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Home My WebLink AboutSOURCE ENVIRONMENTAL DBA AET ENVIRONMENTAL INC - INSURANCE CERTIFICATE (2)SOUE001 OP ID: BC A�C�O�RO' CERTIFICATE OF LIABILITY INSURANCE DAT05103D/YYYY) F 05/03/12 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 303-744-1341 Henry Ham Agency, Inc. 303-744-0654 P.O. BO%160$47 645 E. Evans Ave. Denver, CO 80250 CONTACT PHONE FAx A/C No Ext: AIC No: E-MAIL ADDRESS: Hank Ham INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: Chards Risk Specialists INSURED Source EDY , nmental, Inc. INSURER B: Plnnacol Assurance wsuRERc:Travelers Insurance DBAf,CE1_EAironmental, Inc 14-16Takeside Lane INSURER D:Zurich American Denver, CO 80212 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 LTR TYPE OF INSURANCE ADDL UBR POLICY NUMBER POLICY EFF MMIDDNYYY POLICY EXP MM/DDNYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 A X COMMERCIAL GENERAL LIABILITY X CLAIMS -MADE E71OCCUR 18256315 05/01/12 05/01/13 AMA T RENTED PREMISES Ea occurrence) $ 300,00 MED EXP(Any one person) $ 25,00 PERSONAL B ADV INJURY $ 2,000,000 X Pollution Liab 18256315 05/01/12 05/01/13 X Professional Liab GENERAL AGGREGATE $ 2,000,000 18256315 05/01/12 05/01/13 GENE AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY PRO- LOC Poll/Prof $ 1,000,000 AUTOMOBILE LIABILITY EOMEINEeDtSINGLE LIMIT $ 1,000,000 X BODILY INJURY (Per person) $ A ANY AUTO CA1932252 05/01/12 05/01/13 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per accident IS HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ X UMBRELLA LIAR OCCUR EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 4,000,000 A EXCESS LIAR CLAIMS -MADE 18259214 06/01/12 05/01/13 DED X RETENTION$ 10,000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YIN OFFICER/MEMBER EXCLUDED' � (Mandatory in NH) N/A 9691487-01 3445583 05/01/12 05/01/12 05/01/13 05/01/13 X WC STATU- X O'T T RY LIMIT R E.L. EACH ACCIDENT $ 1,000,000 E. L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 C Equipment Floater 660-59061-866 05101/12 05/01/13 Misc Tool 25,00 Deductible Rented Eq 50,000 DESCRIPTION OF OPERATIONS / LOCATIONS i VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) +REVISED UMBRELLA LIMIT- EFF. 05-02-12 REPLACES ALL PREVIOUS CERTIFICATES. CITF002 City of Fort Collins 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. AUTHORRED REPRESENTATIVE ik.W -I a, r ( L/'' > �r U 1938-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD