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HomeMy WebLinkAboutRAMEY ENVIRONMENTAL COMPLIANCE INC - INSURANCE CERTIFICATEF -DATE 'A�CO%eO® CERTIFICATE OF LIABILITY INSURANCE 1/11/20M/ D/YYYY) 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 endorsement(s). PRODUCER 4rthur J. Gallagher Risk Management Services, Inc. DO Box 4190 =stes Park CO 80517 INSURED RAME ENV-01 Ramey Environmental Compliance, Inc. PO Box 99 Firestone CO 80520 4Q Es). 970-586-4407 FSs. Nancy_Tulley@ajg.com INSURER A:State Automobile Mutual Insurance C INSURERB:American Alternative Insurance Corp INSURER c : Pinnacol Assurance Companv INSURER E : rr)11rDAr_r4z r`rDTIrIf`ATC hit IRAOCE). 901 1;1 QRRA7 nCVlclnal a111aanrn. 970-586-3370 NAIC 5135 9720 1190 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 I TYPE OF INSURANCE I SD WVD POLICY NUMBER POLICY EFF MIDDIYY POLICY EXP WDDIYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X❑ OCCUR ENVP014972-00 11/4/2015 11/4/2016 EACH OCCURRENCE $4,000,000 $50,000 PREMISES Ea occurrence MED EXP (Any one person) $5,000 PERSONAL & ADV INJURY $4,000,000 GENT NPOLICY AGGREGATE LIMIT APPLIES PER: PRO JECT LOC GENERAL AGGREGATE $10,000,000 PRODUCTS - COMP/OPAGG $10,000,000 $ OTHER: B AUTOMOBILE LIABILITY GPPAPF6056154-00 11/1/2015 11/1/2016 Ea accident $ BODILY INJURY (Per person) $ ANY AUTO AL OWNED SCHEDULED AU OS AUTOS NON -OWNED HIRED AUTOS AUTOS BODILY INJURY (Per accident) $1,000,000 Per accident $ $ B X UMBRELLA LIAB X OCCUR GPPAPF6056154-00 11/1/2015 11/1/2016 EACH OCCURRENCE $3,000,000 AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED X I RETENTION $10,000 $ C WORKERS COMPENSATION ANDD EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ /M OFFICEREMBER EXCLUDED? (Mandatory in NH) If Dyes, RdeIscribe under PTION OF OPERATIONS below DESC N rA 4086766 11/1/2015 11/1/2016 X STATUTE 1JR1 H- E.L. EACH ACCIDENT $500,000 E.L. DISEASE - EA EMPLOYEE $500,000 E.L. DISEASE - POLICY LIMIT $500,000 A Pollution Liability Professional Liability Complete GL Package ENVP014972-00 11/4/2015 11/4/2016 Aggregate 10,000,000 Each Occurrence 4,000,000 Policy Aggregate 10,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Coverage's Continued.. Property Coverage: BPP Blanket Limit:- $ 292,100 Carrier: American Alternative Insurance Corp; NAIC#: 19720 Policy Term: 11/1/2015 to 11/112016. Inland Marine: Transit:- $50,000; IM Total:- $290,291 See Attached... %,r-M I II-1%,MIG r7VLL/G11 L.ANGLLLAI ION 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 Alffjt_�, �� © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: RAMEENV-01 AC40R" �1 . LOC #: ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY Arthur J. Gallagher Risk Management Services, Inc. NAMED INSURED Ramey Environmental Compliance, Inc. PO Box 99 Firestone CO 80520 POLICY NUMBER CARRIER 7`CODErE .. 7cT,,E DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE arrier: American Alternative Insurance Corp; NAIC#: 19720 olicy Term: 11 /112015 to 11 /112016. tractor's Pollution Liability is on Occurrence Form, Retroactive Date: 11/4/2004, Each Pollution Claims Expense Limit: $1,000,000 Dssional Liability is on Claims Made Form, Retroactive Date: 1114/2004, Each E&O Claim Expense Limit: $1,000,000. certificate holder, it's officers, agents and employees shall be named as additional insured with respects to the liability arising out of the ities of the named insured. ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD