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HomeMy WebLinkAbout125216 WALSH ENVIRONMENTAL SCIENTISTS - INSURANCE CERTIFICATE (3)DNYY ACORD CERTIFICATE OF LIABILITY INSURANCE �Toa/lerz008 Y) TM PRODUCER Phone (303)6/31M F. (303)a3-7E01 MEYERSDINING PROPERTY CASUALTY LLC THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 3223 ARAPAHOE AVE STE 300 HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR BOULDER CO 80303 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW INSURERS AFFORDING COVERAGE NAIC # Ud1 86073 INSURED INSURER A Pinnecol Assurance 800021 Walsh Environmental Scientists & Engineers LLC INSURER B 4888 Pearl East Circle Suite /08 INSURER C 1 INSURER D - �d Boulder CO 80301 INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIM 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 ANY HAVE BEEN REDUCED BY PAID CLAIMS — LTR TYPE OF MISURANCE POLICY NUMBER POLICY ensme DATE POLICY EXPitAr1oN DATE LmTs GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE[ OCCUR EACH OCCURRENCE $ Tu PPEARIEB 4m�nv S MED EXP (Any OIM Panto) $ PERSONAL 6 ADV INJURY S GENERALAGGREGATE $ GEM AGGREGATE LIMIT APPLIES PER PROCT LOC POLICY 7 PRODUCrSCOMP/OP AGO $ AUTOMOBILE UABILTA ANY AUTO ALL OWNED ALTOS SCHEDUEDAUTOS HIRED ALTOS NONOWNED AUTOS COMBINED SINGLE LIMIT (6 student) S BODILY INJURY (PN person) $ BODILY INJURY (Pa acddMM) S PROPERTY DAMAGE (Pb emJdenl $ GARAGE LIABILITY 71 ANY ALTO ALTOONLV FA ACCIDENT $ OTHER TO UNLAN EA ACC AUONLY AGG $ $ EXCESS I UMBRELLA LABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ $ S A WORKERS COMPENSATION AM EMPLOYERS' LU1NUl ARreaoeslETORRAImesnucullYr aF:iT1MNBHBaI IXCLIIOEOT M yeti tluuM urM�r sPECAL PRWaIOW eYaw 4045661 08/01/07 08/01/08 X TMORVTIATR OTXBI E L EACH ACCIDENT $ 1 000 000 E L DISEASE -EA EMPLOYEE S 1 000 000 E LDISEASE-POLICY LIMIT $ 1 000 000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City of Fort Collins Purchasing Divleron EXPIRATION DATE THEREOF THE ISSUING INSURER YALLENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER P D Box 580 ITS AGENTS OR REPRESENTATIVES Fort Collins CO 85022 AUTHORIZED REPRESENTATIVE _, gnaRJaR1 Attention ACORD 25 (2001108) Cer40cate # 5980 of ecnwn Cn0Dn0ATInM 4022 241 Ixd 111 d: LTA ACORD, CERTIFICATE OF LIABILITY INSURANCE DATE 03/19/08D PRODUCER HRH of Upstate New York LLC THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR 344 Delaware Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Buffalo NY 14202 716 856 1100 INSURERS AFFORDING COVERAGE NAIC # INSURED Walsh Environmental Scientists & Engineers LLC 4888 Pearl E Circle Ste 108 Boulder CO 80301 INSURERA Commerce & Industry Ins Co 19410 INSURER B INSURERC INSURER D INSURER COVERAGES 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 LMR TR WD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE IMM/D01M POLICY EXPIRATION DATE IMMIDDIM LIMITS A GENERAL UJU211 JTY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 51OCCUR GL4178739 08/01/07 08/01/08 EACH OCCURRENCE E3 00D 000 DAMAGE TO RENTED $500 DDD MEDEXP(Any.INNsm) $50000 PERSONAL S ADV INJURY s3,000,000 GENERALAGGREGATE s3,000,000 GEN L AGGREGATE LIMIT APPLIES PER PRo- X LOC POLICY X JE PRODUCTS COMP/OPAGG a3000000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-0WNED AUTOS CA5053647 08/01/07 08/01108 COMBINED SINGLE LIMIT (Eea Tit) E2 BBB BBB X BODILY INJURY (Per persm) $ X BODILY INJURY (Per ac wt) $ X PROPERTY DAMAGE (Peramderet) E GARAGE LIABILITY ANY AUTO AUTOONLY EAACGDENT E OTHER THAN EA ACC AUTO ONLY AGO E $ A EXCESS/UMBRELLALIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION E 10000 BE7251290 08/01/07 08/01/08 EACH OCCURRENCE $16006000 X AGGREGATE $10006 000 S E X E WORKERS COMPENSATION AND EMPLOYERS LIABILITY ANY PROPRIETOR/PARTNEWEXECUTIVE OFFICER/MEMBER EXCLUDED? If ye tlesc be und. SPECIAL PROVISIONS below OT WC STATU H EL EACH ACCIDENT B EL DISEASE EA EMPLOYEE 1 EL DISEASE POLICYLIMIT E OTHER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVSIONS RE Environmental Services The City of Fort Collins is named as (See Attached Descriptions) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Fort Collins DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL An DAYS WRITTEN 215 North Mason Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL P O Box 580 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR Fort Collins CO 80522-0580 REPRESENTATIVES ACORD 25 (2001108) 1 of 3 #M38853 SMD o ACORD CORPORATION 1988 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 25S (2001108) 2 of 3 #M38853 DESCRIPTIONS (Continued from Page 1) an additional insured on the general liability as required by written contract AMS 25 3 (2001108) 3 of 3 #M38853