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HomeMy WebLinkAbout365211 WESTERN ECYSYSTEMS TECHNOLOGY INC - INSURANCE CERTIFICATEClient#: 1251138 WESTEEC01 ACORD,u CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 1 4/01/2019 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 have ADDITIONAL INSURED provisions or 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER USI Insurance Svcs CL Cheyenne 1904 Warren Ave. CONTACT NAME: Amanda Pelto PHONE 307-635-4231 A/C No Ext : AIC, No): 307-635-4237 _FAX E- MRIEss: amanda.pelto@usi.com Cheyenne, WY 82001 307 635-4231 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A •Travelers Property Casualty Ins. Co 36161 INSURED Western Ecosystems Technology, Inc. 415 W. 17th Street, Suite 200 Cheyenne, WY 82001 INSURER B : Travelers Indemnity Company of CT 25682 20443 INSURER C ConllnentalCasualty Company INSURER D Charter Oak Fire Insurance Company 25615 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 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 A D TYPE OF INSURANCE ADDLSUBR INSR WVD POLICY NUMBER P6303J152095TIA POLICY EFF (MM/DD/YY 4/04/2019 POLICY EXP MM/DD/YYYY) 04/04/2020 LIMITS X'. COMMERCIAL GENERAL LIABILITY CLAIMS -MADE XI OCCUR X X EACH OCCURRENCE $1,000,000 PREMISES eRENTED nte _ $100000 MED EXP (Any one person) $5 000 PERSONAL & ADVINJURY $1,000,000 $4,000,000 $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: Xi POLICY 7 JECOT LOC OTHER: _ _ AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X� HIRED AUTOS ONLY X NON -OWNED AUTOS ONLY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG 1,000,000 X X BAU152095 4/04/2019 04/04/202 MBINED Eo, acciden SINGLE LIMIT BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ $ PROPERTY DAMAGE Per accident A UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE EX3J155153 4/04/2019 04/04/2020 EACH OCCURRENCE $1 O 000 000 _ $1 O 00O 000 AGGREGATE DED X. RETENTION$10000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y! N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A X UBOJ688880 4/04/2019 04/04/2020 X I PER oTH- TAT TIER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1 ,000,000 C A Professional Liab Stop Gap X X _ 592376511 P6303J152095TIA 4/02/2019 4/04/2019 04/02/202 04/04/202 $5mil Agg/ $5mil Occur $1 Mil per emp/ Agg DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) This Certificate is issued for insured operations usual to Environmental & Natural Resources Consultants. The General Liability policy includes Form CGD321, Per Project Aggregate limits apply to referenced Project. (See Attached Descriptions) ULM I IFIUA 1 L MULULK City of Fort Collins 700 Wood Street Fort Collins, CO 80521 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 (2016/03) 1 of 2 #S25373636/M25327615 ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD LKMZP