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Home My WebLink AboutBIO KLEAN WORLD ENVIRONMENTAL - INSURANCE CERTIFICATE10/4/2007 8 58 AM FROM SCB Beckett TO 2216101 PAGE 001 OF 002 ACORD,M CERTIFICATE OF LIABILITY INSURANCE DATEIYINY) 09/07/27/2007 PRODUCER (970) 484-2805 John C Beckett & Associates, Inc 220 Smith Street Ft Collins CO 80524- 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 NAIL9 INSURED Bio Klean World Environmental, Inc. 145 West Swallow Road, Ste A2 Fort Collins CO 80525-2500 INSURER BURLINGTON INSURANCE CO INSURERE INSURERC INSURER D INSURERS 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 ADDL INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE(MM)DDAYY) POLICY EXPIRATION DATE(MMADIVY) LIMITS A GENERAL LIABILITY 21OB522032 07/27/2007 07/27/2008 EACH OCCURRENCE $ 500,000 X COMMERCWL GENERAL LV+9UITY CLAIMS MATE OCCUR % / / DAMAGE TO RENTED PRFOASEP Ea.oe ..mw $ 100,000 MED EXP(Any one pompn) $ 5,000 PERSONAL aAD✓INJURY $ 500,000 _ GENERALACrRECATE $ 1,000,000 GEM, AGGREGATE LIMIT APPLIES PER PRODUCTS COMPi PAGG $ 1,000,000 X1 POLICY LOT TOO ADTOMOSILELIASILITY ANY AUTO NO COVERAGE / / / / COMBINED SINGLE LIMIT (HeaardenU $ BODILYIIJJORY IPer person) $ ALL OWNED AUTOS SCHEDULED AUTOS % % 1 % 80C4IINJJRI (ParaccldaRM $ WREDAUTOS NON 0ANED AUTOS / PROPERTY DAMAGE (Pera,ed.nO $ GARAGE LIABILITY AUTO ONLY EAACCIDENT $ OTHERTHAN FA ACT $ ANVaHTO NO COVERAGE / I / / $ AUTO ONLY ATG EXDESSIUMBRELLA LIABILITY NO COVERAGE i / EACH OCCURRENCE B OCCUR CLAIMSMADE PGOPEGATE $ DEDUCTIBLE 3 RETENTION 8 WORKERS COMPENSATION AND EMPLOYERS LIABILITY NO COVERAGE / I / / TORY LIMITS O FL EL EACH ACCIDENT $ ANY PROPRIETOR/PARTNEDEXECUTIVE EL DISEASE -EA EMPWYFFB CGFICERAAEMRER EXCLUDF59 J / { / I,' A"ben,cer ELDISEASE -POLICY LIMIT Is SPECOLPRO VISIONSbelow OTHER NO COVERAGE DESCRIPTION OF OPERATIONSI-OCATIONSNEHICL ES,EXCL USIONS ADDED BY ENOORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER IS LISTED AS ADDITIONAL INSURED IN REGARDS TO THE GENERAL LIABILITY - (970) ADMINISTRATIVE SERVICES CITY OF FORT COLLINS P 0 BOX 580 FORT COLLINS CO 07 I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TD THE LEFT BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY HIND UPON THE , rrr ACORD 25 (2001/08) @ACORD CORPORATION 1988 *n- INS025 (nIOP) 05 ELECTRO IIIC LASER FOPMO INC-r000L52-05a5 Page I oC 10r4/2007 P 58 AM FROM JOB Beckett _Associates TO 2216707 PACE D02 OF 002 TH99TEVERE 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 AU JKr] Zb (Z UU11U0) t,-,- INS025 (010P) 05 Page 2 of 2