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HomeMy WebLinkAbout375533 NATIONAL RECYCLING INC - INSURANCE CERTIFICATE (4)CERTIFICATE OF LIABILITY INSURANCE OP ID JD DATE(MM/DDVYYY) 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 FAX AIC, No, Eat : (A/C, No): ADDRESS: Blown & Blown Inc 4532 Boardwalk Dr, Suite 200 PH DU ER CUSTOMERIDk: SECURID Fort Collins CO 80525 Phone:970-482-7747 Fax:970-484-4165 INSURER(S) AFFORDING COVERAGE NAM# 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 INSURERD: 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. LTR TYPE OF INSURANCE NSR USIR SWVDI POLICY NUMBER MMIIDNYYY ( ) -POLICY POLICYEXP LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X CPP011394806 11/21/11 11/21/12 EACH OCCURRENCE -DAMAGPREM SEE. occurrence) $ 1,000,000 $300,000 MED EXP (Any one person) $15,000 PERSONAL S ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREjGATE LIMIT APPLIES PER: G POLICY PRO-JECT n LOC PRODUCTS - COMP/OP AGG $ Included $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS BAP011394806 11/21/11 11/21/12 COMBINED SINGLE LIMIT (Ea accident) g11000,000 X BODILY INJURY (Per person) 8 BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ A X UMBRELLA LIAB E%CESS LIAB X OCCUR CLAIMS -MADE UMB011394806 11/21/11 11/21/12 EACH OCCURRENCE $ 1,000,000 AGGREGATE S 1,000,000 X DEDUCTIBLE I RETENTION $ D $ Is WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOPJPARTNERIEXECUTIVGu � OFFICE"EMBER E%CW DED? (Mandatoryin NH) yCa. desuibe under DESCRIPTION OF OPERATIONS belo. NIA TOYTINT 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) City of Fort Collins is included as Additional Insured as respects the operations of the named insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITYF10 I THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED City of Fort Collins 215 N. Mason St. I a $ © 1988-2009 ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD