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HomeMy WebLinkAbout125216 WALSH ENVIRONMENTAL - INSURANCE CERTIFICATE (6)Page 1 of 1 AICOp�® f� CERTIFICATE OF LIABILITY INSURANCE DATE(2 6 / 2/YYYY) o„26,2D1, 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 CONTACT NAME: Willis of New York, Inc. c/o 26 Century Blvd P.O. Box 305191 PHONE FAX A/C No Ext: 1-877-945-7378 A/C No: 1-888-467-2378 E-MAIL certificates@willis.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC# Nashville, TN 372305191 USA INSURER A: Great Divide Insurance Company 25224 INSURED INSURERB: Federal Insurance Company 20281 Walsh Environmental, LLC 4949 Pearl E Circle, Suite 300 INSURERC: INSURERD: Boulder, CO 80301 USA INSURER E : INSURER F : rr)VFRArFR rFRTIFIrATF Nl1MRFR- W3086528 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 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 OF INSURANCE ADDLTYPE INSD WVDSUBRI POLICY NUMBER MM/DDY EFF EXP MM/DD/Y YYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 3,000,000 � OCCUR A AGE TO cur RENTEence PREMISES Ea CCU"."..) $ 1,000,000 _7CLAIMS-MADE MED EXP (Any one person) $ 30,000 A Contractual PERSONAL & ADV INJURY $ 3,000,000 Y N GLP200597715 08/01/2017 08/01/2018 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE I $ 3,000,000 PRO - POLICY X JECTLOC PRODUCTS - COMP/OPAGG 1 $ 3,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO A OWNED SCHEDULED AUTOS ONLY AUTOS N N BAP200598315 08/01/2017 08/01/2018 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY $ B UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE N N 79872763 08/01/2017 08/01/2018 EACH OCCURRENCE $ 15,000,000 X AGGREGATE $ 15,000,000 DED I I RETENTION$ Prod/Compl Ops. $ 15,000,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE PER OTH- STATUTE I I ER E.L. EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? ❑ N/A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $-. If yes, describe unaer DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The Excess Liability policy supports the General Liability and Automobile Liability. RE: P1066 Environmental Services --- The City of Fort Collins is named as an additional insured on the general liability as required by written contract. CERTIFICATE HOLDER UAIVC:tLLA I IUN 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 City of Fort Collins 215 North Mason Street P.O. Box 580 Fort Collins, CO 805220580 ■ ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD SR ID: 14875802 BATCH: 394623