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HomeMy WebLinkAbout125216 WALSH ENVIRONMENTAL SCIENTISTS & ENGINEERS - INSURANCE CERTIFICATEClient#: 812 ECOLENV ACORD. CERTIFICATE OF LIABILITY INSURANCE DATEro1/20rYYYY) 1oavzolz 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 Sue Downie NAME: Willis of New York, Inc. PHONE 716 604-1345 FAX 716-803-6762 A/C No EMI; A/C, No 344 Delaware Avenue ADDRESS: susan.downie@willis.com Buffalo, NY 14202 II INSURER(S) AFFORDING COVERAGE NAIC# 716 856-1100 INSURER A: Great Divide Insurance Company 25224 INSURED INSURERS: Federal Ins. Co. 20281 Walsh Environmental Scientists & Engineers, LLC INSURER C : 4888 Pearl E Circle, Suie 108 INSURER D: Boulder, CO 80301 INSURERS: 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. LTR TYPE OF INSURANCE NSRL MD POLICY NUMBER MSUBR MIDD/YYYY Y EFF MMIDDDY EXP LIMITS A _ GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR GLP200597710 D810112012 0810112013 EACH�OECCURRENCE $3 000 000 PREMISES Ea o=rtDence $500 000 MEDEXP(Anyone Person) $50000 PERSONAL B ADV INJURY $3,000,000 GENERALAGGREGATE $3,000,000 GEN'L AGGREGATE LIMIT APPLIESPER: POLICY X PRO X LOC JECT PRODUCTS AGG s3,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIREDAUTOS X NON -OWNED AUTOS(par.. BAP200598710 810112012 0810112013 EOMBINEDISINGLELIMIT 2,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ B UMBRELLALIAB EXCESS LIAR OCCUR CLAIMS -MADE 79872763 8/01/2012 08/01/2013 EACH OCCURRENCE $15 000 000 X AGGREGATE s15,000,000 DED I I RETENTION$ $ _ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNER/EXECUTIVE OFFICEWMEMBER EXCLUDED? ❑ (Mandatory in NH) It yes, descroo under DESCRIPTION OF OPERATIONS below NIA WC STATU- OTH- T4R E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT E DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) The Excess Liability policy supports the General Liability and Automobile Liability. 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 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S738381M73772 PJQ