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Home My WebLink About468473 VEOLIA ES TECHNICAL SOLUTIONS LLC - INSURANCE CERTIFICATE (2)1`6 R CERTIFICATE OF LIABILITY INSURANCE 0DATE 2/26/M/DDn'WY) L/ 02/26/2010 PRODUCER THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION Marsh USA Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1000 Main Street, Suite 3000 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Houston, TX 77002 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Attn: Specialty. CertRequest@marsh.com; 212-948-0564 1 0 1 0056-Veoli-Prima-09/1 0 HENDE No INSURERS AFFORDING COVERAGE NAIC # INSURED VEOLIA ES SPECIAL SERVICES, INC. INSURER A: New Hampshire Insurance Company 23841 9131 E 96TH AVE INSURER B: Insurance Company Of The State Of PA 19429 UNIT B2 HENDERSON, CO 80640 INSURER c:AlG Casualty Company 19402 INSURER D: National Union Fire Ins Co Pittsburgh PA 19445 INSURER E: Commerce And Industry Ins Co 19410 rnvFRAr. 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 LTRINSR� ADD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE(MM/DD/YYYY) POLICY EXPIRATION DATE(MM/DD/YYYY) LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE O OCCUR GL4572700 07/01/2009 07/01/2010 EACH OCCURRENCE 1 000 000 DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one person) $ 10,000 T C_ON-TRA .T IA I IABI.LI_TY_-RR PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 1,000,000 GENERAL AGGREGATE LIMIT APPLIES PER PRO X POLICY JECTF LOC PRODUCTS -COMP/OP AG $ 1,000,000 g B AUTOMOBILE X LIABILITY ANY AUTO CA4576281 (All Other States) CA4576282 (MA) 07/01/2009 07/01/2009 07/01/2010 07/01/2010 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BX ALL OWNED AUTOS CA4576283 (VA) 07/01/2009 07/01/2010 BODILY INJURY $ SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON-OWNEDAUTOS (Per accident) . PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ $ AUTO ONLY: AGG EXCESS / UMBRELLA LIABILITY OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE $ RETENTION $ A C D E WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / NE.L. OFFICER/MEMBER EXCLUDED? N (Mandatory in NH) If yes, describe under SPECIAL PROVISIONS below WC4552998 (AIDS incl WV) WC4552999 (AZ, MD & VA) WC4553000 (CA) WC4553001 (WI & STOP GAP) 07/01/2009 07/01/2009 07/01/2009 07/01/2009 07/01/2010 07/01/2010 07/01/2010 07/01/2010 X WC STATU- OTH- EACH ACCIDENT $ 1,000,000 L. DISEASE- Ea EMPLOYE $ 1,000,000 E.L. DISEASE- POLICY LIMIT $ 1,000,000 OTHER B Workers Compensation and WC1558356 (FL) 07/01/2009 07/01/2010 See Above Limits B Employers Liability WC0623124 (MA) 07/01/2009 07/01/2010 F WC4883561 (TX) 07/01/2009 07/01/2010 DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: ABATEMENT AT 140 EAST OAK STREET CITY OF FT COLLINS IS INCLUDED AS AN ADDITIONAL INSURED (EXCEPT AS RESPECTS ALL COVERAGE AFFORDED BY THE WORKERS' COMPENSATION POLICY) AS REQUIRED BY CONTRACT, BUT ONLY FOR LIABILITY ARISING OUT OF THE OPERATIONS OF THE NAMED INSURED. CERTIFICATE HOLDER Hnl I-nn 1 An1907_n9 f eldrFl I ATIAM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE CITY OF FT COLLINS EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 215 N MASON STREET 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 2ND FLOOR FT COLLINS, CO 80522 BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. or Barry N. Smith 0 1998-2009 ACORD CORPORATION. All Rights Reserved 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. ADDITIONAL INFORMATION HOU-001401297-02 0ATE(Mo;oryY) PRODUCER Marsh USA Inc. 1000 Main Street, Suite 3000 Houston, TX 77002 Attn: Specialty. CertRequest@marsh.com; 212-948-0564 010056-Veoli-Prima-09/10 HENDE No INSURED VEOLIA ES SPECIAL SERVICES, INC. 9131 E 96TH AVE UNIT B2 HENDERSON, CO 80640 rEXI INSURERS AFFORDING COVERAGE NAIC # INSURER F Illinois National Insurance Company 23817 INSURER G: N/A N/A INSURER H: N/A N/A INSURER I: