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HomeMy WebLinkAbout125216 WALSH ENVIRONMENTAL - INSURANCE CERTIFICATE (2)Client# 812
ECOLENV
ACORD CERTIFICATE OF LIABILITY
INSURANCE
03�19, $°"""
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
HRH of Upstate New York LLC
344 Delaware Avenue
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
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
INSURER A Commerce & Industry Ins Co
19410
Walsh Environmental Scientists &
Engineers LLC
4888 Pearl E Circle Ste 108
Boulder CO 80301
INSURER B
INSURER
INSURER D
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
POLICY EFFECTIVE
DATE M D
POLICY EXPIRATION
ATE M DO
LIMITS
A
GENERAL LIABILITY
GL4178739
08/01/07
08/01/08
EACH OCCURRENCE
$3000000
X COMMERCIALGENERALLIABILITV
DAMAGE TO RENTED
PREMISES (E,,,Jrrert,)
$SOD DDD
CLAIMS MADE a OCCUR
MED EXP (Any one Person)
$50000
PERSONAL S ADV INJURY
s3,000,000
GENERAL AGGREGATE
s3.000.000
GEN L AGGREGATE LIMIT APPLIES PER
PRODUCTS COMP/OP AGG
$3000000
PRO X LOG
POLICY X JECT
A
AUTOMOBILE
LIABILITY
ANY AUTO
CA5053647
08/01/07
08/01/08
COMBINED SINGLE LIMIT
(Ea..,d.t)
82 DDD ODO
X
BODILY INJURY
(Pa person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
X
BODILY INJURY
(Peramtlent)
$
HIRED AUTOS
NON-OWNEDAUTOS
X
PROPERTY DAMAGE
(Per acutlent)
$
GARAGE LIABILITY
AUTO ONLY EA ACCIDENT
S
OTHER THAN EA ACC
S
ANY AUTO
$
AUTO ONLY AGO
A
EXCESSNMBRELLA
LIABILITY
BE7251290
08101/07
08/01108
EACH OCCURRENCE
$10 000 000
X
OCCUR CLAIMS MADE
AGGREGATE
$10009 000
$
$
DEDUCTIBLE
X
S
RETENTION $ 10000
WORKERS COMPENSATION AND
OTH
WC STATTORY T JEP
S ER
EMPLOYERS' LIABILITY
ANY PROPMETORIPARTNEWEXECUTIVE
EL EACH ACCIDENT
$
EL DISEASE EA EMPLOYEE
$
OFFICERIMEMBER EXCLUDED?
Jim deec b Mar
$PECIAL PROVISIONS below
EL DISEASE POLICY LIMIT
$
OTHER
DESCRIPTION Of OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / 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
ACORD 25 (2001108) 1 of 3 #M38853
ANY OF THE
BE CANCELLED BEFORE THE EXPIRATION
THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30_ DAYS WRITTEN
:E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO 00 SO SHALL
LE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR
REPRESENTATIVE
SMD
ACORD CERTIFICATE OF LIABILITY INSURANCE DATE IYYYY)
TMCERTIFICATE
PRODUCER Phone (303) U3 1586 FU (303) aa3 7601 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
MEYERSDINING PROPERTY CASUALTY LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE3223 ARAPAHOE AVE STE 300 HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR
BOULDER CO 80303 el TF:e r...
INSURED
Walsh Environmental Scientists & Engineers LLC
4888 Pearl East Circle
Suite 108
Boulder CO 80301
INSURERS AFFORDING COVERAGE
INSURER A
INSURERS
INSURER C
INSURER D
INSURER E
Assurance
NAIC #
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 SSUED 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
INBR
LTR
N
INS
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE fM11=rM
POLICY E IRATION
LIMITS
GENERAL
LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE❑ OCCUR
EACH OCCURRENCE
$
DAMAGE TOE
PREMISES (E ncanrcp
$
MED EXP (Any one Person)
g
PERSONAL 3 ADV INJURY
$
GENERAL AGGREGATE
$
GEN L AGGREGATE LIMIT APPLIES PER
POLICY F7 PR0.
JECT LOCI
PRODUCTS-COMP/OPAGG
$
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
COMBINED SINGLE LIMIT
(Es accident)
$
BODILY INJURY
(Per parson)
$
IN
NJURY
(Par BODILYJURY
wt)NJU
$
PROPERTY DAMAGE
(Per acndant)
AUTO ONLY EA ACCIDE!AGG
$
$
GARAGE LIABILITY
ANY AUTO
OTHER THAN EACC
AUTO ONLY
$
$
EXCESS I UMBRELLA LIABILITY
OCCUR ❑ CLAIMS MADE
DEDUCTIBLE
RETENTION $
EACH OCCJRRENCE
$
AGGREGATE
$
$
A
WORKERS COMPENSATION AND
EMPLOYERS LIABILITY
ANY PROPIIIETORIPARTNERMI(ECUTNE
OFFICERIYEYBER EXCLUUED7
if, y Ma nd.
SPECIAL PROVISIOM Mlw
4045661
08/01/07
08/01/08
X
`TYo6ru rts OTH�
E L EACH ACCIDENT
$ 1 DDD DDD
E L DISEASE EA EMPLOYEE
$ 1 000 000
E L DISEASE -POLICY LIMIT
$ 1 000 000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS
CERTIFICATE HOI nFR
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFOR71AIL'U'RE
City of Fort Collins
EXPIRATION DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MA
PUTGhasing DIVISIOn
WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT
TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
PO BOX 580
Fort Collins CO 85022
ITS AGENTS OR REPRESENTATIVES
Attention
ACORD 25
—BDanJ
# 6980 © ACORD CORPORATION Maas