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HomeMy WebLinkAbout132133 WASTE-NOT RECYCLING - INSURANCE CERTIFICATE (18)A� �® CERTIFICATE OF LIABILITY INSURANCE ATE D04/25/zouIDD11 o4/zs THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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). PRODUCER 1-303-534-4567 CONTACT NAME: INA of Colorado, Inc. PHONE FAX _WC. No. ESQ: INC. No 1550 17th Street E-MAIL ADDRESS: Suite 600 Denver, CO 80202 INSURERS AFFORDING COVERAGE NAIC# INSURER A: PINNACOL ASSOR 41190 INSURED INSURER B : Earth Enterprises, Inc. dba Waste -Not Recycling INSURER C INSURER D: c/o OnePoint Employer Solutions LLC and OnePoint HBO LLC 5670 Greeneood Plaza Blvd, g200 Englesnood , CO 80111 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: 20812518 REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR OF INSURANCE ADDLTYPE INSR SUER POLICY NUMBER Mli LI MMMOY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ PREMISES Ea occurrence $ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR MED EXP(Any one person) $ PERSONAL 4 ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY F7 PRO- 71 LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Par parson) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Peraccidenl $ NON-0WNED HIRED AUTOS AUTOS $ UMBRELLA MB OCCUR EACH OCCURRENCE f AGGREGATE $ EXCESS LIAR coc I: -MADE DED RETENTIONS I $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YINER ANY PROPRIETORIPARTNER/EXECUTIVE I N OFFICER/MEMBER EXCLUDED? MIA 4131018 05/01/1 05/01/12 X 4VCSTATU- OTH- EL EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 (Mandatory In NH) If yes, descnlae under DE SCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If mom space Is required) Earth Enterprises, Inc. dba Waste not Recycling 1065 Poplar St., Loveland, CO 80534. City of Fort Collins 215 North Mason P.O. Box 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE // //'//� USA / © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) SDZM 20812518 The ACORD name and logo are registered marks of ACORD