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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 ) osnnll 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