HomeMy WebLinkAboutENVIRONMENTAL ABATEMENT SERVICES OF DENVER INC - INSURANCE CERTIFICATEVN4 Id C h/AM FORSB RG ENGERMAN CO NO 4
,acoR .. CERTIFICATE OF LIABILITY INSURANCE a
DATE(MMBI3jYy )
Forsberg Engerman Company
3575 S Sherman St
Englewood CO 80113
Phone 303-762-1717
Enva.ronmental Abatement
Seervicesddocloff Denver Xnc
+f301LS1Feceral Hlvd Ste 112
Englewood CO 80110
INSURERS AFFORDING COVERAGE
INSURERA
INSURER 0:
NAIL s
THE POLICIES OF INSURANCE LISTED BELOW HAVEBEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTATHSTANDING
ANY REOUIREMENT TERM OR CONDITION OFANY CONTRACT OR OTHER DOCUMENTWTTH
RESPECT TO MICH THIS CER IPICATE MAY BE ISSUED OR
MAY PERTAIN THE INSURANCE AFFORDED SYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TOALL THE TERMS EXCLUSIONS AND CONDITIONS
POLICIES
AGGREGATE LIMITSSNOVM MAYHAVE BEEN REDUCED BYPAID CLAIMS.
OF SUCH
LTR
TYFEOFIN$ORANOE
POLICYNUMBER
DATE M
DATE M
LIMITS
GENERAL LIABILITY
A
x
x COMMERCIAL GENERAL LIABILITY
12EMP4343603
11/22/07
11/22/08
EACH OCCURRENCE
s2000000
CLANS MADE ®OCCUR
PREM18S(Eaxpaenoe
$50000
XCOntraators
MEDEXP(AryempM )
35000
pollution A Mold
PERSONAL AADVINJURY
$2000000
C1A1X3 MADE
GENERALAGGREGATE
a 2000000
GEHL AGGREGATF LLIARAPPLIES PER
PRODUCTS COMPA)PAGO
32000000
POLICY X J LOC
Mold
1000000
AUTTNADBLLL LABILITY
H
X ANYAUTO
RICCOOOO1396
11/22/07
11/22/08
COMBINEDaeM)SINGLELIMD
fEeam
$1000000
ALL OWNED AUTOS
BODILY INJURY
Porpyzy )
S
SCHEDULED AUTOS
H
x HIRED AUTOS
BODA.YYI�NJURY(Pw
$
S
X NONAVMED AUTOS
PROPERTY DAMAGE
(Pw aacNFnU
S
WRAUiY
ANYALTO
NYAUi
AUTO ONLY EAACCIDENT
$
OTHERTHAN FAACC
3
ExeJUMBRBI.uLuuELITY
AUTO ONLY AIm
S
A X OCCUR cLABA$MADE 12BUX4399600 11/22/07 21/22/08
EACH OCCURRENCE
AGGREGATE
$1000000
$1000000
DEDucraLE
s
RETENRON s
$
WORKERS COMPENSATION AND
S
C EMPLOYERVLIAENJTy 4060937
ANYPROPMFTORIFARTNsPJE1lF Va,E 09/01/07 09/G1/OB
TORTLIM x R
OFFICERrMEIABER EXCLUDED?
EL EGCNACCIDFM
31OD DODO
RyaL amPbauMx
SPECIAL PROYIBIONS MIIOW
E.L DISEASE EA EMPLOYE
$10DGODD
OTHER
EL DISEASE POLICY LIMIT
81000000
A PVngus/SPore/Mold 12EMP4343603 11/22/07 11/22/08
Laab;Llitv
Per Claus
$1000000
DESCRIPTION OP OPE3ATON8l LOCA1TON6lVEMICLE.R/E CLU ADDED BY ENDORSEMENT/ SPECIAL PROVISON6
Aggregate
$1000000
Jbb #4310 Pro3ect River Song School
The City of Fort Collins a.s named as an additional insured with respects to
general liabllty
CERTIFICATE HOLDER J•A urn.. .
CXTYFT2 SHOULDANY OF THE ABOVE WV= EO POLICIES BB CANCMJ= BEFORE THE IDMRAT101
City o£ Fort Collins DATETHEIIEDF TNEISSUINGINSURERWBLMNOEAVORTOEAIL 10 DAY$WRITTEN
Attn .TOhn Stephen NOTICE TO THE CMRIIFICATE HOLDER NAMED TO THE LEFT BUT FaLURE TO 00 SO SMALL
215 X Mason St IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE GnuRat, as AGENTS
Fort Collins CO $0522-0580 REPRESHaJTATNES
41