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RI JUNG DBA COLORADO ENVIRONMENTAL SERVICES LTD - INSURANCE CERTIFICATE
ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID Ms _.. COEW-1 11/13/09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Forsberg Engerman Company HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 3575 S . Sherman St. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Englewood CO 80113 Phone : 303-762-1717 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A P Westchester Surplus Lines Ins RI Jung Inc dba INSURER Redland Insurance Company Colorado Environmental Services Ltd INSURERC Pinnacol Assurance 4601 Glencoe St INSURER Denver CO 80216 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 RESPECTTO 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 INSR TYPE OF INSURANCE POLICY NUMBER DATE (MM/DDIYY) DATE (MM/DDIYY), LIMITS A A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 7 OCCUR X Pollution G22073527004 G22073527004 03/01/09 03/01/09 03/01/10 03/01/10 EACH OCCURRENCE $2000000 PREMISE�E occurence) $ 50000 MED EXP (Any one person) $ 5000 PERSONAL & ADV INJURY $2000000 GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER POLICYFX7 PROJECT 7 LOC PRODUCTS - COMP/OP AGG $ 2 0 0 0 0 0 0 Pollution 2000000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS RICC00002528 06/15/09 06/15/10 COMBINED SINGLE LIMIT (Ea accident) $ 1000000 X BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY. AGG $ $ EXCESSIUMBRELLA LIABILITY OCCUR ❑ CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ $ C WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below 4135606 11/14/09 02/01/10 X ITORY LIMITS --I ER EL EACH ACCIDENT $ 100000 E.1- DISEASE -EA EMPLOYEE $ 10 0 0 0 0 EL DISEASE -POLICY LIMIT $ 500000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS (aR I II-ICATE MOLDER CANCELLATION CITYFOR 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 Purchasing Dept PO BOX 580 REPRESENTATIVES. Ft Collins CO 80522 AUTHORJPDR,EPRESFTATIVEi - _ ACORD 25 (2001/08) © ACORD CORPORATION 1988