HomeMy WebLinkAbout132133 WASTE-NOT RECYCLING - INSURANCE CERTIFICATE (15)ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID CH DATEDD/
EARTH-3 066/ 02 08 08
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
LEN Insurance Agency
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
4848 Thompson Pkwy
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Johnstown CO 80534
Phone:970-635-9400 Fax:970-635-9401
INSURERS AFFORDING COVERAGE
NAIC#
INSURED
INSURER A: Mountain et.t.e Insurance Grp
INSURER B: Undarerit.n..t Lloyd., London
Earth Enterprises, Inc.
Dba Waste Not Recycling
1065 Poplar Street
Loveland CO 80537
INSURERc
INSURER D:
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.
LTRINSRE
TYPE OF INSURANCE
POLICY NUMBER
DATE(MMDO")
PDAYSMMIOD/YYN
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE ® OCCUR
R UND2470402
CPP0099342
BLKT ADD'L INSURED
PRIMARx/KOM-wMTazeUxoar
06/03/08
06/03/09
EACH OCCURRENCE
$$1,000,000
PREMISES (Ea occurenoe)
$$100,000
MED EXP (Any one person)
$ $10 , 000
PERSONAL BADVINJURY
$$1,000,000
X
UND390
GENERAL AGGREGATE
$$2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY X PERCO-
T LLOC
PRODUCTS - COMP/OP AGG
$
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
CPP0099342
06/03/08
06/03/09
COMBINED SINGLE LIMIT
(Eaa"ment)
E$1 OOO DDD
'
BODILY INJURY
(Per person)
E
$
X
BODILY INJURY
(Per accident)
E
X;
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
N/A
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EAACC
AUTO ONLY: AGG
$
$
A
EXCESS/UMBRELLA LIABILITY
R I OCCUR CLAIMS MADE
DEDUCTIBLE
7[ RETENTION $ 10000
CPP0099342
06/03/08
06/03/09
EACH OCCURRENCE
$$1,000,000
AGGREGATE
$$1,000,000
f
$
$
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
N/A
TORYLIMITS ER
E.L. EACH ACCIDENT
$
E.L. DISEASE-EAEMPLOYEE
E
E.L. DISEASE -POLICY LIMIT
1 $
B
OTHER
Errors S Omissions
2987BRT00003
06/13/08
06/13/09
Aggregate $1,000,000
Ea. Claim $1 000 000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
CERTIFICATE HOLDER CANCELLATION
CITYOFF
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 D 80 SHALL
City
of Fort Collins
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
P.O.
Box 580
REPRESENTATIVES.
AUT r RESE ATIV .
Fort Collins, CO 80522-0580
ACORD 25 (2001/08) ® ACORD CORPORATION 1988
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.
(2001/08)