HomeMy WebLinkAbout554548 RAMEY ENVIRONMENTAL COMPLIANCE INC - INSURANCE CERTIFICATEAcoRd" CERTIFICATE OF LIABILITY INSURANCE DATE (MM DDA YYY)
, 1012712019
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION', ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATI ELY 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 CERTIFICAt'E HOLDER.
IMPORTANT: It the certificater holder is an ADDITIONAL INSURED, the policy(les) 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 rl hts-to the certificate holder In lieu of such endorsement s
PRODUCER [NArfi"P� Jamie McMahon
Arthur J. Gallagher Risk Management Services, Inc.
10901 West 120th Ave, Suite 100 onE . NEti-303-247-6403 -... _ _ . - _ _ . A/C, No). 720-200-5122 .
Broomfield CO 80021 • Jamie McMahon G.ccm
RAMEENV-01
Ramey Environmental Compliance Inc. INsuRERc: Underwriters at Lloyd's, London 11230
Linda Ramey
PO BOX 99 INSURERD:
Firestone CO 80520 INSURERE:
INSURER F`.
nAtP00 Anec - f•eOTICllr ATC: 0Ii'1111e121=01. 44nA92ee44e - QCVISIf1N N11MRFR•
THIS IS TO, CERTIFY THAT THE -POLICIES OF INSURANCE LISTED
INDICATED. NOTWITHSTANDING ANY REQUIREMENT,. TERM ¢R
BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE:FOR THE POLICY PERIOD
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. IJMITS SHOWN
MAY HAVE BEEN REDUCED BY PAID CLAIMS;
INSR
LTR
-
TYPEOFINSURANCE
R
WvD
t
POLICYNUMBER
POUCY EFF
MWDDIYYYY
POLICY pry
MAVDOIYY
LIMITS
c
X
C0MMEROIALGENER4LLtA9ILm
EMP1900151901
9N/2019
111412020
'EACHOCCURRENCE
$2.000.000
CLAIMS -MADE — OCCUR
PREMISES (Ea occurrence)
$100,om
MED FXP (Any one person)
$10,000
PERSONAL & ADV INJURY
$2.000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$5,000,000
PRODUCTS -COMPIOPAGG
$5,000,000
%( POLICY I I JECT 7 LOC
_
$
OTHER:
._
_
A
AurokoaiLEuAilf rTv
GPPA060
5615464000
lih1 019
11/1I2029
,COMBINED SIN LIMIT
Ea acadent
$1,000;000
BODILY INJURY (Per. person)
$
X ANY AUTO
I
7 OWNED SCHEDULED
AUTOS ONLY AUTOSHIRED
NON -OWNED
X AUTOS ONLY x. AUTOS ONLY
$
PPQOP�Rd nDAMAGE'
$
$
C
UM13RELLAUAe
X
OCCUR
I
EMX1900636601
9/112019
11/412020
EACH OCCURRENCE
$2.000.000
AGGREGATE
$5,000,000
X
I EXCESS LIAR
CLAIMS -MADE
DED I I RETENTION$
Follow Fonn an,GL
$
I
I
I
I
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANYPROPRIETORIPARTNER/EXECUTIVE
4086766
-
11/1/2019
11/112020•
X I STATUTE ER
E.L. EACH ACCIDENT
$.1:000,000
OFFICERIMEMBEREXCLUDED?
(Mandatary in NH)*
N/A
E.L. DISEASE - EAEMPLOYEE
$1,000,000
'EL. DISEASE -POLICY LIMIT
a1,000,000 ..
It yes, describeDESCRIPTION OF Or
DESCRIPTION under OPERATIONS below
-
.,
C
IJT16NNAZILITYTY
PRO
EMP1900151901
ghnbi9
11/4/2020
OCCURRENCE
AGGREGATE
2,000,000.
5,000,000'
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional!
Remits Schedule; may be attscMspace
d If more ace Is, re arlred)
Coverages Continued:
Excess Liability - GPPA PF 6056154-03 - $3,000,000 OccurrencelAggregate
The certificate holder, its officers, agents and employees shall be
Limit - Follow Form on Auto Liability and Workers' Compensation,
named as additional insured with respects to the liability arising out of the activities of the
named insured.
^1120TICV ATC Uni nCn I r`A111117-GI I AT1nm
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City of Fort Collins
PO BOX SSO
Fort Collins CO 80522
AUTHORIZED REPR ENTATVE
�2�
V JtlUO-ZUTD'AGVHU GUNrUMAIIVrI. wg ngn[s reservea.
ACORD 25 (2016103) The ACORD name and logo are registered .marks of ACORD
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