Loading...
HomeMy WebLinkAbout132133 WASTE-NOT RECYCLING (EARTH ENTERPRISES INC) - INSURANCE CERTIFICATE (2)OP ID: KH ,a►c _ R-_ CERTIFICATE OF LIABILITY INSURANCE �� - .. - DATE D/YYYY) 06/02/11 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 endorsements . PRODUCER 970-635-9400 CONTACT NAME: PFS Insurance Group-JT 970.635-9401 4848 Thompson Pkwy, Ste 200 veoNE _ FAx AIC No at,: A/C No): E-MAIL ADDRESS: Johnstown, CO 80534 - John Hintzman - PRODUCER EARTH-3 CUSTOMER ID #: INSURERS AFFORDING COVERAGE NAIC p " INSURED Earth Enterprises, Inc. INSURERA:Mountain States Insurance Grp Dba Waste- Not Recycling INSURERS: Underwriters at Lloyds, London 1065 Poplar Street Loveland, CO 80537 NSURERC: 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 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 TYPE OF INSURANCE ADDL US POLICY NUMBER YEFF MM/DDf1'1'YY POLICY EXP MM/DDIYYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR X UND2470402 CPPOO99342 BLKT ADD'L INSURED PRIMARY/NON-CONTRIBUTORY 06/03/11 06/03/12 EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurrence $ 100,00 MED EXP (Any one person) $ 10,00 PERSONAL S ADV INJURY IS 1,000,00 X UND390 GENERAL AGGREGATE $ 2,000,00 GENT AGGREGATE LIMIT APPLIES PER POLICY X PRO LOG PRODUCTS - COMP/OP AGG $ $ A AUTOMOBILE LIABILITY ANY AUTO ALLOWNEDAUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTO$ - Hired/Non-Owned CPPOO99342 COMP DED: $100 06/03/11 06/03/12 .. COMBINED SINGLE LIMIT (Ea accdent) -- $ 1,000,00 --- BODILY INJURY (Per person)- S - - BODILY INJURY(Per accident) $ - X PROPERTY.DAMAGE ' (Per accident) $ X X $ X $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MAD CPP0099342 06/03/11 06103112 EACH OCCURRENCE - $ 4,000,00 AGGREGATE $ 4,000,00 DEDUCTIBLE RETENTION IS b $ WORKERS COMPENSATION _ _ AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In PIN) If yes, describe under DESCRIPTION OF OPERATIONS below _ NIA _--`----� - "'__.__ N/A - —TIWCSTATU- OTH- BL. EACH ACCIDENT E.L. DISEASE -EA EMPLOYEE ' $ E.L. DISEASE -POLICY LIMIT $ B A Errors & Omissions POLLUTION 1OLFSPL0008 CPPOO99342 06/03/11 06/03/11 06/03/12 06/03/12 JE&O 1,000,00 IPOLLUTION 250,00 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) R 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 bC1.d2A.-ry.-- :Oi F:Y.1:bbTIT:L•TKQ :1 #7 ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD All rights reserved