HomeMy WebLinkAboutSWCA INC DBA SWCA ENVIRONMENTAL CONSULTANTS - INSURANCE CERTIFICATE'AC vKLJ CERTIFICATE OF LIABILITY INSURANCE
DATE/YYVY)
7i25/205/2019
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
Commercial Lines - (602) 279-5800
CONTACT Leslie Sereno
NAME:
USI Insurance Services LLC
IM. gal,PHONN 602-666-4919 AIC No : 602-279-5899
EMAIL
ADDRESS: leslie.sereno@usi.com
2375 E. Camelback Rd., Suite 250
INSURERS AFFORDING COVERAGE
JU
NCIf
Phoenix, AZ 85016
INSURER A; Greenwich Insurance Company
22322
INSURED
SWCA, Incorporated dba SWCA Environmental Consultants
INSURER B: XL Scial Insurance Company
37885
NSURER C :
20 East Thomas Road, Suite 1700
INSURER D :
INSURER E :
Phoenix AZ 85012
INSURER F
'.—'--"•— ..."" Mr VI.WUN INUMt5tcR: oee DeIOW
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.
L L RR TYPE OF INSURANCE Man UBR POLICY EFF POLICY EXP
POLICY NUMBER MM/D MMIODIYYYY LIMITS
A
X
7 CLAIMS-MADCIAL E
CLAIMS -MADE � OCCUR
OCCUR
X
X
GEC001910414
07/26/2019
07/26/2020
EACH OCCURRENCE
$ 1,000,000
PREMISES Es occurrence
S 100,000
Contractual
X
MED EXP (Any one person)
$ 51000
PERSONAL S ADV INJURY
$ 1.000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
Y X❑ LOC
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMPIOP AGG
$ 2,000,D00
JET
R:
Deductible
$ 10,000
LE LIABILITY
X
X
AEC001910214
07/26/2019
07/26/2020
COMBINED SI GLE LIMIT
Ea accident
$ 1,000.000
UTO
BODILY INJURY (Per person)
$
D SCHEDULED
BODILY INJURY (Per accident)
S
ONLY AUTOS
NON -OWNED
t
PROPERTY DAMAGE
Per a cident
$
ONLY AUTOS ONLY
Deductible: $0.00
$
ELLA LIAR
X
OCCUR
X
X
UEC001910314
07/26/2019
07/26/2020
EACHOCCURRENCE
$ S,OOD,000
S LUB
CLAIMS-Mp,DE
AGGREGATE
§ 5,000,000
X RETENTIONS 10,000
B AND EM LOYER ' LI A I
ANDEMPLOYERS' LIABILRY
X
WECO01910614
07/26/2019
07/26/2020
x R EOTH-
STATUTE ER
S
Y f N
ANYPROPRIETORIPARTNER/EXECUTNE
OFFICER/MEMBEREXCLUDEDT N
NIA
E.L. EACH ACCIDENT
j 1.000,000
DISEASE -EA EMPLOYEE
S 1,000,000
(Mandatory in NH)
IfE.L.
ye5 under
E.L. DISEASE -POLICY LIMB
$ 1000,000
DIMS IPTION OF OPERATIONS below
A Consultants Enviro Liab - E&O
PECO01910514
07/2612019
07/26/2020
Professional & Contractors
Claims Made Form
Each Claim & Agg: $5,000.000
Pollution Liability
Each Claim Deduct: $100,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if mom space is inquired)
City of Fort Collins, its affiliates, owners, etc., are included as additional insured (with waiver of subrogation) When required in a written contract or
agreement with the Named Insured the attached form(s) apply to this certificate: GENERAL LIABILITY: Additional Insured, Additional Insureds Owners,
Lessees or Contractors Completed Operations, Waiver of Transfer of Rights of Recovery Against Others To Us, Amendment of Insured Contract Definition
(see item 9. f.), Designated Construction Project(s) General Aggregate Limit, Additional Insured Designated Person or Organization, Additional Insured
Lessor of Leased Equipment Automatic Status When Required in Lease Agreement With You, Primary/Non-Contributory Clause (includes "Not
Contributing" wording). AUTOMOBILE LIABILITY: Automatic Additional Insured, Waiver of Transfer of Rights of Recovery Against Others; Primary and
Noncontributory; Lessor Additional Insured and Loss Payee. WORKERS COMPENSATION: Waiver of Our Right to Recover from Others. PROFESSIONAL
!`CGTI CIr`ATC u�, nrn
City of Fort Collins
215 North Mason Street
Fort Collins, CO 80524
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)
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loan-ZV10 f+wRu cO11PORATION. All rights reserved.
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