HomeMy WebLinkAbout110280 ECI ENVIRONMENTAL CONCERNS INC - INSURANCE CERTIFICATEClient#: 41670
ECISI
ACORD. CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DDNYYY)
6/20/2011
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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).
PRODUCER _
Flood &Petersonlns.,Inc.
P. O. BOP Peterson
Greeley, CO 80632
970 356-0123
CON
NAME: Sandy Schlfferns -
PHONE g70-266.7107 970-506.6845
A/C No Eat : A/C, No
ADDREss: sandy.schifferns
CUSTOMER ID #: ECISI
MSURER(S) AFFORDING COVERAGE
NAIC If
INSURED
ECI Site Construction Management, Inc.
PO Box 2135
Loveland, CO 80539
INSURER A: Travelers Insurance Company
INSURER BNational Union Fire Co of Pitts
INSURER CPinnacolAssurance
INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTIL
TYPE OF INSURANCE
&YJLPOLICY
NUMBER
MMIDONYVY
MMI�ONYYY
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE � OCCUR
X PD Ded:2,500
DTC08099A7531ND10
_
-
10/01/2010
10/01/2011
_
EACH OCCURRENCE
$1 OOOOOO
JAMAGIE PREMISES EHEN Erence
$300 000
MED EXP (Any one person)
$5 000
PERSONAL B ADV INJURY
$1000000
GENERAL AGGREGATE
$2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO- JECT LOG
PRODUCTS-COMP/OP AGG.
$2,000,000
$
A
AUTOMOBILE
uaBIIJ
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
DT8108099A753TIL10
10/01/2010
10/01/2011
COMBINED SINGLE LIMIT
(Ea accident)
$
1,000,000
X
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
X
X
$
$
B
X
UMBRELLALIA13
EXCESS LIAB
OCCUR
CLAIMSMADEAGGREGATE
BE012015006
10/01/2010
10/01/2011
EACH OCCURRENCE
$5000000
- -
s5 OOO 000
DEDUCTIBLE
RETENTION S
$
$
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY IN
ANY PROPRIETOR/PARTNERTXECUTIVEY
OFFICER/IdEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N/A
1221742
7/01/2011
07/01/201
I
X WC STATU- OTH-
E.L. EACH ACCIDENT
$1 OOOOOO
E.L. DISEASE - EA EMPLOYEEI
$1,000,000
E.L. DISEASE -POLICY LIMIT
$1 ODD000
DESCRIPTION OF OPERATIONS / LOCATIONS VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more apace is required)
Re: Contractor License ,
Certificate holder is named as additional insured.
City of Fort Collins
PO Box 580
Fort Collins, CO 80522-0580
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
ACORD 25 (2009/09) 1 of 1
#S623138/M623125
01988-2009 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
SLS