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