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Home My WebLink AboutSOURCE ENVIRONMENTAL AET ENVIRONMENTAL INC - INSURANCE CERTIFICATE�COR� CERTIFICA fE OF LIABILITY INSURANCE OP ID AL DATE(MM/DD/YYYY) SOUE001 1 05 18 09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIO Henry Ham Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. Box 100547 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 645 E. Evans Ave. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOV Denver CO 80250 Phone: 303-744-1341 Fax:303-744-0654 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Argonaut Insurance Company INSURER B: Pinnacol Assurance Source Environmental, Inc. INSURER C: DBA• AET Environmental, Inc 14-16 Lakeside Lane INSURERD: Denver CO 80212 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. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATECMMIDDmYY DATE MM/DDPOLICY NYYOYN LIMITS GENERAL LIABILITY EACH OCCURRENCE $ cTED— PREMISES (Ea occurence) $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE DOCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY JE LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR F-ICLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION B A AND EMPLOYERS' LIABILITY Y / N ANY PROPRIEfOR/PARTNER/EXECUTIVEIi OFFICER/MEMBER EXCLUDED? (Mandatory in NH) 3445583-COLO ONLY 4771082842-NV,UT,TX,FL,GA 05/01/09 05/01/09 05/01/10 05/01/10 TORY LIMITS ER E.L. EACH ACCIDENT $ 1000000 E.L. DISEASE - EA EMPLOYE $ 1000000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 1000000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS UtMIIII-RoAIt HUL.ULK CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATH CITF002 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 0 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 REPRESENTATIVES. P O BOX 580 AUTF ]ZED REPRESENTATIVE ACO The ACORD name and logo are registered marks of 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 This Certificate of Insurance 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.