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HomeMy WebLinkAboutHEIMBUCK DISPOSAL - INSURANCE CERTIFICATE (9)ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID B DATE(MM/DO/YYYY) HEIMB-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 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 631 Birch Street, Unit D Windsor CO 80550 Phone:970-674-8825 Fax:970-674-8826 Heimbuck Disposal, Inc. Tim Heimbuck PO Box 270310 Fort Collins CO 80527 AGES INSURERS AFFORDING COVERAGE NAIC # INSURER A: Allied Insurance Company INSURER B: Employers 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 DATEYMM/DDIYY DATE MM/DD/YY LIMITS A GENERAL LIABILITY X COMMERCIALGENERAL LIABILITY CLAIMS MADE X❑ OCCUR ACPMCT07511662675 11/01/05 11/01/06 EACH OCCURRENCE $ 1000000 PREMISES (Ea occurence) $100000 MED EXP (Any one person) s 5000 PERSONAL B ADV INJURY $ 1000000 GENERAL AGGREGATE s 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO LOC JECT PRODUCTS - COMP/OP AGG s 2000000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS ACPBA7511662675 11/01/05 11/01/06 COMBINED SINGLE LIMIT (Ea accident) $1000000 X BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Peraccident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG It $ EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION s EACH OCCURRENCE $ AGGREGATE $ E $ $ B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? S yes. describe PROVISIONS SPECIAL PROVISIONS below FN-329393-01 08/01/06 08/01/07 70RV LIMITS X ER E.L. EACH ACCIDENT s500000 E.L. DISEASE - EA EMPLOYEE s500000 E.L. DISEASE - POLICY LIMIT $500000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER GAIVGtLLA I IUIV CTYFTCO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 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 Attn: Linda P.O. BOX 580 REPRESENTATIVES. Fort Collins CO 80522 AUTHORIZED REPRESENTATIVE ACORD 25 (2001108) © ACORD C4VRPORATION 1988