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HomeMy WebLinkAbout132133 WASTE-NOT RECYCLING - INSURANCE CERTIFICATE (16)ACOR_D,. CERTIFICATE OF LIABILITY INSURANCE OP ID CH DATE(MMIDD/YYYY) EARTH-3 OS 28 09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE LBN Insurance Agcy-Johnstown HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 4848 Thompson Pkwy, Ste 200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Johnstown CO 80534 Phone: 970-635-9400 Fax: 970-635-9401 INSURERS AFFORDING COVERAGE 4NA!C# INSURED INSURER A: Mountain states insurance cro Earth Enter rises, Inc. Dba Waste Not Recycling 1065 Poplar Street Loveland CO 80537 INSURERS INSURER C: 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. NSR LTR n NSR1 TYPE OF INSURANCE POLICY NUMBER UCY-EPFEC-TW DATE MMIDDlYY POUICTRYPTIRWT-10W"-- DATE (MMIDDffYI - LIMITS GENERAL LIABILITY EACH OCCURRENCE $$1, 000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE FX OCCUR CPP0099342 06/03/09 06/03/10 PREMIS�ESEaoccur�ence)_$$100,000 MED EXP (Any one person) $ $10 , 000 _X UND247_0402 BLKT ADD'L INSURED PERSONAL& ADV INJURY $$11000,000 X UND390 GENERAL AGGREGATE $$2,000,000 PRIMARY/NON-CONTRIBUTORY GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ POLICY X PRO- JECT LOC A AUTOMOBILE LIABILITY ANY AUTO CPP0099342 06/03/09 06/03/10 (EaCOMBWEDSINGLE OMIT CO accident) s$1,000 000 r ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) X HIRED AUTOS NON -OWNED AUTOS X BODILY INJURY (Per accident) $ X X Hired/Non-Owned COMP DED: $100 COLL DED: $1 000 PROPERTY DAMAGE (Per accident) $ X Hired/Non-Owned GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO N/A OTHER THAN EAACC AUTO ONLY: AGG $ $ A EXCESS/UMBRELLA LIABILITY X OCCUR CLAIMS MADE CPP0099342 06/03/09 06/03/10 EACH OCCURRENCE $$1,000,000 AGGREGATE $$1, 000, 000 DEDUCTIBLE $ X RETENTION $10000 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER&XECUTIVE OFFICERIMEMBER EXCLUDED?---- Ves, describe under ECIAL PROVISIONS below N/A TORV LIMITS ER --ER E.L. EACH ACCIDENT $ E.L.DISEASE-EA EMPLOYEE _____..___ E.L. DISEASE -POLICY LIMIT I $ $ OTHER B Errors & Omissions 2987BRT00003 06/03/09 06/03/10 Aggregate $1,000,000 Ea. Claim $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS UMM I IrIUA It MULLltra GANGELLATION 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 DO SO SHALL City of Fort Collins IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR P.O. BOX 580 REPRE NTAT ES—. Fort Collins, CO 80522-0580 AUTHOR RE sP�N�A�Tdv€ I .-, 1 25 (2001/08) ©ACORD 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. onnvnm