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Home My WebLink About554548 RAMEY ENVIRONMENTAL COMPLIANCE INC - INSURANCE CERTIFICATE (2)CO ® DATE (MMIDD/YYYY) A C" CERTIFICATE OF LIABILITY INSURANCE 11/7/2016 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 endorsements . PRODUCER CONTACT NAME: Jamie McMahon_ _ Arthur J. Gallagher Risk Management Services, Inc. PHONE 303 444 4666 FAX ,No): 303 444 8481 3005 Center Green Drive, Suite 120 E-MAIL Boulder CO 80301 . Nancy_Tulley@ajg.com INSURED RAME ENV-01 Ramey Environmental Compliance Inc. Linda Ramey PO Box 99 Firestone CO 80520 INSURER(S) AFFORDING COVERAGE NA A:American Alternative Insurance Corp 19720 B:Pinnacol Assurance Company 41190 c:Rockhill Insurance Company 28053 t* ..vrnnl-rc rrnrlrtrATr RtnRAorn. 1RF9APin9,z orvrcinra I'UIIMRFD• 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 15 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DDIYYYY MMIDDlYYYY LIMITS C X COMMERCIAL GENERAL LIABILITY ENVP014972-01 11/4/2016 11/4/2017 EACH OCCURRENCE $4,000,000 ----- CLAIMS-MADE OCCUR AAIAGETO PREMISES Ea occurrence $50,000 $5,000 MED EXP (An one person) PERSONAL & ADV INJURY $4,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $10,000,000 PRODUCTS - COMP/OP AGG $10,000,000 )( POLICY I� PET LOC $ OTHER: A AUTOMOBILE LIABILITY GPPA-PF-6056154 11/1/2016 11/112017 COMBINED SINGLE rnMT-- Ea accident $1,000,000 BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY BODILY INJURY (Per accident) $ rP1�0PERTP Per accident) y S 1 A X UMBRELLA LIAB X OCCUR GPPA-PF-6056154 11/1/2016 11/1/2017 EACH OCCURRENCE $3,000,000 AGGREGATE E3,000,000 EXCESS LIAB CLAIMS -MADE DED X RETENTION $10,000 $ 1 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICER/MEMBER EXCLUDED? FN] (Mandatory in NH) N/A 4086766 11/1/2016 11/1/2017 PR X STATUTE EORH -- -- E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE. EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below C Pollution Liability Professional Liability Complete GL Package ENVP014972-01 11/4/2016 11/4/2017 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: 11/1/2016 t0 111112017. Inland Marine: Transit:- $50,000; IM Total:- $290,291 See Attached... ULK 1 IF IUA I L HULULK I,AIML r LLA I IVIV 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. REPRESENTATIVE 0 1988-2015 ACORD COKNUKA I wrv. All rights reserves. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: RAMEENV-01 LOC #: AC R " ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED Arthur J. Gallagher Risk Management Services, Inc. Ramey Environmental Compliance Inc. Linda Ramey PO Box 99 POLICY NUMBER Firestone CO 80520 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Carrier: American Alternative Insurance Corp; NAIC#: 19720 Policy Term: 11 /112016 to 11/112017. Contractor's Pollution Liability is on Occurrence Form, Retroactive Date: 11/4/2004, Each Pollution Claims Expense Limit: $1,000,000 Professional Liability is on Claims Made Form, Retroactive Date: 11/4/2004, Each E&O Claim Expense Limit: $1,000,000. Blanket Additional Insured forms CG 20 10 07/04M RHIC 6226 06/11 AND RHIC 6105 06/11 and AU1003 (04-14). The certificate holder, it's officers, agents and employees shall be named as additional insured with respects to the liability arising out of the activities of the named insured. ACORD 101 (2008101) 0 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD