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Home My WebLink AboutENVIRONMENTAL ABATEMENT SOUTHWEST - INSURANCE CERTIFICATE (5)DA0 ACM. CERTIFICATE OF LIABILITY INSURANCE 00101 3 1/30/ PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Six & Geving Insurance, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 3630 Sinton Road, Suite 200 ALTER THE COVERAGE AFFORDED BYTHE POLICIES BELOW. Colorado Springs CO 80907-5034 Phone:719-590-9990 Fax:719-590-9992 INSURERS AFFORDING COVERAGE NAIC# INSURED Environmental Abatement. INSURER A: Arch Specialty Ins Cc Southwest Inc.;Falcon Services Inc.; EASW-TX LLC; EASW-VA INSURER e: Allied Insurance Group 42579 LLC INSURERC: P1nnacol Assurance 41190 916 INSURER p: Argonaut_ Insurance Company INSURER E: NOVI :4;7_Tel*1 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. 1 LTR INSRE TYPE OF INSURANCE POLICY NUMBER POLICY EV DATE MM/DDIYY POLICY I N DATE MMIDDIYY LIMITS GENERAL LIABILITY EACH OCCURRENCE s2,000,000 PREMISS IEa occurrence S5O,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 51OCCUR 12EMP43438-04 11/27/08 11/27/09 MED EXP(Anycne person) $5,000 PERSONAL BADVINJURY $2,000,000 X INCL POLLUTION/ ASBESTOS/LEAD GENERAL AGGREGATE s2,000,000 GEHL AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMPIOP AGO $2,000,000 X POLICY JET LOC Pollution 2,000,000 B AUTOMOBILE LIABILITY ANY Auio ACP7580805635 02/02/09 02/02/10 COMBINED SINGLE LIMIT (Ea accident) $ 1, 000, 000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Peraccident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESSA)MBRELLA LIABILITY EACH OCCURRENCE $ OCCUR 171 CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ C D WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNER/E%ECUTIVE OFFICERIMEMSER EXCLUDED? . Use❑yes describe under PROVISIONS below 4028665 CO: & 09-10 a76a5e258a3:TXeadK 09-10 C14/01/08 04/01/OS 04/01/09 04/01/09 X I TORY LIMBS ER E.L. EACH ACCIDENT $1,000,000 E.L.DISEASE - EA EMPLOYEE$1.,000,000 E.L. DISEASE -POLICY LIMIT 1 $1, 000, 000 OTHER B Inland Marine ACP7580805635 02/02/09 02/02/10 Contr Eqp $323,444 B Prop-RC/Spec Form IACP7580805635 02/02/09 02/02/10 1 Bldg/Cont $690,400 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Proof of Insurance. Job: 500 Riverside Asbestos Abatement. Cert holder is named General Liability Additional Insured. fax:970-221-6707 CLR I11-ICA I HOLDER CANCELLATION FORTC-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN City Of Fort Collins NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL 215 N Mason St, 2nd Floor IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Fort Collins CO 80524 REPRESENTATIVES. AU LHQ$IZF,p,REPRESENTAT Hwnu zo (cuu l lua) (9 AGORD 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 25 (2001/08)