HomeMy WebLinkAboutCOLORADO ENVIRONMENTAL - INSURANCE CERTIFICATE (2)ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID DATE (MMIDON Y)
COLO-12 03 23 07
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Forsberg Engerman Company
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
3575 S . Sherman St.
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Englewood CO 80113
Phone: 303-762-1717
INSURERS AFFORDING COVERAGE
NAIC p
INSURED
INSURER A'. Hostcheetor Surplus Linen Ins
INSURERS Charter Oak Fire Ineuranu Co
Colorado Environmental
Services Ltd
R Jung Inc
4901 Glencoe Sttreet
Denver CO 80216
--_._-..---__
INSURER_C. Pinnacol Assurance
INSURER D. T avolore Property casualty Co
----URERD. r—a
_
-- --
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
TYPEOFINSUMNCE
POLICY NUMBER
UM
DATE MMIDDm
DATE(MMIDDM)
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
rs2000000
A
X COMMERCIALGENERAL LIABILITY
G22073527DO2
03/01/07
03/01/08
PREMISESIEeacarencal
g50000
CLAIMS MADE X OCCUR
La
._
MED EXP(Any One Person)
s5000
A
X Pollution
G22073527002
03/01/07
03/01/08
PERSONAL SADVINJURY
E2000000
GENERAL AGGREGATE
$2000060
GEN'L AGGREGATE LIMIT APPLIES PER
PRODUCTS - COMP/OP AGO
$2000000
X7 POLICY PET 7 LOG
Pollution
2000000
AUTOMOBILE
LIABILITY
ANY AUTO
COMBINEDSINGLE LIMIT
(Ee eccolunt)idenD
$ 1000000
ALL OWNED AUTOS
BODILY INJURY
X
B
SCHEDULED AUTOS
BA-1666L709
03/22/07
i 03/22/08
Ferperson)
$
HIREDAUTOS
X
BODILY INJURY
$
X
NON -OWNED AUTOS
I
(Par acaaenU
PROPERTY DAMAGE
$
(Per exidenl)
GARAGE LIABILITY
AUTO ONLY - EAACCIDENT
$
ANY AUTO
—
OTHER THAN EAACC
$
AUTO ONLY: AGO
S
EXCESSIUMBRELIA LIABILITY
EACH OCCURRENCE
$
OCCUR CLAIMS MADE
AGGREGATE
g
DEDUCTIBLE
$
RETENTION S
E
S COMPENSATION NAND
WORKEEMPLOY
X TOR "A 8 X 'R
C
EMPLOYERS• LIABILITY
ANY PROPRIETORIPARTNER)EXECUTIVE
4004483
02/01/07
02/01/08
E.L. EACH ACCIDENT_
_
$1000000
OFFICER/MEMBER EXCLUDED?
E.L. DISEASE -EA EMPLOYEE
E_1000000
yes,
PRO waver
E.L. DISEASE - POLICY LIMIT
E1000000
S
SPECIAL PROVISIONS below
AIL
OTHER
D Scheduled Equip QT-660-5455B19A 03/22/07 03/22/08 Limit $9494
D Leased/Rented E i QT-660-5455B19A 03/22/07 03/22/08 Limit $100000
DESCRIPTION OF OPERATIONS I LOCATN)NS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
City of Fort Collins
Purchasing Dept
PO Box 580
Ft Collins CO 80522
CITYFOR I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATI@
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR 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 RIND UPON THE INSURER, ITS AGENTS OR
'Chis unoffioial copy was downlondcd from CilyDocs at htt>://procthouS.fc roV.Cons
for additional information or an official co IcaSo contact Purc�lasm.!.ff..'s 970 221-6775