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HomeMy WebLinkAbout125216 WALSH ENVIRONMENTAL SCIENTISTS & ENGINEERS - INSURANCE CERTIFICATEACORDTM CERTIFICATE OF LIABILITY INSURANCE 0DATE
7/29/2010 (MMIDDIYYYY)
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Willis of New York, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
344 Delaware Avenue HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Buffalo, NY 14202
716 856-1100 INSURERS AFFORDING COVERAGE NAIC #
INSURED INSURERA: Zurich American Insurance Co. 16535
Walsh Environmental Scientists & INSURERB: American Guarantee& Liability 26247
Engineers, LLC.
INSURER C:
4888 Pearl E Circle, Ste 108
INSURER D:
Boulder, CO 80301 -
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.
INSRADD'
LTR
NSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MMIDD/YY
POLICY EXPIRATION
DATE MM/DD/YY
LIMITS
A
GENERAL LIABILITY
GL0932470701
08/01/10
08/01/11
EACH OCCURRENCE
$3 000 000
X COMMERCIAL GENERAL LIABILITY
DAMAGE TSESO RENTEDPREM (Ea occurrence)
$500OOO
CLAIMS MADE 51OCCUR
MED EXP (Any one person)
$50 000
PERSONAL & ADV INJURY
s3,000,000
GENERAL AGGREGATE
s3,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
s3,000,000
POLICY X PRO-
JECT X LOC
A
AUTOMOBILE
LIABILITY
ANY AUTO
BAP932470801
08/01/10
08/01/11
COMBINED SINGLE LIMIT
(Ea accident)
$2,000,000
X
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
X
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
B
EXCESS/UMBRELLA LIABILITY
AUC489255601
08/01/10
08/01/11
EACH OCCURRENCE
$15 000 000
X1 OCCUR CLAIMS MADE
AGGREGATE
s15,000,000
$
DEDUCTIBLE
$
X RETENTION $ 1 O 000
WORKERS COMPENSATION AND
OR LIMIT OTH-
_
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
-
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
$
____
OFFICER/MEMBER EXCLUDED?
_
If yes, describe under
SPECIAL PROVISIONS below
E.L. DISEASE -POLICY LIMIT
$
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I 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.
ULKI1rIl:AIt MULUtK L:ANL;tLL.AIIUN
City of Fort Collins
215 North Mason Street
P.O. Box 580
Fort Collins, CO 80522-0580
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL In 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.
AUTHORIZED REPRESENTATIVE
ACORD 25 (2001/08) 1 of 2 #S47962/M47901 SMD 0 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.
ACORD 25-S (2001/08) 2 of 2 #S47962/M47901