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HomeMy WebLinkAboutSECURITY DOCUMENT DESTRUCTION - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE OP ID DATE (MM DO/07 SECURID 10 18 07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Brown 6 Brown Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 125 S Howes, 5th Floor HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1 P O Box 2226 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Fort Collins CO 80522-2226 Phone: 970-482-7747 Fax:970-484-4165 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER Mountain States Mutual INSURER B Pxnnacol Assurance I Security Document Destruction --National Recycling Inc DBA INSURER INSURERD PO Box 2472 Ft Collins CO 80522-2472 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 ILNTR INSR TYPE OF INSURANCE POLICY NUMBER DATEPVMMNOEOm I DATE MMIDDM LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE FX� OCCUR CPP011394802 11/21/07 11/21/08 EACH OCCURRENCE $ SOOOOOO PRAEMSES Eaoaaurence $ 100000 MED EXP (Any one person) $ 10000 PERSONAL S ADV INJURY $ 1000000 GENERAL AGGREGATE $ 1000000 GEN L AGGREGATE LIMIT APPLIES PER POLICY n PE0. n LOC PRODUCTS COMPIOP AGG $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-0WNED AUTOS BAP011394802 11/21/07 11/21/08 COMBINED SINGLE LIMIT (Ea accident) $1000QQQ X', BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY AGG $ I $ A EXCESSIUMBRELLA LIABILITY X OCCUR �CLAIMSMADE DEDUCTIBLE 7( I RETENT-ON $10000 UMB011394802 11(21J07 11/21/08 EACH OCCURRENCE $1000000 AGGREGATE $1000000 8 $ $ B WORKER? COMPENSATION AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? If yes descnde under SPECIAL PROVISIONS below 4108948 10/01/07 10/01/08 TX a.- TORYTAFU- LIMITS ER EL EACH ACCIDENT $1000000 EL DISEASE EA EMPLOYE $1000000 EL DISEASE POLICY LIMIT 1 $ 1000000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS FTCPURC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOI DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 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 215 N Mason Fort Collins CO 80522 REPRESENTATIVES ACORD 25 (2001/081 © ACORD ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID LD DATE (MMS OYYYY) SECURID 10 18 07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Brown 6 Brown Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 125 S Howes, Sth Floor P O Box 2226 HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Fort Collins CO 80522-2226 Phone 970-482-7747 Fax 970-484-4165 INSURERS AFFORDING COVERAGE NAIC It INSURED INSURER Mountain States Mutual INSURER Pinnacol Assurance ` Security Document Destruction National Recycling Inc DBA w$URERC INSURER PO BOX 2472 Ft Collins CO 80522-2472 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 NSR' LTR NSR TYPE OF INSURANCE POLICY NUMBER DAM (MMIIDIY' DATE MM DD/YY N LIMITS A X I �G�E INERAL LIABILITY M X COMMERCIAL GENERAL LIABILITY MADE OCCUR CPP011394802 11/21/07 11/2108aE«curence$1DCLAIMS RRENCE $lOOOOOO y onaperson) t $ 10000 ADV INJURY $1000000 GENERAL AGGREGATE $ 1000000 GEN'L AGGREGATE LIMIT APPLIES PER P PRO- PRO LOC JECT PRODUCTS COMPIOP AGG $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS BAP011394802 11/21/07 11/21/08 COMBINED SINGLE LIMIT IEe accident) $ 1000000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY AGG f $ A EXCESSIUMBRELLA LIABILITY X OCCUR u CLAIMSMADE DEDUCTIBLE IX-1 RETENTION $ 10000 UMB011394802 11/21/07 11/21/09 EACH OCCURRENCE $ lOOOOOO AGGREGATE $ 1000000 8 $ $ B WORKERS COMPENSATION AND EMPLOYERS' IETORJLIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? If yas describe under SPECIAL PROVISIONS below 4108948 10/01/07 10/01/08 X TOR YLIMI fi IH EL EACH ACCIDENT $ 1000000 EL DISEASE -EA EMPLOYE $ 1000000 EL DISEASE -POLICY LIMIT $ 1000000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS City of Fort Collins is included as Additional Insured as respects the operations of the named insured. IiCRI1f IVXIC 11VLVCR CITYFI0 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WALL ENDEAVOR TO MAIL 10 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 215 N Mason St. Fort Collins CO 80521 REPRESENTATIVES (200110R) © ACORD CORPORATION 198E