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HomeMy WebLinkAbout330448 JACO ENVIRONMENTAL - INSURANCE CERTIFICATE (5)Accw b® CERTIFICATE OF LIABILITY INSURANCE page 1 of 3 PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTE ONLY AND CONFERS NO RIGHTS UPON Willis of Seattle, Inc. HOLDER. THIS CERTIFICATE DOES NOT F 26 Century Blvd. ALTER THE COVERAGE AFFORDED BY TH. P. 0. Box 305191 Nashville, IN 37230-5191 INSURERS AFFORDING COVERAGE INSURED TACO Environmental, Inc. INSURERA: Lexington Insurance Co. PO Box 1478 Snohomish, WA 98291 INSURERB: American International Specialty Cr1VFRAr;FC DATE(MM/DD/YYYY) 09/18/2009 Lines NAIC# 19437- 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, INSR LTR DD' SRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE M V POLICY EXPIRATION D E MM/OD YYV LIMITS A X GENERAL LIABILITY 3628073 9/15/2009 9/15/2010 EACHOCCURRENCE $ 2,000,000 DAMAGE TORENTED PRfMISEs (Ed occurenrel 5 000 000 X COMMERCIAL GENERAL CLAIMS MADE NJ OCCUR MED EXP(Anyone person) __l $ PERSONAL &ADV INJURY $ 11000,000 X WA Stop Gap Included X $10,000 Deductible GENERAL AGGREGATE S 2 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PR� LOC PRODUCTS - COMP/OPAGG $ 2 000 000 AUTOMOBILE LIABILITY ANY AUTO COMBINEDSINGLE LIMIT (Ea accident) $ ALL 0 W NED AUTOS SCHEDULEDAUTOS BODILY INJURY (Perperson) § HIREDAUTOS NON -OWNED AUTOS BODILY$ (Per accident) q PROPERTYDAMAGE (Peraccident) § GARAG E LIABILITY AUTO ONLY - EA ACC (DENT $ OTHERTHAN EA ACC $ ANVAUTO § AUTOONLY: AGO EXCESS/ UMBRELLA LIABILITY EACH OCCURRENCE § AGGREGATE $ OCCUR El CLAIMS MADE S S DEDUCTIBLE § RETENTION S WORKERS COMPENSATION WC STATU OTH AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNEWEXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? T RV I I ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE S (Mandatory In NH) If yes, describe onder E.L.DISEASE - POLICY LIMIT S SPECIAL PROVISIONS below B OTHER CP013303348 9 15 2009 9 15 2010 Pollution Legal Liability $1, 000, 000 Per Incident including BI/PD & Cleanup $2, 000, 000 Aggregate 10000 Deductible Each Incident DESCRIPTION OF OPERATIONS / LOCATIONB/VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS See Attached: City of Fort Collins Attn: Opal Dick 700 Wood St. Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 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 025(2009/01) Coll:2 Tp1:979406 Cert:13069026 ©1988-2 the ACORD name and logo are registered marks of ACORD TION- All rinhrs WII IS CERTIFICATE OF LIABILITY INSURANCE DATE Page 2 of 3 09/18/2009 PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Willis of Seattle, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 26 Century Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. O. Box 305191 Nashville, TN 37230-5191 INSURERS AFFORDING COVERAGE NAICM INSURED JACO Environmental, Inc. INSURERA: Lexington Insurance Co. 19437-000 PO Box 1478 Snohomish, WA 98291 INSURERR: American International Specialty Lines In 26883-091 INSURER D: Professional Liability Carrier: Executive Risk Indemnity Inc. Policy Number: 81996690 Effective Date: 09/15/2009 Expiration Date: 09/15/2010 Limits: $1,000,000 Each Claim $1,000,000 Aggregate $ 15,000 Retention, Each Claim It is agreed that City of Fort Collins and its officers, agents and employees are included as Additional Insureds as respects to General Liability where required by written contract. Coll:2810988 To1:979406 Cert:13069026 Page 3 of 3 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. ACORD 25(2009/01) Coll:2810988 Tn1:979406 ram