Loading...
HomeMy WebLinkAbout132133 WASTE-NOT RECYCLING - INSURANCE CERTIFICATE (19)OP ID: KH A4'QMO" ill CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 1 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 endorsement(s). PRODUCER 970-635-9400 PFS Insurance Group -JT 970-635-9401 4848 Thompson Pkwy, Ste 200 Johnstown, CO 80534 John Hintzman CONTACT PHONE FAX A/C No Eal : A/C No): E-MAIL ADDRESS: PRODUCER EARTH-3 CUSTOMER ID d: INSURERS AFFORDING COVERAGE NAIC It INSURED Earth Enterprises, Inc. Dba Waste- Not Recycling 1065 Poplar Street Loveland, CO 80537 INSURER A: Mountain States Insurance Grp INSURER B : Underwriters at Lloyds, London 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 CONDITION OF ANY CONTRACTOROTHER DOCUMENT WITH RESPECT TO WHICH THIS CEP.T!FICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDFD 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 rypE OFINSURANCE ADDL $UBR' POLICY NUMBER MMIDOV/YVYY MMIDD E%P LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY Cl-AIMS-MADE FXI OCCUR X UND2470402 - CPP0099342 BLKT ADD'L INSURED PRIMARYINON-CONTRIBUTORY 06/03/11 06/03/12 EACH OCCURRENCE $ 1,000,00 PREMISES JEs ocwnence $ 100,00 MED EXP(Any one person) $ 10,00 PERSONAL &ADV INJURY $ 1,000,00 X UND390 GENERAL AGGREGATE $ 2,000,00 GENT AGGREGATE LIMIT APPLIES PER: POLICY Ex-1 PRO LOC PRODUCTS - COMPIOP AGO $ $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS Hired/Non-Owned CPP0099342 COMP DED: $100 06/03/11 06/03/12 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ X X $ X $ A X UMBRELLA LU1B E%LESS LIAR X OCCUR CLAIMS -WIDE CPP0099342 06/03/11 06/03/12 EACH OCCURRENCE $ 4,000,00 AGGREGATE $ 4,000,00 DEDUCTIBLE RETENTION $ $ $ WORKERS COMPENSATION AND EMPLOYERS' UABIUTY YIN ANY PROPRIETOR/PARTNERIXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory In NH) If yes describe under DESCRIPTION OF OPERATIONS below NIA N/A WC STATU- OTH- [LEACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE -- 8 E.L. DISEASE -POLICY LIMIT $ B A Errors&Omissions POLLUTION tOLFSPL0008 CPP0099342 06/01/11 06/03/11 01103112 06/03/12 E&O 1,000,00 POLLUTION 250,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, It more space Is required) CTYFTCO City of Ft. Collins Sales Tax Office P.O. 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 ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD