HomeMy WebLinkAbout125216 WALSH ENVIRONMENTAL SCIENTISTS & ENGINEERS - INSURANCE CERTIFICATE (3)ECOL&EN-01 PETRAITISDA
ACORO' CERTIFICATE OF LIABILITY INSURANCE
DATE(MMMD/YYYY)
8/5/2014
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 New York, Inc.
c/o 26 Century Blvd
P.O. Box 305191
Nashville, TN 37230-5191
CONTACT
NAME:
PHONE FAX
ac No Ext : (877) 945-7378 A C No): (888) 467-2378
E-MAIL
ADDRESS:
INSURER(S)AFFORDING COVERAGE
NAICa
INSURER A: Great Divide Insurance Company
25224
INSURED
INSURER B: Federal Insurance Company
20281
INSURER C
Walsh Environmental Scientists & Engineers, LLC
INSURER D:
4949 Pearl E Circle, Suite 300
Boulder, CO 80301
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.
INSR
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY
MM/DD/YY P
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 3,000,00
CLAIMS -MADE ❑X OCCUR
X
GLP200597712
8/1/2014
8/1/2015
PREMISES Ea occurrence
$ 1,000,00
X
MED E%P (Any one parson)
$ 30,00
Contractual
PERSONAL &ADV INJURY
$ 3,000,0001
GEN'L
AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 3,000,00
POLICY TO.
JET r�] LOC
PRODUCTS - COMP/OP AGG
$ 3,000,00
$
OTHER:
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
Ea accident
$ 1,000,00
X
BODILY INJURY (Per person)
$
A
ANY AUTO
BAP200598312
8/1/2014
8/1/2015
ALL OWNED SCHEDULED
AUTOS AUTOS
BODILY INJURY (Per accident)
$
HIRED AUTOS NON -OWNED
AUTOS
PROPERTY DAMAGE
Per accident
$
8
UMBRELLA LIAB
X
OCCUR
EACH OCCURRENCE
$ 15,000,00
X
AGGREGATE
$ 15,000,00
B I
I EXCESS LIAB
CLAIMS -MADE
79872763
8/1/2014
8/1/2015
DED RETENTION $
Prod/Compl Ops
$ 15,000,00
WORKERS COMPENSATION
PER OTH-
ANOEMPLOVERS'LIABILITY y/N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
N/A
STATUTE ER
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYE
$
(Mandatory in NH)
Ityes, tlesca under
E.L. DISEASE -POLICY LIMIT
$
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS LOCATIONS VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached 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
215 North Mason Street P.O. Box 580
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 (2014/01)
C 1988-2014
The ACORD name and logo are registered marks of ACORD
All rights reserved