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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