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Home My WebLink About365211 WESTERN ECYSYSTEMS TECHNOLOGY INC - INSURANCE CERTIFICATE (3)Client#: 1251138 WESTEECOI ACORDT. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 11/31/2017 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(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 US[ Insurance Services, LLC 1904 Warren Ave. Cheyenne, WY 82001 307 635-4231 CONTACT Karla Wright, CISR _ PHONE 307-635-4231 n c, No): 307-635-4237 A C No EXt E-MAIL SS: Karla.Wright@usi.com _ INSURER(S) AFFORDING COVERAGE NAIC # Travelers Pro Casualty Ins INSURER A : Property P ' •Y 36161 INSURED INSURER B : Continental Casualty Company 20443 Western Ecosystems Technology, Inc. INSURER C: Granite State Insurance Company 23809 415 W. 17th Street, Suite 200 INSURER D : Charter Oak Fire Insurance Comp 25615 Cheyenne, WY 82001 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. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY X X 6309H827672TIA17 2/03/2017 _ 02/0312018 EACH OCCURRENCE $1,000,000 CLAIMS -MADE 4 OCCUR PREMISES EaoccurrDence _ s300 OOO MED EXP (Any one person) $10 000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X POLICY JECOT LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ _ OTHER: D AUTOMOBILE LIABILITY X X BA98H0276917CAG 2/03/2017 02/03/201 MBINED (CEO, a.cid.n,SINGLE LIMIT 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS NON OWNED X HIRED AUTOS X AUTOS PROPERTY DAMAGE Per accident $ A UMBRELLA LIAB X OCCUR X X EXOJ7207671743G 2/03/2017 02/03/2018 EACHOCCURRENCE $10 000 000 X AGGREGATE $1 O 000 000 EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION X PER OTH- A AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED7 N (Mandatory in NH) N/A X 6309H827672TIA17 2/03/2017 02/03/201 E.L. EACH ACCIDENT $1 00O 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 B Professional 592376511 4/02/2016 04/02/2017 $5,000,000/$5,000,000 C Workers Comp X WC066183491 4/04/2016 04/04/2017 $1,000,000 C Workers Comp X WC066183490 4/04/2016 04/04/2017 $1,000,000 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, 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 (See Attached Descriptions) 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 ACORD 25 (2014/01) 1 of 2 #S19777741/M19773010 ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SRNZP DESCRIPTIONS (Continued from Page 1) 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. POLICY TYPE: Workers Compensation All States Except WY, ND, WA, OH & CA CARRIER: Granite States Insurance Co. POLICY TERM: 04/04/2016 - 04/04/2017 POLICY NUMBER: 66183490 Statutory $1,000,000 Each Accident $1,000,000 Disease Policy Limit $1,000,000 Disease Each Employee POLICY TYPE: Workers Compensation - CA CARRIER: Granite States Insurance Co. POLICY TERM: 04/04/2016 - 04/04/2017 POLICY NUMBER: 66183491 Statutory $1,000,000 Each Accident $1,000,000 Disease Policy Limit $1,000,000 Disease Each Employee POLICY TYPE: Stop Gap/EL CARRIER: Travelers Property & Casualty POLICY TERM: 02/03/2017 02/03/2018 POLICY NUMBER: 6309H827672TIA17 WY, ND, WA & OH Stop Gap Liability $1,000,000 - Each Employee $1,000,000 - Each Occurrence $1,000,000 - Aggregate Western EcoSystems Technology Inc. has used or sometimes referenced the dba WEST Inc. This is only an acronym used, not an official dba or entity name. SAGITTA 25.3 (2014/01) 2 of 2 #S19777741/M19773010