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HomeMy WebLinkAbout365211 WESTERN ECYSYSTEMS TECHNOLOGY INC - INSURANCE CERTIFICATE (2)Client#: 1251138 WESTEECO1 ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 3/16/2017 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(les) 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 USllnsurance Services, LLC 1904 Warren Ave. Cheyenne, WY 82001 307 635-4231 NAME: Karla Wright, CISR _ PHONE 307-635-4231 A 307-635-4237 A/c No Ext : A/C No E-MAIL ESS: Karla.Wright@usi.Com INSURER(S) AFFORDING COVERAGE NAICX INSURER A: Travelers Property Casualty Ins 36161 INSURED Western Ecosystems Technology, Inc. 415 W. 17th Street, Suite 200 Cheyenne, WY 82001 INSURER B : Travelers Indemnity Company of 25682 INSURER C: Continental Casualty Company 20443 INSURER D : Charter Oak Fire Insurance Comp 25615 INSURER E. INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 CONTRACTOR 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. �TqR TYPE OF INSURANCE INS R BR WVD POLICY NUMBER MM/DDNYY FF POLICY YYY XP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE �X OCCUR X X 6303J 152095TIA17 4/04/2017 04/04/2018 EACH OCCURRENCE $1 000 000 EMI O RENTED ��� Ea occurcence $100 000 MED EXP (Any one person) $1 O 000 PERSONAL & ADV INJURY $1,000 000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY JECOT- LOC OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG $2,000,000 _ _$__ D AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS X HIRED AUTOS X NON -OWNED AUTOS X X BAU15209517CAG _ /04/2017 04/04/201 E� ac d.n SINGLE LIMIT 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPE er DAMAGE $ A X UMBRELLA LIAR EXCESS LIAB X OCCUR CLAIMS -MADE EX3J1551531743 4/04/2017 04/04/2018 EACH OCCURRENCE $10 000 000 AGGREGATE $1 O 00O 000 DED I I RETENTION $ $ B A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE nY / N OFFICERIMEMBER EXCLUDED? [7N (Mandatory In NH) If es, describe under DESCRIPTION OF OPERATIONS below N / A UBOJ6888801743 6303J152095TIA17 4/04/2017 4/04/2017 04/04/201 04/04/201 X PER OTH- E.L. EACH ACCIDENT $1 000 000 E.L. DISEASE - EA EMPLOYEE $1 000 000 E.L. DISEASE - POLICY LIMIT $1 000 000 C Professional Liab 592376511 4/02/2017 04/02/2018 $5,000,000/$5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) This Certificate is issued for insured operations usual to Environmental & Natural Resources Consultants. The General Liability policy includes Form CGD321, Per Project Aggregate limits apply to referenced Project. (See Attached Descriptions) 2 [tilt\ 17 ;Lei 1111lZIi City of Fort Collins 700 Wood Street Fort Collins, CO 80521 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 \C ACORD 25 (2014/01) 1 of 2 #S20065529/M20062366 ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD BHPZP DESCRIPTIONS (Continued from Page 1) The General Liability, and Auto Liability policies include an automatic Additional Insured endorsement that provides Additional Insured status to the Certificate Holder, only when there is a written contract or written agreement between the named insured and the certificate holder and with regard to work performed on behalf of the named insured. The General Liability, Auto Liability and Worker's Compensation policies provide a Blanket Waiver of Subrogation in favor of the same, when required by written contract. The General Liability and Auto Liability policies contain a special endorsement with "Primary and Noncontributory" wording, when required by written contract. The Excess Liability policy is Follow Form over the General Liability, Auto Liability, Worker's Compensation and Employer's Liability policies. The Professional Liability policy includes Blanket Vicarious Liability when required by written contract. A Waiver of Subrogation endorsement included with regards to the referenced Holder under the Professional Liability policy. SAGITTA 25.3 (2014/01) 2 of 2 #S20065529/M20062366