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Home My WebLink About478600 ROCKY MOUNTAIN ENVIRONMENTAL SERVICES - INSURANCE CERTIFICATE (3)10/05/2010 11:02AM PINNACOL ASSURANCE PAGE 2 OF 3 CERTIFICATE OF LIABILITY INSURANCE DATE1005/010Y1 PRODUCER PINNACOL ASSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY 7501 E Lowry Blvd Denver, CO 80230-7006 AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# INSURED STINKING DBA ROCKY MOUNTAIN ENVIRONMENTAL SERVICE 2995 S FOX ST ENGLEWOOD, CO 80110 INSURERA: PINNACOL ASSURANCE 41190 INSURER B: INSURER C' INSURER D: 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 DOCUMMENT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AOD'L POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD TYPE OF INSURANCE POLICY NUMBER 0ATE(MM/00/YYY'Y) DATEIMWOO/YYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE DAMAGE TO RENTED COMMERCIALGENERALUASIUTY CLAIMS MADE 11 OCCUR PREMISES MED EXP(Any one peRon) PERSONAL IAOV INJURY GENLAGGREGATE LIMITAPPLIERS PER: GENERAL AGGREGATE PRODUCTS - COMP/OP AGO POLICY 7 PROJECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea ACCIGent) BODILY INJURY ALL OWNED AUTOS SCHEDULED AUT09 IP er person) BODILY INJURY HIRED AUTOS NON -OWNED AUTOS )Per accloent) PROPERTY DAMAGE )P er acc Ioent) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT OTHER THAN EAACC ,ANYAUTO AUTO ONLY: AO EICE33JUNERELLA LIABILITY EACH OCCURRENCE AGGREGATE OCCUR 0 CLAIMS MADE DEDUCTIBLE RETENTION 3 WORKERS COMPENSATION AND WC STATU- OTHER A EMPLOYER'S LIABILITY ANY PROPRIETORIPARTNERIE %EGUTIVE 4037249 11/01/2009 11/01/2010 TOS e.L EAF1,CH CHACACCIDENT $100,000 OFFICER/MEMSER EXCLUDED' E.LDISEA9E-EA EMPLOYEE $100,000 11 yes, please oes<tlbe under SPECIALPRWISIONS below E.LDISEASE-POLICY OMIT $500,000 OTHER DESCRIPTION OF OPERATIONSyLOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION 1264491 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE CITY OF FORT COLLINS THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR T ATTN: JOHN STEPHEN PURCHASING DEPT. MAIL 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE P.O. BOX 280 FORT COLLINS CO 80522 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Ryan Roginson ACORD 25(2001/08) Underwriter ACORD CORPORATION 1933 10/05/2010 11:02AM PINNACOL ASSURANCE PAGE 3 OF 3 CERTIFICATE HOLDER COPY THE CITY OF FORT COLLINS ATTN: JOHN STEPHEN PURCHASING DEPT P.O. BOX 280 FORT COLLINS CO 80522 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.