HomeMy WebLinkAbout125216 WALSH ENVIRONMENTAL SCIENTISTS - INSURANCE CERTIFICATE (5)I enig Liz
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ACCORD- CERTIFICATE OF LIABILITY INSURANCE
07122108°"Y"
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
Buffalo NY 14202
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
716 856 1100
INSURERS AFFORDING COVERAGE
NAIC #
INSURED Walsh Environmental Scientists &
INSURER A Commerce & Industry Ins Co
19410
INSURER B National Union Fire Ins
19445
Engineers LLC
INSURER
4888 Pearl E Circle Ste 108
INSURER D
Boulder CO 80301
INSURER E
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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
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LTR
AUM
INSRE
TYPE OF INSURANCE
POLICY NUMBER
-POLICY
DATE tMMI
POLICYEXPIRATION
DATE M OD
LIMITS
A
GENERAL
LIABILITY
GL4178739
08/01/08
08/01/09
EACH OCCURRENCE
$3 000 000
X
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE O OCCUR
DAMAGE TO RENTED PREMISES
00Q
$50 000
(E.$500
MED EXP Any one parson)
PERSONAL & ADV INJURY
$3 00Q 000
GENERAL AGGREGATE
s3,000,000
GEN
L AGGREGATE LIMIT APPLIES PER
POLICY 51 PRO X LOC
PRODUCTS COMP/OPAGG
$3000000
A
AUTOMOBILE
X
LIABILITY
ANY AUTO
CA5053647
08/01/08
08/01/09
COMBINED SINGLE LIMIT
(Ea accident)
$2 000 000
ALL OWNED AUTOS
SCHEDULEDAUTOS
BODILY INJURY
(Per person)
$
X
HIRED AUTOS
X
NON OWNED AUTOS
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Par acc dent)
$
GARAGE LIABILITY
AUTOONLY EAACCIDENT
$
ANY AUTO
OTHER THAN EA ACC
S
$
$15000000
B
EXCESS/UMBRELLA LIABILITY
X OCCUR CLAIMS MADE
BE7251406
08/01/08
OB/01/09
AUTO ONLY AGO
EACH OCCURRENCE
AGGREGATE
s15,000,000
XIX RETENTION $ 10000
$
NAND
WCSTATU OTH
EMPLOY RS LIABILITY
EMPLOYERS LU\BILITY
EL EACH ACCIDENT
$
ANY PROPRIETORIPARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
E L DISEASE EA EMPLOYEE
$
If yes descnbe under
SPECIAL PROVISIONS below
OTHER
EL DISEASE POLICY LIMIT $
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
RE P1066 Environmental Services The City of Fort Collins is named as
an additional insured on the general liability as required by written
contract
rvoricir ATv — Ml—
City of Fort Collins
215 North Mason Street
P O Box 580
Fort Collins CO 80522 0580
ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
IEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL _3n DAYS WRITTEN
TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL
NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR
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' ' w9 & K1e11V1JJ 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
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