Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
HomeMy WebLinkAbout125216 WALSH ENVIRONMENTAL - INSURANCE CERTIFICATE (2)A CORD DATE (MM/DD/YYYY)
TM. CERTIFICATE OF LIABILITY INSURANCE 0713112009
PRODUCER Phone: (303) 443-1586 Fax: (303) 443-7601 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
MEYERSDINING PROPERTY CASUALTY LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
3011 BROADWAY ST. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
BOULDER CO 80304 1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURED
WALSH ENVIRONMENTAL
4888 PEARL EAST CIRCLE
SUITE 106
BOULDER CO 80301
INSURERS AFFORDING COVERAGE
INSURER A: Pinnacol Assurance
INSURER B:
INSURER C:
INSURER D:
INSURER E:
NAIC #
800021
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.
INSR
LTR
ADD•
INS
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MMfDD/YY
POLICY EXPIRATION
DATE MM/DDfYY
LIMITS
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE 0 OCCUR
EACH OCCURRENCE
$
DAMAGE TO RENTED
PREMISES (Ea occurence)
$
MED. EXP (Any one person)
$
PERSONAL & ADV INJURY
$
GENERAL AGGREGATE
$
GEN'L AGGREGATE LIMIT APPLIES PER:
PRO -
POLICY n JECT 7 LOC
PRODUCTS-COMP/OP AGG.
$
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
COMBINED SINGLE LIMIT
(Ea accident)
$
BODILY INJURY
(Per person)
$
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGG
$
$
EXCESS / UMBRELLA LIABILITY
OCCUR El CLAIMS MADE
DEDUCTIBLE
RETENTION $
EACH OCCURRENCE
$
AGGREGATE
$
$
$
A
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETORlPARTNERIEXECUTIVE
OFFICER/MEMBER EXCLUDED?
If yea, describe under
SPECIAL PROVISIONS below
4045661
08/01/09
08/01/10
TATU
X I TORY U.T. OTHER
E.L. EACH ACCIDENT
$ 1,000,000
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
IiCR I Irm iA I G MULUMM UANUtLLA I IUN
City of Fort Collins
Purchasing Division
P.O. Box 580
Fort Collins, CO 85022
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION 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 KIND UPON THE INSURER,
ITS AGENTS OR REPRESENTATIVES.
Attention:
-----Brian-Jam
ACURD 25 (2001/08) Certificate # 9835 © ACORD CORPORATION 1988