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HomeMy WebLinkAbout365211 WESTERN ECOSYSTEMS TECHNOLOGY INC - INSURANCE CERTIFICATEWESTECO-01 SHETTYR4 ''�� " CERTIFICATE OF LIABILITY INSURANCE DATE DYYYY) 4l3/2013 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 Willis of Wyoming, Inc. c/o 26 Cent Blvd. P.O. Box 305191 Nashville, TN 37230-5191 CONTACT NAME: PNONE ) (877) 945-7378 FAx' ) (888) 467-2378 -(ac N, o`E=t: Alc No: E-DRESS:MAIL AD INSURERS) AFFORDING COVERAGE NAIL# INSURER A: Travelers Indemnity CO. Of America 25666 INSURED INSURERB:Phoenix Insurance Company 25623 Western Ecosystems Technology, Inc. INSURERC:St. Paul Fire and Marine Insurance Company 24767 INSURER D: Federal Insurance Company 20281 415 W. 17th Street, Suite 200 Cheyenne, WY 82001 INSURER E:Continental Casualty Company 20443 INSURER F: COVERAGES CERTIFICATE NUMBER: RFVICInN NIIMRFR- 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 AODL SUBS POLICY EFF POLICY EXP LTR TYPE OFINSURANCE INSR MD POLICYNUMBER MM/DDNYri MM/DD/YYri LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY 6801189P230TIA13 2l3/2013 2I3I2014 AM1i"GE7tSRE $ 300,000 CLAIMSWADE OCCUR PREMISES Ea occurrence MED EXP (Any one person) $ 5,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 2,000,000 PRO X POLICY 71 JECT LOC $ AUTOMOBILE LIABILITY Ea au deDI SINGLE LIMIT $ 1,000,000 B ANY AUTO BA119OP51713GRP 2/3/2013 2/3/2014 BODILY INJURY (Per person) $ ALL OWNED SCHEDULED X AUTOS AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS X I NON -OWNED AUTOS X PROPERTYDAMAGE PERACCIDENT $ $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 C EXCESS LIAB CLAIMS -MADE ZUP12R7342313NF 2/3/2013 2/3/2014 DEB I X I RETENTION$ 10,000 $ WORKERS COMPENSATION WC STATU- OTH- X AND EMPLOYERS' LIABILITY YIN T RY LIMIT ER E.L. EACH ACCIDENT 1,000,000 D ANY PROPRIETOR/PARTNER/EXECUTIVE 0044727311 4/412013 4/412014 OFFICERNEMBER EXCLUDED? Y N/A $ EL DISEASE - EA EMPLOYEE -- $ 1,000,000 (Mandatory in NH) If yes, desc, Lae antler -- E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTIONOFDPERATIONSt,ekrx E Professional Liab 592376511 4/212013 4/212014 See Attached DESCRIPTION OF OPERATIONS LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it more space is required) Project #391-06.001, Project Name: HalliganSeaman.WorkOrderHS6 City of Fort Collins 700 Wood Street SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTTHHHOORRED REPRESENTATIVE �c ACORD 25 (2010/05) ©1988-2010 ACORD The ACORD name and logo are registered marks of ACORD All rinhts racnrend ADDITIONAL COVERAGE SCHEDULE COVERAGE LIMITS POLICY TYPE: Professional Liability Claims Made Form CARRIER: Continental Casualty Company Per Claim: $5,000,000 POLICY TERM: 04/02/2013 — 04/02/2014 Aggregate: $5,000,000 Deductible: $10,000 POLICY NUMBER: 592376511