HomeMy WebLinkAbout125216 WALSH ENVIRONMENTAL LLC - INSURANCE CERTIFICATEPage 1 of 2
DATE(MMfDD YYYY)
acoRU CERTIFICATE OF LIABILITY INSURANCE 07/30/2019
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 CONTACT
NAME:
Willie of Nor York, Inc. PHONE FAX
c/o 26 century Blvd . 1-677-945-7378 A)C No,:1-88B-467-2378
E-MAIL
Corti ficates@willis. coal
P.O. Box 305191 ADDRESS:
Nashville, TN 372305191 USA INSURFRIM AFFnRDIBn COVERAGE NAICs
INSURED
Walsh Envirermental, LLC
4949 Pearl E Circle, Suite 300
Boulder, CO 80301 USA
_ INSURERA: Great Divide Insurance company 25224
INSURER 8: Pederal Insurance Company 20281
ImmmERc. Indian Harbor Insurance Company 36940
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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. ..
-.-AffDLSU13R
INSR
__-- 1 POLICY EFF POLICY EXP LIMITS
LTR TYPEOFINSURANCE
POLICY NUMBER MM,VDMr
X COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE $ 3,000,000
CLAWS -MADE LX OCCUR
, PREMISES (Ea ocarrence i$ 1, 000, 000
A
X Blanket Contractual Liability
MED EXP (Any one person) s 30,000
Y
GLP2005977-17 08/01/2019 08/01/2020, PERSONAL &ADV INJURY $ 3,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
, GENERAL AGGREGATE g 3,000, 000
POLICY X PRO' X I LOC
JECTOTHER:
PRODUCTS - COMP/OP AGO $ 3,000,000
$
AUTOMOB"LIABILITY
GL
CEa acclOMBINED SINtlen[ E LIMIT
$ 1,000,000
BODILY INJURY (Per person)
$
X ANY AUTO
I
BODILY INJURY(Per accident)''..
$
A
OWNEDAUTOSONIY SCTOESULED
BAP2005983-17 08/01/2019
08/01/20201
HIRED NON -OWNED
j PROPERTY DAMAGE
$
AUTOS ONLY AUTOS ONLY
S
UMBRELLA LIAR X OCCUR
EACHOCCURRENCE
Is 15,000,000
B
X EXCI LIB I CLAIMS -MADE
7987-27-63 08/01/2019
08/01/2020
AGGREGATE
15,000,000
Prod/Compl Ops.
$ 15,000,000
DIED RETENTIONS
WORKERS COMPENSATION
H-
STATUTE ER
AND EMPLOYERS' LJABILnY YIN
ANYPROPRIETOR/PARTNERIEXECUTIVE
_ E.L._ EACH ACCIDENT $
OFFICERIMEMBER EXCLUDED? ❑ NIA
(Mandatory In NM
E.L. DISEASE - EA EMPLOYEE $
_
E.L. DISEASE - POLICY LIMIT $
II yes. describe under
DESCRIPTION OF OPERATIONS below
C Professional Liability
PECO05028302 08/01/2019
08/01/2020
Each Clain 01,000,000
Pollution Liabilty
Each Occurrence $1,000,000
Professional 6 Pollution Liab.
Aggregate Limit $1,000,000
DESCRIPTION OF OPERATIONS : LOCATIONS, VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached If more space is required)
Excess Liability policy is following form and supports all listed coverages except Pollution and Professional
Liability.
SEE ATTACHED
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
City of Fort Collins
215 North Mason Street P.O. Box 580//��
Fort Collins, CO 805220580
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ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
SR 1t- 18313781 aATce: 1304308
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