HomeMy WebLinkAboutRAM WASTE SYSTEMS INC - INSURANCE CERTIFICATEClient#: 15548
RAMWA
ACORDTM CERTIFICATE OF LIABILITY INSURANCE
DSTD4;2o,°; ""'
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
Flood & Peterson Ins., Inc.
P. 0. Box 578
CONTACT NAME: Jo Orr
PHONE g70 356-0123 FA% 970-506-6836
A/C No Est : A/C, No
ADDRESS: lo.orr@fpinsurance.com
Greeley, CO 80632
970 356-0123
CUSTOMER ID N: Raml
INSURER(S)AFFORDING COVERAGE
NAICA
INSURED
Ram Waste Systems, Inc.
5704 Bueno Drive
INSURER A: Plnnacol Assurance
INSURER B:
Fort Collins, CO 80525'
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 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
TYPE OF INSURANCE
aL
POLICY NUMBER
MM/DDNY
MM/DO/Y%P
LIMIT
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CIAIMS-MADE n OCCUR
EACH OCCURRENCE
$
DAMAGE TO RENTED
PREMISES Ea occurrence
$
MED EXP (Any one person)
$
PERSONAL B ADV INJURY
$
GENERALAGGREGATE
$
GEN'L AGGREGATE LIMIT APPLIES PER:
1-7 POLICY PRO LOO
PRODUCTS - COMPIOP AGO
$
$
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
COMBINED SINGLE UMIT
(Ea accident)
$
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
$
$
UMBRELLA LIAR
E%LESS LIAB
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE
$
DEDUCTIBLE
RETENTION S
S
$
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNEWEXECUTIVEY/N
OFFICER/MEMBER EXCLUDED?
(Mandatory In NH)
if
OF OPERATIONS below
N/A
1490552
B/01f2011
06/01/201
X WCSTATU- GTH-
E L. EACH ACCIDENT
$1,000,000
E.L. DISEASEEAEMPLOYEE
$1,000,000
E.L. DISEASEPOLICYLIMIT
$1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required)
City of Fort Collins
Sales Tax Office
PO Box 580
Fort 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
01988-2009 ACORD CORPORATION. All rights reserved.
Arnnn nc inr........... Tom_ A nnnr.......... -A I.......-_......^e..-..w .-...-,.....e Arnnn