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Home My WebLink About468473 VEOLIA ES TECHNICAL SOLUTIONS LLC - INSURANCE CERTIFICATE (4)Av " CERTIFICATE OF LIABILITY INSURANCE DATE VVVY) 07I07 20„ /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 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 CONTACT NAME: MARSH USA INC PHONE TWO LOGAN SQUARE A/c No): E-MAIL ADDRESS: PHILADELPHIA, PA 19103-2797 Attn: Philadelphia.Cens@marsh.com; 212-948-0360 INSURER 5 AFFORDING COVERAGE NAIC a INSURER A: New Hampshire Insurance Company 23841 010056-Veoli-ES11-12 HENDE INSURED INSURER e: Insurance Company Of The State Of PA 19429 Vedic ES Technical Solutions, LLC 6 4' INSURER c : National Union Fire Insurance Co 19445 Ave 9131 East 96N Avenue INSURER D: Commerce And Industry Ins Co 19410 Henderson, CO 80640 INSURER E: N/A NIA INSURER F : National Union Fire Ins Co Pittsburgh PA 19445 COVERAGES CERTIFICATE NUMBER: HOU-001838688-10 REVISION NUMBER:6 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. INSRXP LTR LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MM/ 0/YYYY MFF MIOONLICY YYY LIMITS A GENERAL LIABILITY GL4572700 07101/2011 0710112012 EACH OCCURRENCE $ 5,000,000 X COMMERCIAL GENERAL LIABILITY DAMA E T RENTED PREMISES Ea occurrence $ 1,000,000 CLAIMS -MADE OCCUR MED EXP(My one person) $ 10,000 X CONTRACTUAL LIABILITY PERSONAL 8 ADV INJURY $ 5,000.600 GENERAL AGGREGATE s 5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO $ 5.000,000 X POLICY PRO- LOC $ B AUTOMOBILE LIABILITY 4676281 (ADS) 0710112011 07/01/2012 COMBINED SINGLE LIMIT Ea acci tlent 5,000,000 X _ BODILY INJURY (Per person) $ B ANY AUTO 4576283 (VA) 07/01/2011 07/01/2012 B ALL OWNED F7 SCHEDULED AUTOS AUTOS 4576282 (M4) 0710112011 07/01/2012 BODILY INJURY (Per aecideng s PROPERTY DAMAGE $ B NON -OWNED HIRED AUTOS AUTOS(Peraccident 934629(VA PPTS) 0710112011 0710112012 $ B 934628 (ADS PPTS) 07/01/2011 07/0112012 UMBRELLA LIAR OCCUR EACHOCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS MADE DED I I RETENTION $ A WORKERS COMPENSATION WC6517886 (All Other States) 0710112011 07/0112012 X we STATu- OTH- G B ANO EMPLOYERS' LIABILITYLIM ANY PROPRIETOR/PARTNEIVEXECUTIVE Y / N OFNCER/MEMBER EXCLUDED? ❑N (Mandatary in NH) N/A WC6517888 (CA) (FL) WC1558356FL12012 0710112011 07I0112011 07/0112012 07/01 E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 D II yes describe under DESCRIPTION OF OPERATIONS below WC 6517889 (MA, WI 8 Stop Gap) O7/01/2011 07/0112012 E.L. DISEASE -POLIGV LIMIT Is 1,000,000 F EXCESS LIABILITY 25030423 07/0V2011 07/01/2012 EACH OCCURRENCE 5,000,000 AGGREGATE 5,000,000 DESCRIPTION OF OPERATIONS LOCATIONS /VEHICLES (ANach ACORD 101, Additional Remarks Schedule, it more space Is required) City of Fort Collins, its officers, agents and employees are included as an Additional Insured (except as respects all coverage afforded by the Workers' Compensation policy) as required by contract, but only for lability arising out of the operations of the named insured. City of Fort Collins Purchasing Division Am: Ed Bonneffe, CPM 215 North Mason P.O. 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 of Marsh USA Inc. Donna Clampitt C-Zl 1988-2010 ACORD CORPORATION- All riahts reserved- ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD ADDITIONAL INFORMATION HON-091B38689-10 DATE(MM/DDIYY) 07/0712011 PRODUCER MARSH USA INC TWO LOGAN SQUARE. PHILADELPHIA, PA 191032797 Attn: Philadelphia.Cens@marsh com; 212-948-0360 01005&Veoli-ES-11-12 HENDE INSURERS AFFORDING COVERAGE NAIC Al INSURED INSURER G: Veolia ES Technical Solutions, LLC 9131 East 96th Avenue INSURER H: Hendelson, CO 80640 INSURER I: INSURER J: TEXT Automobile Liability Policy Details Insr Ltr:8 Policy Number. 934634 (MA PPT'S) ER. D1. 07/01/2011 Exp. Of. 07/01/2012 CERTIFICATE HOLDER City of Fon Collins Purchasing Division Attn: Ed Bonnette, CPM 215 North Mason P.O. Box 580 Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Donna Clampitt