HomeMy WebLinkAboutVEOLIA ES TECHNICAL SOLUTIONS, LLC - INSURANCE CERTIFICATEo �R � CERTIFICATE 4F LlABILITY INSURANCE DOli15l20�onvnr�
THIS CERTIFICATE IS iSSUED AS A MATTER OF INFORiNATION 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 pF INSURANCE DOES NOT CONSTITt1TE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICA7E 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 ta the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this cerlificate does not conier rights to the certificate holder in lieu of sucfi endorsement(s).
PRODUCER CONraCT Marsh U.S.Operalions
NAME:
MARSH USA. LLC. vHONE 866�966 4664 FAX I7 2 948 0770
540 W. Madison Sueet (ac. r+o. EKtJ: {AlC; NoJ:
Chicago, u_ 606fit nonR�ess: Ch�cago.CerlReqaest@marsh.com
Alm: Veolia.CerlRequeslC�marsh.com � Fax: 212-948-5053 — �
iNsuAeo
Veolia ES Technical Solulions, LLC
53 Slale SUeet, 741h fbor
Boslon, MA 02t09
INSURER(S) AFFOROING C(
VESTS Boslon �NsurteR a: Everesl Nalwnal Insurance Com �
+ksuReR e: Everesl Premier Insurance Comp�
tNSURER C : NJA
cNsuneR o: 8erkle Assurance Company
cNsuReR e: National Fue & Marine Insurance Co
NAIC r
1012C
16045
NfA
39461
20079
COVERAGES CERTIFICATE NUMBER: CHI-00749&336 58 REVISION NUBABER: 6
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 REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTMER DOCUMENT WITH RESPECi T� 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. L4MITS SHOWN MAY HAVE BEEN REDUCED 8Y PAID CLAIMS.
INSR ADDLjSUBR POUCV EFF POLICY EXP LIbtI7S
LTR nPE OF INSURANCE 1 ppLICY NUMBER MMIDD/YYYY MMlDD/YYYY
a X COMMERCIALGENERALLIABILfiY RM5GL000G8�24i 41101/2024 01101I2025 EACHOCCURRFNCE $ ��•�
D'AMAGE TO RENTED
CLAIMS-MAOE X OCCUR PREMISES;Ea occurrenc� $ ���
MEO EXP (Any one per5onl $ ����
PERSONAL 6 ADV INJURY $ �'�'�
G[N'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGAEGATE 5 ��•�
FOUCY P�� LOC PRODUCTS - COMPlOP AGG 5 ��•�
X JECT —
OTHER: $
A AUTOMOBILELIABILITY RM5CA00066-241 (AOS} OliO7I2O24 01/0112025 COM8INED SINGLE LIMIT $ ���
Ea aceidenf�
A X aNv nuro RMSCA00065-241 (MA� O110112024 �110112025 BODILY INJURY (Per perwN 5
OWNED SCHEDULEO �ODILY INJURY (Per accidenl) $
AUTOS ONLY AUTOS
HIRED NON-OWNED �'�OPERTY DAMAGE $
AUTOS ONLY AUTOS ONLY _(Per accidant)
S
UMBRELLA LIAB OCCl1R EACH OCCURRENC@ $
EXCESS LIAB CLAIMS-MAD£ AGGF7EGA7E $
UED RFTENTION $ �
B WORKERSCOMPENSATION RMSWC00092•241 (AdS) Ol Ol 2024 Oi10112625 x PER QTH•
pND EMPLOYERS' LIABII.ITY STATUTE ER
B V!N RM5WC00094-241(FL,ME,N)j 01/011202A O110112025 �.ppp,ppp
ANYPROPFtIETOWPARTNERlEXECUTIVE N �! A E.L. EACH ACCIDENT $
g OFFICER/M£MBEREXCLUDE07 ❑ RM5WC00095-241 (WI, MA) 01/0112024 O1N?112025
{Mandatory in NH) E.L. DISEASE • EA EMPLOYEE $ �•���
If yes, descnbo uM1er
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ �•���
E CPL - SIR: Si,000,U00 42 CPL-326094-p2 O1l0112024 0710112025 OccurencelAggregale 1,000,000
D E&Q - SIR: 510.000.000 PCAB-5024616-0124 O11011202d 01l0112025 Per ClairtrlAggrPtjale 1,0OO.OpO
DESCRIPTION OF OPERATIONS / LOCATIONS! VEHICLES (ACORD 101, Additional Ramarka Schedule, may be atlached it more space is required)
City ot Fon Couins is included as atldilional insured {�xcept as respecls all coverage aflorded by wakers' compensalan and professional liability) where required by written contracl bul a�ly fa liability arising out of
the operations ol lhe nam�d insured. A waivcv of subrogalion is granled as requireci by wrilten contraG bul only fa liabihty arising c�ut of Ihe operalions of ihe named insured.
CERTIFICATE HOLDER
City of Fort Colfins
P.O. Box 580
Fart Collins. CO 80522
GANCELLATlON
SHOULD ANY OF 7HE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
7HE EXPIRATION DA7E THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POUCY PROVISIONS.
AUTHORlZED REPRESEN7ATIVE
'�'Jiasidlc 2L �>� .L�l�C
O 1988-2016 AGORD CORPORATION. All rights reserved.
ACORD 25 (2016/03} The ACORD name and logo are registered marks of ACORD