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Home My WebLink AboutUNITED SITE SERVICES - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE DATE/OD/YYYY) 11/02/07 PRODUCER 1-212-295-8000 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Integro USA Inc dba Integro Insurance Brokers 3 Times Square ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW 9th Floor New York, NY 10036 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA Liberty mutual UNITED SITE SERVICES INSURER Zurich North America INSURER P O. BOX 219 INSURERD COMMERCE CITY, CO 80037 INSURER E C(1VFRAn FR 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 INSfl ADD L POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A GENERAL LIABILNY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE LK OCCUR TB2-641-435338-027 11/03/07 11/03/08 EACH OCCURRENCE $1,000,000 PREMISES EaepCarepCe $ 100,000 MED EXP(Any one person) $10,000 PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGG R EGATE LI MIT APPLI ES PER X POLICY PRO LOC PRODUCTS-COMP/OP AGG $2,000,000 A AUTOMOBILE LIABILITY ANVAUTO ALLOWNEDAUTOS SCHEDULED AUTOS HIRED AUTOS NON OWNED AUTOS AS2-641-435338-037 11/03/07 11/03/08 COMBINED SINGLE LIMIT (Ea accident) $2. 000, 000 X X BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ PROPERTVDAMAGE (Peracadent) $ GARAGELIABILITY ANVAUTO 7 AUTO ONLY -EA ACCIDENT $ OTHERTHAN EAACC AUTOONLV AGG $ $ B EXCESS/UMBRELLA LIABILITY X I OCCUR 71 CLAIMS MADE DEDUCTIBLE RETENTION $ AUC 427541603 11/03/07 11/03/08 EACHOCCURRENCE $5,000,000 AGGREGATE $ 5,000,000 $ Is A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIV E OFFICERMEMBER EXCLUDED' Ii yes Uescnbe under SPECIAL PROVISIONS below WA7-64D-435338-017 11/03/07 11/03/08 X I WCSTATU OTH EL EACH ACCIDENT $1,000,000 EL DISEASE EA EMPLOYEE $1,000,000 EL DISEASE -POLICY LIMIT $1,000.000 OTHEfl DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CITY OF FORT COLLINS IS AN ADDITIONAL INSURED AS REQUIRED BY WRITTEN CONTRACT. 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 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL PO BOX 580 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE / ^� fr�iT�yTTII»�.__ FORT COLLINS, CO 80522 USA / 4r ACORD 25 (2001/08) cl loyd ®ACORD CORPORATION 1988 7443764 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)