HomeMy WebLinkAbout132133 WASTE-NOT RECYCLING - INSURANCE CERTIFICATE (9)scow CERTIFICATE OF LIABILITY INSURANCE
DATE(MNUDDIYYYY)
LBN Ins<+rance Agency-GR
3469 W 20th Street Suite 224
Greeley CO 80634
Phone:970-356-1133 Fax:970-356-4088
Earth Enterprises, I�Lc.
dba Waste Not Recycling
1065 Poplar Street
Loveland, CO 80537
rnvicee�cc
THIS CERTIFICATE ( SUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE I NAIC #
INSURER A: Mountain states mutual Cas. co
INSURER B:
INSURER C
INSURER D.
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 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.
LTR
NS
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE
POLICY EXPIRATION
DATE IMMIDDIM
LIMITS
A
GENERAL LABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE a OCCUR
CPPOO9934202
'
06/03/05
-
06/03/06
EACH OCCURRENCE
$1 DOO DOD_
PREMISES Esocaurance)
$ 100,000
MED EXP (Arty one person)
_
$10 , 000
PERSONAL & ADV INJURY
$ 1,DDD,DDD
s
GENERAL AGGREGATE
S 2 ODD DDD
GENT AGGREGATE LIMIT APPLIES PER:
POLICY }( PRO- n LOC
JECT
PRODUCTS - COMPIOP AGO
$ Included
_
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
MIRED AUTOS
NON -OWNED AUTOS
BJLP009934202
06/03/05
l
06/03/06
!'
COMBINED SINGLE LIMIT
(Ea aedderd)
S1,000,000
BODILY INJURY
(Per person)
S
X
X
BODILY INJURY
(Per xatleM)
$
X
PROPERTY DAMAGE
(Per atCidetd)
f —
GARAGE LABILITY
ANY AUTO
N/A
AUTO ONLY - EA ACCIDENT
i
OTHER THAN EA ACC
AUTO ONLY: AGO
S
i
A
EXCESS/UMBRELLA LABILITY
X OCCUR nCLAIMSMADE
HDEDUCTIBLE
X RETENTION $10DOD
UMB009934202
06/03/05
06/03/06
EACH OCCURRENCE
S 1,000,000
AGGREGATE
$1,000,000_
S
_
S
WORKERS COMPENSATION AND
EMPLOYERS- ABILITY
ANYPROPRIETOWPARTNERIEXECUTIVE
OFFICERIMEMBER EXCLUDED?
If yes. describe urKW—
SPECIAL PROVISIONS below
N/A
TATUi
TORY LIMITS JOTH
ER
E.L. EACH ACCIDENT
—
$
E.L. DISEASE - EA EMPLOYEE
S
E.L. DISEASE - POLICY LIMIT
i
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
C:tK I II(:A I t MULUEK CANCELLATION
CITYOFF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAUL 10 DAYS WRITTEN
NOTICE TO THE CERTIFK;A MOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
City of Fort Collins IMPOSE NO OBIL LABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
P.O. Box 580
Fort Collins, CO 80522-0580 AUT Fr
ACORD 25 (20011081 V V d'J er-nwn cnRPnQATInNI IBRA