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337706 ENVIRONMENTAL ABATEMENT SERVICES AES - INSURANCE CERTIFICATE (2)
ACORD CERTIFICATE OF LIABILITY INSURANCE CSR DC I DATE(MMIDDIYYYY) ENVIRI3 03 24 08 PRODBCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Six 6 Geving Insurance, Inc HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR 3630 Sinton Road, Suite 200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Colorado Springs CO 80907-5034 Phone 719-590-9990 Fax 719-590-9992 INSURERS AFFORDING COVERAGE NAIC # INSURED Environmental Abatement INSURER Arch Specialty Ins Co Southwest Inc Falcon Services Inc LLC — EASW-TX EASW-VA INSURER Allied Insurance Grou 42579 LLC M LLC 561� Indust Industrial )?lace LLC INSURER Pinnacol Assurance 41190 5615 Industrial Place Colorado Springs CO 80916 INSURER Argonaut Insurance Company INSURER E 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 LTR NSR TYPE OF INSURANCE POLICY NUMBER LI YE I DATE dWDDIYY POLICY EXPIRATIN DATE MMIDp LIMITS GENERAL LIABILITY EACH OCCURRENCE $2 OOD OOO A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE [X ]OCCUR 12EMP43438-03 11/27/07 11/27/09 PREMISESEao rence $50 000 MED EXP(Any one parson) s5 000 X INCL POLLUTION/ PERSONAL S ADV INJURY $ 2 , 000 000 ASBESTOS/LEAD GENERAL AGGREGATE $2,000,000 GEN L AGGREGATE LIMIT APPLIES PER PRODUCTS COMP/OPAGG $2 000,000 X POLICY PEA Pollution 2,000,000 B AUTOMOBILE LIABILITY ANY AUTO ACP7570805635 02/02/08 02/02/09 COMBINED SINGLE LIMIT (Eaawdent) $1 DDD DDD r r X ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HIRED AUTOS NON OWNEO AUTOS BODILY INJURY (Per amident) $ PROPERTY DAMAGE (Per amident) $ GARAGE LIABILITY AUTOONLY EAACCIDENT $ ANY AUTO OTHER THAN EA ACC $ $ AUTO ONLY AGG EXCESSNMBRELLA LIABILITY OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ E DEDUCTIBLE $ RETENTION $ $ C D WORKERS COMPENSATION AND EMPLOYERS LIABILITY ANY PROPRIETOR/PARTNEWEXECUTIVE OFFICER/MEMBEREXCLUDED? If yyees desmbe untie SI'ECIALPROVISIONSbel. g028665 WC47685825843 TX& 04 Ol / /08 04/01/08 04/01/09 04/01/09 X TORY LIMITS I I ER EL EACH ACCIDENT $1,000,000 FL DISEASE EA EMPLOYE E 1,000 DDD ------ EL DISEASE POLICY LIMIT — $ 1 000000 OTHER B Inland Marine ACP7570805635 02/02/08 02/02/09 Contr Eqp $303,742 B Prop-RC/Spec Form ACP7570805635 02/02/08 02/02/09 Bldg/Cont $663 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Proof of Insurance Job 500 Riverside Asbestos Abatement Cert holder is named General Liability Additional Insured fax 970-221-6707 CERTIFICATE HOLDER CANCFI I ATInM FORTC-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN City Of FortCollins NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO 50 SHALL 215 N Mason Stt,,ndnd Floor IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR Fort Collins CO 80524 REPRESENTATIVES AUIH9$I EAR PRESI ,' ca lauo lroel © 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