HomeMy WebLinkAbout132133 WASTE-NOT RECYCLING - INSURANCE CERTIFICATE (20)ACORD CERTIFICATE OF LIABILITY INSURANLed EARTH 3 I DA05/316'
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
LBN Insurance Agenay-GR HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
3459 W 20th Street Suite 224 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Greeley CO 80634
Phone : 970-356-1133 Fax : 970-356-4088 INSURERS AFFORDING COVERAGE NAIC 9
INSURED
Ea�r�iith Enterprises, Inc.
No
LovelaORlar $053Waste ot 7 cling
COVERAGES
INSURER A: mountain States Insurance
INSURER B:
INSURER C:
INSURER D:
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.
INN LTR
NSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MWDDIYY
POLICY FXPIIMN
DATE MMID
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
S $1 , 000 , OOO
PREMISES Es occurence
S $10O 000
A
X COMMERCIAL GENERAL LIABILITY
CPPOO9934202
06/03/06
06/03/07
MED EXP (Any one person)
_
i $10 , 00 0
CLAIMS MADE i ] OCCUR
PERSONAL S ADV INJURY
$ $1 , 000 , 000
Blanket Add' 1 Ins
UND 247 0402
GENERAL AGGREGATE
s$2 000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMPIOP AGG
S $2 , O00 , OOO
PRO -
POLICY FX_1 JECT LOC
EC
A
AUTOMOBILE
LIABILITY
ANY AUTO
BAP009934202
06/03/06
06/03/07
COMBINED SINGLE LIMIT
(Ea accident)
f$1,000,000
X
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
X
BODILY INJURY
(Per accident)
S
HIRED AUTOS
NON -OWNED AUTOS
X
PROPERTY DAMAGE
(Per accident)
S
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
S
OTHER THAN EA ACC
S
ANY AUTO
N/A
S
AUTO ONLY: AGG
EXCESSIUMBRELIALIABILITY
EACH OCCURRENCE
$$1,000,000
AGGREGATE
S
A
X OCCUR CLAIMSMADE
UMB009934202
06/03/06
06/03/07
f
DEDUCTIBLE
X RETENTION S 10000
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNER/EXECUTIVE
f^6-'' e '' �''�
N/A
TDRYLIMITS ER
E.L.EACH ACCIDENT
ItE.L.
E.L. DISEASE - EA EMPLOYEE
S
OFFICERIMEMBER EXCLUDED?
It yyas. describe under
SPECIAL PROVISIONS below
E.L. DISEASE -POLICY LIMIT
f
OTHER
N/A
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
--------------
CERTlc/rA re HOLDER CANCELLATION
C I TYOFF
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 TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR
City of Fort Collins
P.O. BOX 580
REPRESS TATIVES.
t75TMXRTF
Fort Collins, CO 80522-0580
ACORD 25 (2001/08) rb ACORD CORFORAl iON T 965