SueVioeseid 11opp£ Denver Inc INSURER C: Pinnawl Assurance 3QI S1Federal Blvd Ste 112 Englewood CO $0110 INSURER0; THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY GONYRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BYTHE 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. POLIO LTR NBRU TYPE OF INSURANCE POLICY NUM DER DATEFEC POLICY MMIOp1WDATE M IDD/Yv LIMITS GENERALLIABILITY EACH OCCURRENCE $200000" A X X COMMERCIALGENERALLIABILITY 12EMP4343603 11/22/07 11/22/08 PREMISES(Eeowu.M $50000 CLAIMS MADE XI OCCUR MEDEXP(Anyonepersm) $5000 X Contractors PERSONAL B ADV INJURY $2000000 Pollution & Mold GENERALAGGREGATE s 2000000 CLAIMS MADE GEN'L AGGREGATE LIppMITAPPLIES PER: PRODUCTS-COMPIOP All 92000000 POLICY X fECT' LOC Mold 1000000 TOMCBILRLIABILITY 8 ANYAUTO RXCC00001396 11/22/07 11/22/08 COMBINED SINGLE LIMIT (Es awieenp $1000000 ALL OVANED AUTOS -- [XU SCHEDULED AUTOS BODILYIN (Perpor5pn) S H HIREDAUTOS H NON-OWNEDAUTOS (P,xau'CanURY q $ PROPERTY DAMAGE $ (PPrq�IdenQ GARACR LIABILITY AUTO ONLY• EA ACCIDENT $ ANYAUTO AUTO S S ONLY' AGEAACG AUTO ONLY: qGG EXCUMUMBRELLA LIABILITY EACH OCCURRENCE 1000000 A X OCCUR 7CLAIMSMACE 12LMX4389600 11/22/07 11/22/08 _ AGGREGATE _S $1000000 DEDUCTIBLE $ RETENTION $ S WORKERS COMPENSATION AND EMPLOYERS! LIABILITY - TORT LIMITS X ER C ANY PROPRIETOPJFARTNERI OCUTIVE 4060937 09/02/07 09/01/08 E.LEACHACCIDENi 3100DOD0 OFFICERAMEMBER EXCLUDED? E.L DISEASE -EA EMPLOYEE s 1000000 aradar II yy94, tlX/iH E.LDISEASE-POLICYLIMIT $1000000 $Pa IALPROVISIONSW16W OTHER A Fungus/Spore/Mold 12EMP4343603 11/22/07 11/22/08 Per Claim $1000000 Liabilit Aggregate $1000000 DESCRIPTION OF OPERATIONS J LOCATIONS! VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROWSION$ .lob #4510 Project: River Song School The City of Fort Collins is named as an additional insured with respects to general liabilty. CITYFT2 $HOULOANY OF THE ABOVE DESCRIBED POLICIES as CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 OAYSWRITTEN City of Fort Collins NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00$0$HALL Attu: Mahn Stephen IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURE ITS AGENTS OR 215 N Mason St R, Fort Collins CO $0522-0530 REPRESENTATIVES. 41 MAR. 18.2008 8:57AM FORSBERG MERMAN CO. NO.435 P. 1 Forsberg Engerman C D M P A N V SURETY BONDS 0 BUSINESS INSURANCE 0 WORKERS COMPENSATION 3575 S Sherman St, Englewood, CO 8011$ n p. 303-762-1717 n f. 303-762-1733 n alt. p. 800-677-5306 FACSIMILE TRANSMITTAL SWEET TO.: FROM: John Stephen Mike Swaim COMPANY: DATE: City of Fort Collins 3/18108 FAX NUMBER: TOTAL NO. OF PAGES INCLUDING COVER: 870-221-6707 2 _ PHONE NUMBER: SENDER'S E-MAIL ADDRESS: mike(Mforsbem-engennan.com RE: Certificate of Insurance for Environmental Abatement Services NOTES/COMMENTS CONFIDENTIALITY NOTICE: This message is intended for the use of the individual or entity to which it is addressed and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient, or the employee or agent responsible for delivery of the message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is prohibited. If you have received this message in error, please notify us immediately by telephone at (303)762-1717 and also indicate the sender's name. -MAR. R 200E- E:51AM-FORSBERG ENGERMAN CO. N0.43 ,acoRo CERTIFICATE OF LIABILITY INSURANCE OF Forsberg Engerman Company 3575 S. Sherman St, Englewood CO 80113 Phone:303-762-1717 Environmental Abatement services t]o,pff Denver Ina 4301LS1Fetieral Blvd Ste 112 Englewood CO 80110 INSURERS AFFORDING COVERAGE INSURER B: DATE(MM/DOIYYY`Q NAIC # THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THEPOVOY 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 C W MS. b LTR NSR TYPE OF(N$URANCE POLICY NUMBER DATE MMIDD DATE M 10SNY LIMITS GENERAL LIADIuTY EACH OCCURRENCE _ 5_2000000 A X X COMMERCIALGENERAILIABILITY 12EMP4343603 11/22/07 11/22/08 PREMISES(Ee000 on.)s50000 CLAIMS MADE OCCUR NED EXP(Anyone pomon) $5000 X Contractors PERSONAL BADVINJURY $2000000 Pollution 6 Mold CLAIMS MADE GENERALAGGREGATE s 2000000 GEN'LAGGREGATELIMITAPPLIES PER! PRODUCTS - COMPIOP AGG S2000000 POLICY'X SP&- LOC mold 10 00000 AUTOMOBILE LIAOILIYY B X ANYAUTO RICC00001396 11/22/07 11/22/08 COMBINED SINGLE LIMIT (Esaccidenq $1000000 ALL OWNED AUTOS SCHEDULED AUTO$ BODILY INJURY (Parporson) S B HIRED AUTOS X B X NON•OWNED AUTOS BODILY INJURY (Pera &N) $ PROPERTYDAMAGE $ (PproWltlenl) GARAGE LIA8LLITY AUTO ONLY -EA ACCIDENT $ AN 'AUTO OTWERTHAN FA ACC $ $ AUTO ONLY: AGG EXCE$SA ORELLALIASILITY EACH OCCURRENCE $1000000 A X ODOUR �CLAIMSMADE 12EMX4389600 11/22/07 21/22/08 AGGREQAT'E sio00000 DEDUCTIBLE $ RETENTION S $ WORKERS COMPENSATION AND X C EMPLOYER$' LIABILITY 40609$7 09/01/07 09 ANY PROPRIETORwARTNENEECUTIVE /01/08 TORYLIMITS ER E.L.EACHACCIDENT $1000000 OFF ICER/MEMBEREXCLUDEOT If as, dewiq�under E.L. DISEASE - EA EMPLOYE S1000000 $ACIAL PROVISIONS MIdw E.L. DISEASE•POLICY LIMIT 51000000 OTHER A Fungus/Spore/Mold 12EMP4343603 11/22/07 11/22/08 Per Claim $1000000 Liabilit A Ye ate $1000000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS J-ob #4510 Project: River Song School The City of Fort Collins is named as an additional insured with respects to general liabilty. reeTlarv.Tc un� ndn - .... CITYFT2 SHOULD ANY OF THD AROVR DgBOR16E0 POLICIES BE CANCELLED BEFORE THE EXPIRAT101 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN City of .Fort Collins NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL Attn: LTohn Stephen 215 X Mason St IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Fort Collins CO $0522-0580 REPRESENTATIVES, r