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Home My WebLink About551459 LT ENVIRONMENTAL INC - INSURANCE CERTIFICATE (3)�PS21aN12a1M12 "a ar.`� CD DATE (MMIDDIYYYY) A 4 CERTIFICATE OF LIABILITY INSURANCE 07/02/2018 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 1-303-534-4567 INA, Inc. - Colorado Division 1705 17th Street Suite 100 Denver, CO 80202 INSURED IT Environmental, Inc. 4600 West 60th Ave. Arvada, CO 80003 CONTACT NAME; __- PHONE FAX .LAIC. No. .EKQ __. fAIC. No): __.... -- E-MAIL denaccounttechseimacorp.com ADDRESS:__ _ _-_ INSURER(S)AFFORDING COVERAGE NAIC9 INSURER A: AXIS MWLUS INS CO(Bonding & Ins Spec) 26620 I_N_S_U_R_ERB: TRAVELERS PROP CAS CO OF AMER 25674 INSURER C : ARCH SPECIALTY INS CO 21199 _ _ _ INSURERD: PINNACOL ASSQR 41190 - INSURERE: ZURICH AVER INS CO(Pinnacol) 16535 1 INSURER F: f•A\/cnwn_rc /`1=0TICI1`ATC ul Wt7FD• S330694S RFVISIr1M MIIIUI 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 I ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MMIDDIYYYY MMIDDIYYYY A X COMMERCIAL GENERAL LIABILITY SP003432012018 07/01/18 07/01/19 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE 1XI OCCUR DAMAGE TO RENTED PREMISESLEEa occurrence S 100,0o0 X MED EXP (Any one person) $ 5,000 HI/PD Ded: $25,000 PERSONAL & ADV INJURY $ 1,000,000 - _ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMPIOP AGG $ 2,000,000 POLICY PRO- JECT LOC $ OTHER: B AUTOMOBILE LIABILITY 8103A906345 07/01/18 07/01/19 COMBINED SINGLE LIMIT Ea accident__ $ 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED _ AUTOS ONLY AUTOS HIRED NON -OWNED X AUTOS ONLY X AUTOS ONLY BODILY INJURY (Per accident) PROPERTY DAMAGE Per $ _ --- $ C X UMBRELLALIAB X OCCUR 12EMX4381711 07/01/18 07/01/19 EACH OCCURRENCE $ 5,000,000 AGGREGATE EXCESS LIAB_ CLAIMS -MADE $ 5,000,000 DIED I I RETENTION $ i D E WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED7 (Mandatory in NH) NIA 4023969 - CO WC463252008 - OS 07/01/18 07/01/18 07/01/19 07/01/19 IPER H X STATUTE ER E.L. EACH ACCIDENT $ 11000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT i 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below A Contractors Pollution & SP003432012018 07/01/18 07/01/19 Limit 1,000,000 Professional Liability Aggregate 2,000,000 $10,000 Pollution Deductiblel I Professional Ded. P 25,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) City of Fort Collins is included as Additional Insured on the General and Automobile Liability Policies if required by written contract or agreement subject to the policy terms and conditions. The umbrella policy is excess of the general, pollution, professional liability, automobile liability and employers liability policies. GERIIFIGAIt HULUtK %,APR,CLLAIIVR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 215 N. Mason Street, 2nd Floor AUTHORIZED REPRESENTATIVE PO Box 580 Fort Collina, CO 80522 USA U T9tIS-LUTO AI.UKU GVKYVKAI IVIY. An rlgims re5erveu ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD francine 53306845 W, O 2