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Home My WebLink AboutS AND S SANITATION - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE OP ID S&SSA-1 GATE(107/07 09 07 07 PRODUCER LBN Insurance Agency 4848 Thompson Pkwy Johnstown CO 80534 Phone:970-635-9400 Fax:970-635-9401 THIS CERTIFICATE IS ISSUED 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 NAIC# INSURED S & S Sanitation, Inc. 559. S. St. Louis Loveland CO 80539 INSURER A: United Fire & Casualty INSURER B: Pinnacol Assurance 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. LTR WOO' INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDDM' POLICYEXPIRATION DATE MM/DOIYY LIMITS ji GENERAL LIABILITY }{ COMMERCIAL GENERAL LIABILITY CLAIMS MADE Fx_] OCCUR 60033560 09/11/07 09/11/08 EACH OCCURRENCE $ 1,000,000 D PREMISES(Ea occurrence) $100,000 MED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY $1,000,000 GENERAL AGGREGATE s2,0001000 GENT AGGREGATE LIMIT APPLIES PER. POLICY PRO- JECT 7 LOC PRODUCTS - COMP/OP AGG $2,000,000 A AUTOMOBILE LIABILITY ANY aura ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 60033560 09/11/07 09/11/08 COMBINED SINGLE LIMIT (Ea accident) $ 1, 000, 000 BODILY INJURY (Per person) $ X X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Par accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY. AGG $ $ A EXCESSIUMBRELLA LIABILITY X OCCUR ❑ CLAIMS MADE DEDUCTIBLE X RETENTION $ 10, 000 60033560 09/11/07 09/11/08 EACH OCCURRENCE $1,000,000 AGGREGATE $ 1,000,000 $ $ $ B _ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED' -t yes, describe under SPECIAL PROVISIONS below 2160642 07/01/07 07/01/08 X I TORVLIMITS X ER E.L. EACH ACCIDENT $500,000 E.L. DISEASE-EAEMPLOYEE $,500,000 E. L. DISEASE -POLICY LIMIT $500, 000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS ALL OPERATIONS - ALL LOCATIONS CERTIFICATE HOLDER CANCELLATION CITY OF FORT COLLINS TREASURE DIVISION P.O. BOX 580 FT. COLLINS CO 80522 CITYOFF I SHOULDANYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOI 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 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR FTKiflI.. iDhLiFl6R 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. MOMS)