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Home My WebLink AboutBENSON BENSON ROLL OFF SERVICES LLC - INSURANCE CERTIFICATE2011/04/18 14:34:20 2 /2 A� CERTIFICATE OF LIABILITY INSURANCE 4/18/2011 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 pollcy(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 CONTACT Stephanie Huber Security First Insurance Agency AHONN Eel; (303) 730-2327 pAIC No' (303)730-2930 7851 S. Elati Street ENAU ADDRESS: shuber@securityfirstia.com Suite 100 PRODUCER 00000566 Littleton CO 80120 INSURER(S) AFFORDING COVERAGE NAICI INSURED INSURERAHudson Insurance Company INSURERS Pinnacol Assurance Benson and Benson Metals, Inc., DBA: Benson INSURER C American Alternative Insurance Benson Roll 0£f Services, LLC INSURERD: 6885 Lowell Blvd INSURER E Denver CO 80221 INSURERF' IWePA;fitn am:Yl12 IW_1O 01111111-1PC, 9 IlIsAM F :lWA C9ra111]IIL61all d 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 I TYPE OF INSURANCEADD_JSUBR INSR WVD POLICY NUMBER POLICY EFF MWD POLICY EXP MWDDYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE g 1,000,000 A X COMMERCIAL GENERAL LIABIUTY CLAIMS -MADE FXIOCCUR 600029302PKG /20/2011 /20/2012 AM S O PREMISES Ea OCCYfrenfe t 1DDr DDD Mm'EX (Any aoe persw) 8 ,000 PERSONAL BADV INJURY 4 1,000,000 X Iron-6 Metals GENERAL AGGREGATE Y 2,000,000 C H2A2CP0000015-01 2/1/2010 2/1/2011 GENL AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOP AGG $ 2,000,000 RO =LOD X-1 POLICY PFrT 4 AUTOMOBILE X UABILTTY ANY AUTO COMBINED SINGLE LIMIT Ea acciden0 Y 1,000,000 BODILV INJURY (Per person) $ A WN ALL OWNED AUTOS HAS00029302PK0 /20/2011 /20/2012 BODILY INJURY(Per accident) $ SCHEDULED AUTOS HIRED AUTOS PROPERTY DAMAGE (Per accident) $ NerpOWNED AUTOS Uninsured mmurist combined s 50, 000 Medicalpayments Y 5,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE s LIAB CLAIMSMADE AGGREGATE $ [JEXLESS DEWCTI&E g 8 R ETEMION 4 B WORKERSCOMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE DFRCERIMFMBER EXCLUDED'/ ❑ (MandMgry In NH) IPTI Nunder DESCRIPTION under DEes,SCRIPTION OPERATIONS Oelaw NIA 063553 2/1/2030 p2/1/2011 WC STATU- �O7H X T RY Ei. EACH ACCIDENT 8 100,000 EL. DISEASE -EA EMPLOYE Y 100000 EL DISEASE -POLICY LIMIT 4 500 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, AddRignal Remarks Schedule, If more space is required) (970)221-6782 City of Fort Collins PO Box 580 Ft. 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 Huber/STEPH C/ CORPORATION. All rin hts mouaaleuueu9l I ne AA Qnu narne an0 logo are reglSlerea marKS OT AUUKU