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HomeMy WebLinkAbout125216 WALSH ENVIRONMENTAL SCIENTISTS - INSURANCE CERTIFICATEPH—" 0419 ACORD- CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDONYYY) 03/19/08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HRH of Upstate New York LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 344 Delaware Avenue HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Buffalo NY 14202 716 856 1100 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA Commerce & Industry Ins Co 19410 Walsh Environmental Scientists & Engineers LLC INSURER B INSURER CNSURER 4888 Pearl E Circle Ste 108 D Boulder CO 80301 INSURER E 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 N R TYPE OF INSURANCE POLICYNUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A GENERAL LIABILITY GL4178739 08/01/07 08/01/08 EACH OCCURRENCE $3 000 000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE Ex-] OCCUR DAMAGE TO RPREMISES (E.ENTED s500 OOQ MED EXP (Any one person) $50000 PERSONAL BADV INJURY $3 QQQ 000 GENERAL AGGREGATE s3,000,000 GEN L AGGREGATE LIMIT APPLIES PER PRODUCTS COMPIOPAGG $3000000 POLICY X PROjEcT X LOC A AUTOMOBILE X LIABILITY ANY AUTO CA5053647 08/01/07 08/01/08 COMBINED SINGLE LIMIT (Ea accident) $2 QQQ QQQ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS NON OWNED AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTOONLV EAACCIDENT $ OTHER EA ACC $ ANY AUTO $ ONLY AUTO ONLY qGG A EXCESSIUMBRELLA -XI LIABILITY OCCUR CLAIMS MADE BE7251290 08/01/07 08/01/08 EACH OCCURRENCE $10 000 0- 0- 0- AGGREGATE $ I or QQQ OOO E DEDUCTIBLE X $ RETENTION $ 10000 WORKERS COMPENSATION AND WCSTATU OTH EMPLOYERS LIABILITY EL EACH ACCIDENT $ ANY PROPRIETORIPARTNERIEXECUTIVE EL DISEASE EA EMPLOYEE $ OFFICER/MEMBER EXCLUDED' If was descnbe antler SPECIAL PROVISIONS below EL DISEASE POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS RE Environmental Services The City of Fort Collins is named as (See Attached Descriptions) City of Fort Collins 215 North Mason Street P O Box 580 Fort Collins CO 80522-0580 LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 'A0_ DAYS WRITTEN :E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO OO SO SHALL HE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR 25 (20011081 4 ..F 9 0u10neo IMPORTANT If the certificate holder is an ADDITIONAL INSURED the policy(ies) must be endorsed A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) If SUBROGATION IS WAIVED subject to the terms and conditions of the policy certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s) authorized representative or producer and the certificate holder nor does it affirmatively or negatively amend extend or alter the coverage afforded by the policies listed thereon ACORD 25 S (20011081 2 of 3 $Mi111151 DESCRIPTIONS (Continued from Page 1) 1 an additional insured on the general liability as required by written contract AMS