HomeMy WebLinkAboutENVIRONMENTAL ABATEMENT SOUTHWEST - INSURANCE CERTIFICATE (6)r
COAP CERTIFICATE OF LIABILITY INSURANCE OP ID DC DATE(MMIDDIYYYY)
ENVIR13 11/19/09
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION _v.I
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 BY THE POLICIES BELOW.
Colorado Springs CO 80907-5034
Phone:719-590-9990 Fax:719-590-9992 INSURERS AFFORDING COVERAGE NAIC 9P
Fal`•^gal-ccon S'o'—n"S INSURER A: Arch Specialty Ins Cc
hwest Inc.;ervices--- ---.—.---___.
• EASW-TX LLC; EASW-VA INSURER B: Allied -Insurance Group 42579
EASW-NM LLC; -- - ---
Industrial Place LLC INSURERC: Pinnacol Assurance 41190
Industrialngs CO 80916 Place
Sp
redo SpringINSURERD Argonaut Insurance Company
.- -- _ ___-_..._..
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.
IN O'.- -' .... _. __..._._- __ --..
POLIE (MMID I IE POLICY EXPIRATION
LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MMIDD/YY DATE (MMIDDIYYI LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
- _ CLAIMS MADE `ham OCCUR
12EMP43438-05
11/27/09
11/27/10
EACH OCCURRENCE
$2,0 00, QQ0
UAhdAGETO-RENTED.— PREMISES (Ea,occorence _
....
$50,000
DIED EXP(Any one person)
_ _
$S, QQQ
X INCL POLLUTION
PER CLAIM
PERSONAL & ADV INJURY
$2,000,000
ASBESTOS/LEAD
GENERAL AGGREGATE
$2,000,000
GEN'L AGGREGATE LIMITAPPLIES PER:
X POLICY PRO
JECT LOG
PRODUCTS - COMP/OP AGG
$2,000,000
Pollution
2,000,000
AUTOMOBILE
LIABILITY
B
ANY AUTO
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
-
HIRED AUTOS
'
NON OWNED AUTOS
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
_AUTO ONLY - EA ACCIDENT
$
ANYAUTO
--
...._._
OTHER THAN _EAACC
.___._..._
$
$
AUTO ONLY: AGG
EXCESS/UMBRELLA LIABILITY
OCCUR CLAIMS MADE
EACH OCCURRENCE
$
AGGREGATE
$
DEDUCTIBLE
-----�—
-
$
RETENTION $
$----
C
D
WORKERS COMPENSATION AND
EMPLOYERS
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBF_R EXCLUDED?
If yes,describe under
USPECIAL PROVISIONS below
4028665 CO
47685825843:TX&NM
04/01/09
04/01/09
04/01/10
04/01/10
X TORYLIMITS ER
E.L. EACH ACCIDENT
_
$1,000,000
E.L. DISEASE- EA EMPLOYEE$
_
1, 000, 000
EL.DISEASE - POLICY LIMIT
_
$1, 000, 000
OTHER
B
Inland Marine
ACP7580805635
02/02/09
02/02/10
Contr E4pD $326,819
B
Prop-RC/Spec Form IACP7580805635
02/02/09
02/02/10
Bldg/Cont $690,400
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I 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
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
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
City of Fort Collins 215 N Mason St, Ind Floor IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Fort Collins CO 80524 REPRESENTATIVES.
ACORD