HomeMy WebLinkAbout132133 WASTE-NOT RECYCLING - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE OP ID
DATE(MWDDIYYYY)
EARTH-3
05 31 06
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
LEN Insurance Agency-GR
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
3459 W 20th Street Suite 224
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Greeley CO 90634
Phone: 970-356-1133 Fax:970-356-4088
INSURERS AFFORDING COVERAGE
NAIC#
INSURED
INSURER A: mountain State. Insurance Grp
INSURER 8:
Earth Enterprises, Inc.
Dba Waste Not Reacycling
1065 Poplar Street
Loveland CO 80537
INSURER C:
—
INSURER D:
INSURER E:
_
COVERAGES
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
NSIT
LTR
kUD'L
NOR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MM/DDM(
POLICY EXPIRATION
DATE MMIDOM(
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE z OCCUR
Blanket Add11 Ins
CPP009934202
UM 247 0402
06/03/06
06/03/07
EACH OCCURRENCE
$$1,000,000
PREMISESEs occurence)
S$100,000
MED EXP (Any one person)
$$10 , 000
PERSONAL a ADV INJURY
$$1,000,000
GENERAL AGGREGATE
S $2 000 , 000
GEN'L AGGREGATE LIMIT APPLIES PER
PRO
POLICY X JEC LOC
PRODUCTS -COMPIOP AGG
$$2,000,000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
BAP009934202
06/03/06
06/03/07
COMBINED
(a accideISINGLELIMIT
E$1,000,000
X
BODILY INJURY
(Per Person)
E
X
BODILY INJURY
(Per accident)
S
X
PROPERTY DAMAGE
(Per accident)
S
GARAGE LIABILITY
ANY AUTO
N/A
AUTO ONLY - EA ACCIDENT
S
OTHER THAN EA ACC
AUTO ONLY: AGG
S
S
A
EXCESSA/MBRELLA LIABILITY
X OCCUR F—ICLAIMSMADE
DEDUCTIBLE
X RETENTION $10000
UMB009934202
06/03/06
-
06/03/07
EACH OCCURRENCE
S $1 , 000 , 000
AGGREGATE
$
S
S
S
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNERIEXECUTIVE
OFFICERIMEM13ER EXCLUOE07
If yes, describe under
SPECIAL PROVISIONS below
'
_
N/A
TWC LIMITS ER
E.L. EACH ACCIDENT
—
$
E.L. DISEASE - EA EMPLOYEE
$
E.L DISEASE - POLICY LIMIT
—
S
OTHER
N/A
i
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
CITYOFF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
City of Fort Collins IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
P.O. BOX 580 1REPRESEM i ES
Fort Collinsns , CO 80522-0580 'tLD� v E
ACORD 25 (20011081
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