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Home My WebLink AboutJACO - INSURANCE CERTIFICATE (2)ACORD. CERTIFICATE OF LIABILITY INSURANCE Page 1 of 2 TE oz/2e%2oo7 PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Willis North America, Inc. 26 Century Blvd. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. O. Box 305191 Nashville, TN 372305191 INSURERS AFFORDING COVERAGE NAIC# INSURED ,TACO Environmental, Inc. INSURERA: Lexington Insurance Co. 19437-000 PO Box 1478 Snohomish, NA 98291 INSURERB: St. Paul Fire and Marine Insurance Compan 24767-001 INSURERC: Commerca and Industry Insurance Company 19410-003 INSURERD:American International Specialty Lines In 26883-002 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. INSR LTR DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A GENERALLIABILITY 7351449 9/15/2006 9/15/2007 EACHOCCURRENCE $ 2,000,000 PRMMISET EaEo=rence $ 1,000,000 $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE FZ OCCUR MED EXP(Anyone person) $ PERSONAL&ADV INJURY $ 1,000,000 X WA Stop Gap Included X $10,000 Deductible GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY PRO- LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea amident) $ BODILY INJURY (Per Person) $ ALL OWNED AUTOS SCHEOULEDAUTOS BODILYINJURY (Peraccident) $ HIREDAUTOS NON -OWNED AUTOS PROPERTYDAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY -EA ACCIDENT $ OTHERTHAN EAACC $ ANYAUTO $ AUTO ONLY: AGG B EXCESSLIABILITY QK08400048 9/15/2006 9/15/2007 EACH OCCURRENCE $ 4,000,000 X OCCUR CLAIMS MADE AGGREGATE $ 4.000.000 $ DEDUCTIBLE $ X RETENTION $ 100O C C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOIPARTNER/EXECUTIVE AOS NC3424398 CA NC3424399 2/28/2007 2/28/2007 2/28/2008 2/28/2008 X IwcBTATU- oTH- E.L. EACH ACCIDENT $ 1 000 000 E.L. DISEASE - EA EMPLOYEE $ 1.000.000 OFFICER/MEMBER EXCLUDED? 11 yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMB $ 1,000,000 D OTHER 1361078 9/15/2006 9 15 2007 Pollution Legal Liability $1,000,000 Per Incident including BI/PD & Cleanup $2,000,000 Aggregate 25 000 Deductible Each Incident DESCRIPTION OF OPERATIONEJLOCATIONSIVEHICLE&EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS The Workers' Compensation AIDS policy covers Oregon, Nevada, and Utah only. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 0 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 Purchasing Division Attn: Christine Patterson -Jarvis 700 Wood Street REPRESENT ES. AUTHOR AEPREGIATIP Fort Collins, CO 80522-0580 /J_ k ACORD 25 (2001/08) Coll:1905635 Tpl:602788 Cert:8614632 ®ACORDCORPORATION 1988 Page 2 of 2 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. AUUHLJ 25(2U07/03) C011:1905635 Tp1:602758 Cert:8614632