HomeMy WebLinkAbout132133 WASTE-NOT RECYCLING - INSURANCE CERTIFICATE (12)ACORDM CERTIFICATE = LIABILITY INSURANCE DATE 4/1MIDOIYYYY)
04/14/2003
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Colorado Farm Bureau Mutual Ins. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
2205 1ST Ave. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Greeley, CO 80631
970-352-9408 SCOTT PEARCEY INSURERS AFFORDING COVERAGE NAIC#
INSURED EARTH ENTERPRISES INC, INSURERA: CFBMIC
AKA WASTE NOT RECYCLING INSURER B:
1205 HOPE AVENUE INSURERC:
PIERCE, CO 80650 1 INSURER D:
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 PAIDCLAIMS.
MR
LTR
L
raRD
TYPE F INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MWD
POUCYEXPIRATION
DATE MMID
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1, 0 0 0, 0 0 0
MERCIALGENERAL LIABILITY
PREMISES Ea occurence
$1,000,000
�17MCLAIMSMADE OOCCUR
MED EXP(Anyone person)
IS5,000
A
CL502166
11/09/02
11/09/03
PERSONAL&ADVINJURY
$1, 000, 000
GENERAL AGGREGATE
s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS -COMP/OPAGG
$ 2 , 0 0 0 , 0 0 0
X POLICY FE OT LOC
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMB
$ [j 0 Q, D O Q
ANYAUTO
(Ea accident)
BODILY INJURY
(Per person)
$
ALL OW NED AUTOS
SCHEDULEDAUTOS
X
A
HIRED AUTOS
NON-OWNEDAUTOS
CL502166
11/09/02
11/09/03
BODILYINJURY
(Peraccident)
$
PROPERTY DAMAGE
(Peraocident)
$
GARAGE LIABILITY
AUTOONLY-EA ACCIDENT
$
OTHERTHAN EAACC
$
ANYAUTO
$
AUTOONLY: AGG
EXCESS/UMBRELLA LIABILITY
EACH OCCURRENCE
$1 , 0 0 0, 0 0 0
X OCCUR CLAIMSMADE
AGGREGATE
$1 , 0 0 0, 0 0 0
UM359003
11/09/02
11/09/03
$
X
DEDUCTIBLE
$
X RETENTION $ 10,000
$
WORKERSCOMPENSATIONAND
EMPLOYERS' LIABILITY
MY PROPRIETOILPPATNERIEXECUiIVE
WC STATU- OTH-
RY IM EfL
E.L. EACH ACCIDENT
$
cL. DISESc- EA EMFLO\eE
$
�FFICERVEMBER=..-.,VED
ttyes, doscnbeunder
SPECIAL PROVISIONS below
E.L. DISEASE -POLICY LIMIT
$
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
RECYCLING COLLECTION
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
CITY OF FORT COLLINS DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
PO BOX 580 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
FORT COLLINS, CO 8 0 5 2 2 - 0 5 0 8 IMPOSE NO OBLIGATION OR LIABILITY OF ANY IOND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE w
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