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HomeMy WebLinkAbout375533 NATIONAL RECYCLING INC - INSURANCE CERTIFICATE (3)R�® CERTIFICATE OF LIABILITY INSURANCE OP ID JD DATE(MMIDD/YYYY) 11/21/11 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 NAME: PHONE AX No, Ext : ( AIC, AIC, No): Brown & Brown Inc ADDRESS: 4532 Boardwalk Dr, Suite 200 cCFR usTDMERID#: SECURID Fort Collins CO 80525 Phone:970-482-7747 Fax:970-484-4165 INSURER(S) AFFORDING COVERAGE NAIC# INSURED INSURER A: Mountain States Mutual 14648 Clean Air Compost National Recycling Inc DBA INSURER B: INSURER C: PO Box 2472 Ft Collins CO 80522-2472 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 CONTRACTOR 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 7ypE OF INSURANCE ADDLTSUB POLICY EFF POLICY EXP LTR INSRI WVD POLICY NUMBER (MM/DDIYYYY) (MM/DD/YYYY) LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR CPP011394806 11/21/11 11/21/12 EACH OCCURRENCE $1,000,000 -DAMAGtu PREMISES (Ea occurrence) $300,000 MED EXP (Any one person) $ 15,000 PERSONAL &ADV INJURY $1,000,000 GENERAL AGGREGATE $1,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRO- 17POLICY n ECT F LOC PRODUCTS - COMP/OP AGG $ Included A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON -OWNED AUTOS BAP011394806 11/21/11 11/21/12 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ $ A X UMBRELLA LIAB X OCCUR EXCESS LIAB I CLAIMS -MADE UMB011394806 11/21/11 11/21/12 EACH OCCURRENCE $ 1,000,000 AGGREGATE is 1,000,000 _ X I DEDUCTIBLE RETENTION $ 0 $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVEL] OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If es, describe under DESCRIPTION OF OPERATIONS below NIA WC SA TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION City of Fort Collins John Stevens Purchasing Department PO Box 580 Fort Collins CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE FTCPURC I THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENT ACORD 25 (2009/09) ©1988-2009 The ACORD name and logo are registered marks of ACORD reserved.