HomeMy WebLinkAbout132133 WASTE-NOT RECYCLING (EARTH ENTERPRISES INC) - INSURANCE CERTIFICATEFrom:Karen Holbrook FaxID:9706359401 Page 1 of 1 Date:5272011 03:42 PM Page:1 of 1
OP ID: KH
,4`I�Ro CERTIFICATE OF LIABILITY INSURANCE
OAT0512711 )
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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 970�35-9400
44848 Thompson P kPFS Insurance uwpy, St 200 970-635-9401
Johnstown, CO 80534
John Hindman
CONTACT
NAME:
AIC No Ert : JAM, No):
EMAIL
ADDRESS:
PRODUCER EARTH-3
CUSTOMERIDt
INSURER(S) AFFORDING COVERAGE
NAICt
INSURED Earth Enterprises, Inc.
INSURERA: Mountain States Insurance Grp
INSURERB:Underwriters atLloyds, London
DbaWaste-Not Recycling
1065 Poplar Street
Loveland, CO 80537
INSURER C:
INSURER D'
INSURER E
INSURER F:
COVERAGES CERTIFICATE NUMBER: 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 CCNDRION 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 MAYHAVE BEEN REDUCED BY PAID CLAIMS.
INSR
R
TYPE OF INSURANCEINSR
ADM
POLICY NUMBER
Mssmo ICY EFF
POLICY
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,00
A
X COMMERCIAL GENERAL LIABILITY
CLAIMSN E a OCCUR
CPPOO99342
06/03/11
06/03/12
PREMISES Ea omunenw
is100,000
MED PAP (My one person)
$ 10,000
PERSONAL &ADV INXRY
$ 1,000,00
X UND2470402
BLKT ADD'L INSURED
X
UND390
GENERALAGGREGATE
$ 2,000,00
PRIMARYRION.CONTRIBUTORY
GEN'L AGGREGATE LIMIT APPLIES PER.
PRODUCTS-COMP/OP AGG
$
POLICY X PRO LOC
IECTAUTOMOBILE
$
A
LIABILITY
ANY AUTO
CPPOO99342
06/03/11
06/03112
COMBINED SINGLE LIMIT
(Ea acodent)
$ 1,000,00
BODILY INXRY(Per person)
$
X
X
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
BODILY INXRY(Perecadent)
$
PROPERTY DAMAGE
(Per eccitlan)
$
X
NON -OWNED AUTOS
$
X
Hired/Non-Owned
COMP DED: $100
$
UMBRELLA LIAB
X
OCCUR
EACH OCCURRENCE
$ 4,000,000
AGGREGATE
$ 4,000,000
A
EXCESS LIAB
CLAIMS -MADE
CPP0099342
06/03/11
06/03112
DEDUCTIBLE
g
X
RETENTION $ 10000
$
WORKERS COMPENSATION
WCSTATU- OTH-
AMEMPLOYERS' LIABILITY YIN
ANY PROPRIETORPARTNERIEXECUIIVE
OFFICERMIEMBER E CLUOED9
N/A
NIA
TORYLIMITS ER
E.L. EACHACCIDENT
$
EL. DISEASE EAEMPLOYEE1
If
(MantlalprY In NH)
I yas desalbe under
E.L. DISEASE - POLICY LIMIT
$
DESCRIPTION OF OPERATIONS belov
B
Errors&Omissions
29878RT00003
06103111
06/03112
E&O 1,000,00
A
POLLUTION
CPPOO99342
06/03111
0610112
POLLUTION 250
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more apace Is required)
If required by written contract or written agreement, the certificate holder
Is Included as additional Insured for ongoing operations under general
liability.
CITYOFF
City of Fort Collins
Purchasing Division .
P.O. Box 580
Fort Collins„ CO 80522-0580
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
arnRn rnRDnRATInN All HI ...—ad
ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD