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HomeMy WebLinkAboutHEIMBUCK DISPOSAL - INSURANCE CERTIFICATE (3)ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID DATE (MNVDDIYYYV) HEINEI-1 10 14 04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Renaissance Insurance Group HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 631 Birch Street, Unit D ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Windsor CO 80550 Phone:970-674-8825 Fax:970-674-8826 Heimbuck Disposal, Inc. Tim Heimbuck PO Box 270310 Fort Collins CO 80527 INSURERS AFFORDING COVERAGE NAIC # INSURER A: Allied Insurance Company INSURER B: Em to ers Compensation INSURER C. INSURER D INSURER E. 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 NSR TYPE OF INSURANCE POLICY NUMBER DATE (MDO/YY MI DATE MM/DDiYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1 , OOO OOO A X COMMERCIAL GENERAL LIABILITY ACPMCT07501662675 11/01/04 11/01/05 PREMISES(Eaoccurence) $100,000 CLAIMS MADE X❑ OCCUR MED EXP (Any one person) s5,000 PERSONAL & ADV INJURY $ 1 , QOQ 000 GENERAL AGGREGATE , $ 2 , 000 , 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2 000,000 POLICY RO X P JECT El LOC AUTOMOBILE LIABILITY A ANY AUTO ACPRA7501662675 11/01/04 11/01/05 COMBINED SINGLE LIMIT (Ea accident) $1 OOO r ,000 ALL OWNED AUTOS X BODILY INJURY $ SCHEDULED AUTOS (Par person) HIREDAUTOS X BODILY INJURY $ X NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ S DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILIT/ TORY LIMITS X ER E. L. EACH ACCIDENT $SQQQQQ B ANY PROPRIETOR/PARTNER/EXECUTIVE FN-329393-01 08 O1 / /OS 08/01/06 OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ SOOOOO yea describe E.L. DISEASE - POLICY LIMIT $ 500000 S ECIAL PROVISIONS below SPSIO OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS This certificate is provided in accordance with the above policy issued for the named insured. Limits shown may have been reduced by paid claims. CTYFTCO 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 Linda IMPOSE NO OBLIGATION OR LIABILITY OF Y KIND UPON THE INSURER, ITS AGENTS OR P.O. BOX 580 REPRESENTATIVES. Fort Collins CO 80522 AUTHORIZED REPRESENT 25 (2001/08) © ACORD CORPORATION 1988