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HomeMy WebLinkAbout551459 LT ENFIRONMENTAL INC - INSURANCE CERTIFICATE��P5260028UO2 /-Y i..lRi� CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 07/03/2019 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER 1-303-534-4567 IRA, Inc. - Colorado Division CONTACT NAME: PHONE FAX AfC No): ADDRESS: denaccounttechs@imacorp.com 1705 17th St Ste 100 INSURERS AFFORDING COVERAGE NAIC f1 INSURERA: AXIS SURPLUS INS CO(Bonding & Ins Spec) 26620 Denver, CO 80202 INSURED INSURERS: TRAVELERS PROP CAS CO OF AMER 25674 LT Environmental, Inc. INSURERC: ARCH SPECIALTY INS CO (Bonding & Ine Spe )R1199 INSURERD: ZURICH AMER INS CO(Pinnacol) 16535 4600 west 60th Ave. INSURERE: PINNACOL ASSUR 41190 1INSURERF: Arvada, CO 80003 COVFRAGFS CERTIFICATE NUMRFR- 56691294 RFVISION NIJMRFR- 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 D SUBR POLICY NUMBER EFF MM/DDfYYY MPOLICY POLICY NYYY LIMITS A X COMMERCIAL GENERAL LIABILITY SP003432022019 07/01/19 07/01/20 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE L�J OCCUR PREMISES Ea occurrence $ 100,000 X MED EXP (Any one person) $ 5,000 BI/PD Ded: $25, 000 PERSONAL & ADV INJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 GEN'L JECT POLICY ❑ PRO ❑ LOC PRODUCTS - COMP/OPAGG $ 2,000,000 $ OTHER: B AUTOMOBILE _ LIABILITY 8102N275484TCT19 07/01/19 07/01/20 COEaMcentl a Gid.nSINGLELIMIT $ 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY C X UMBRELLALIA6 X OCCUR 12MU4381712 07/01/19 07/01/20 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ D E WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBEREXCLUDED? (Mandatory in NH) NIA WC463252009 - OS 4023969 - CO 07/01/19 07/01/19 07/01/20 07/01/20 PER X STATUTE ERH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1, 000, 000 A Contractors Pollution & SP003432022019 07/01/19 07/01/20 Limit 1,000,000 Professional Liability Aggregate 2,000,000 $10,000 Pollution Deductible $25,000 Professional Ded. DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) City of Fort Collins is included as Additional Insured on the General and Automobile Liability Policies if required by written contract or agreement subject to the policy terms and conditions. The umbrella policy is excess of the general, pollution, professional liability, automobile liability and employers liability policies. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ty of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 215 N. Mason Street, 2nd Floor AUTHORIZED REPRESENTATIVE PO Box 580 Fort Collins, Co 80522 I USA ACORD 25 (2016103) michael.sheinberg 56691294 ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD u1 N z w