HomeMy WebLinkAbout125216 WALSH ENVIRONMENTAL SCIENTISTS - INSURANCE CERTIFICATE (7)Client#: 812
ECOLENV
ACORD. CERTIFICATE OF LIABILITY INSURANCE
—DATE
/2812011
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
CONTACT
NAME:
Willis of New York, Inc.
PHONIQE 716 856-1100 F"" 716-803-6762
344 Delaware Avenue
AA/C, No
Est):
E-MAIL
Buffalo, NY 14202
ADDRESS:
INSURER(S) AFFORDING COVERAGE
NAIL p
716 856-1100
INSURER A: Commerce & Industry Ins. Co.
19410
INSURED
INSURER B: National Union Fire Ins. Co.
19445
Walsh Environmental Scientists &
Engineers, LLC
INSURER C :
4888 Pearl E Circle, Suite 108
INSURER D:
Boulder, CO 80301
INsuRERE:
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 CONTRACTOR 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.
INSR
LTR
TYPE OF INSURANCE
ADDLSUBR
INSR
MD
POLICY NUMBER
POLICY EFF
MM/DD
POLICY EXP
MM/DD/YYYY
LIMITS
A
GENERALLIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS.MADE FxI OCCUR
4691781
8/01/2011
0810112012
EACH OCCURRENCE
s3000000
PREMISES a oNcu ante
$ 590 OOO
MED EXP (Any one person)
s50,000
PERSONAL &ADV INJURY
$3,000,000
GENERALAGGREGATE
$3,000,000
11
POLICY X P X LOC
PRODUCTS-COMP/OP AGO
$3,000,000
$
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
HIREDAUTOS X NON -OWNED
AUTOS
4691782
8/01/2011
08/01/2012
COMBINEDSINGLELIMIT
...
accident
$ 2,000,000
X
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
X
PROPERTY DAMAGE
Per accdent
$
B
X
UMBRELLALIAB
EXCESS LIAR
X
OCCUR
CLAIMS -MADE
BE23542942
8/01/2011
08/01/2012
EACH OCCURRENCE
$15000000
AGGREGATE
$15 000 000
QED X RETENTION $10000
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR/PARTNERIEXECUTIVE
OFFICERIMEMBER EXCLUDED? ❑
(Mandatory In NH)
If yes, describe under
DESCRIPTION OF OPERATIONS be.
NIA
WG STATU- OTH-
TOI IMIT
E1, EACH ACCIDENT
$
E.L. DISEASE- EA EMPLOYEE
$
E.L. DISEASE- POLICY LIMIT
$
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required)
RE: P1066 Environmental Services --- The City of Fort Collins is named as
an additional insured on the general liability as required by written
contract.
City of Fort Collins, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
215 North Mason Street ACCORDANCE WITH THE POLICY PROVISIONS.
P.O. Box 580
Fort Collins, CO 80522-0580 I AUTHORIZED REPRESENTATIVE
01988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD
#S59991/M59923 SMD