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Home My WebLink About551825 COLORADO HAZARDOUS ENVIRONMENTAL - INSURANCE CERTIFICATE (2)COHAZAR OP ID: SY ,a►4111 - CERTIFICATE OF LIABILITY INSURANCE DATE,MMI°°YYYY) o2108no16 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 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 endorsements . PRODUCER Cherry Creek Ins. Agency, Inc. Suite 500 5660 Greenwood Plaza Blvd. Greenwood Village, CO 80111 CONTCONTACT Annette Campbell . PH303-799-0110 FAX 1C,No: 303-799-0156 ADOREss: AnnetteC@thinkccig.com INSURERS AFFORDING'COVERAGE NAIC # Joint Venture - Producers INSURERA:HOmeland Ins. Co. of New York INSURED Colorado Hazardous Environmental, Inc. PO Box 8901 INSURER B:Atlantic Casualty Ins Co INSURER C : Pinnacol Assurance 41190 INSURER D: Denver, CO 80201 INSURER E : INSURER F: 'v:JY�tiiIaLJ (:FRIWICCTF NIIMRFR' GC((ImnN urueeCo. 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. IDD LTR I TYPE OFINSURANCE rN-%n SVUBRI POLICY NUMBER POLICY EFF YY MIDDIY MMID M1DDfY" LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS -MADE T OCCUR X 7930031670000 03/12/2016 05/01/2016 PREMISES (Eaoccurrence) S 50,000 MED EXP (Anyone person) $ 5,00 ' - PERSONAL& ADV INJURY $ 1,000,00 M1 4 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 POLICY X❑ PRO- ❑ LOG JECTPRODUCTS - COMP/OPAGG $ 2,000,00 g OTHER: - AUTOMOBILE LIABILITY EOMaBI<�EeDiSINGLE LIMIT S 1,000,00 B X ANY AUTO X 7930031580000 03/12/2016 05/01/2016 BODILY INJURY (Per person) S ALL OWNED SCHEDULED .. AUTOS AUTOS L BODILY INJURY (Per accident) S NON -OWNED HIRED AUTOS AUTOS ':,I' PROPERTY DDAMAGE Per accident)$ $ �( UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,00 AGGREGATE $ 5,000,00 A EXCESS LIAB CLAIMS -MADE 7930031590000 03/1212015 05/01/2016 DEC X RETEMION $ 10000 is 1 WORKERSCOMPENSATION PER OTH- X AND EMPLOYERS' LIABILITY YIN STATUTE ER E.L. EACH ACCIDENT $ 1 000,0O r C ANY PROPRIETOR/PARTNER/EXECUTME OFFICER/MEMBER EXCLUDED? ❑ N 1 A 4163832 05/01/2015 06/01/2016 (Mandatory In NH) If yes, eescribe under E.L. DISEASE EA EMPLOYEE $ 1,000,00 E.L. DISEASE - POLICY LIMIT $ 1.000,00 DESCRIPTION OF OPERATIONS below A Pollution Liab 7930031670000 03/12/2015 OS/01/2018 Per Occur 1,000,00 A Professional Liab 7930031570000 Per Occur 1,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) As required by written contract or written agreement, City of Fort Collins is included as Additional Insured under General Liability and as Additional Insured under Automobile Liability. City of Fort Collins PO Box 580 Fort Collins, CO 80522 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 (2014101) W I s50-zU14 AUUHU CUHPUHATIUN. All rights reserved. The ACORD name and logo are registered marks of ACORD