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Home My WebLink AboutJACO - INSURANCE CERTIFICATE (3)ACORD., CERTIFICATE OF LIABILITY INSURANCE Page 1 of 2 DATE 09/20/2006 PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Willie 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 JACO Environmental, Inc. INSURERA: Lexington Insurance Co. 19437-000 PO Box 1478 Snohomish, WA 98291 INSURERB:St. Paul Fire and Marine Insurance Compare 24767-001 INSURER C: Commerce and Industry Insurance Company 19410-003 INSURER D: 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 ADVIL TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION UM175 A GENERAL LIABILITY 7351449 9/15/2006 9/15/2007 EACHOCCURRENCE $ 2,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMSMADE ® OCCUR PR MIKETOIENcuD $ OOO OOO MED EXP(Anyone person) $ PERSONAL&ADV INJURY $ 11000,000 X WA Stop Gap Included X $10,000 Deductible GENERALAGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2 000 000 X POLICY F7 PRO- JECT F7 LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea aocitlent) $ BODILY INJURY (Perperson) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTYDAMAGE (Per accident) $ rl GARAGELIABILITY AUTO ONLY -EAACCIDENT $ OTHERTHAN EAACC $ ANYAUTO $ AUTO ONLY: AGG B EXCESS LIABILITY 9KOB400048 9/15/2006 9/15/2007 EACHOCCURRENCE $ 4,000,000 X OCCUR CLAIMS MADE AGGREGATE $ 4,000,000 $ RDEDUCTIBLE $ X RETENTION $ 10.00( C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ADS NC3421557 2/28/2006 2/28/2007 X wCTc2gSTATU• oTH- E.L. EACH ACCIDENT $ 1 QQQ QQQ C ANY PROPRIETOR/PARTNERIEXECUTIVE CA NC3421558 2/28/2006 2/28/2007 E.L. DISEASE - EA EMPLOYEE $ 110001000 OFFICERIMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 3,000,000 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 00 Deductible, Each Incident DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSKINS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Workers' Compensation AOS policy includes Utah and Oregon only. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 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 REPRESENTA31VES. 700 Wood Street AUTHOR REPREBENTA Fort Collins, CO 80522-0590 ACORD 25 (2001/08) Coll:1750664 Tpl:540539 Cert:7724702 ®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. ACORD 25 (2001/08) Co11:1750664 Tp1:540539 Cert:77247