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HomeMy WebLinkAbout132133 EARTH ENTERPRISES DBA WASTE-NOT RECYCLING - INSURANCE CERTIFICATE (2)UP IU: KH ,41� CERTIFICATE OF LIABILITY INSURANCE DAT06/04/12 ) 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 endorsements . PRODUCER 970-635-9400 CONTACT NAME' PFS Insurance Group -JT 970-635-9401 4848 Thompson Pkwy, Ste 200 Johnstown, CO 80534 John Hintzman PHONE FAX AIC No Eat); I (AIC, No): E-MAIL -ADDRESS: PRODUCER ID N: EARTH-3 _CUSTOMER _ INSURER(S) AFFORDING COVERAGE NAIC0 1T IC INSURED Earth Enterprises, Dba Waste- Not Recycling 1065 Poplar Street Loveland, CO 80537 INSURER A: Mountain States Insurance Grp INSURER B: Underwriters at Lloyds, London INSURER C INSURER O 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 ADDLSUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE I POLICY NUMBER MMIDDIYYYY MMIDD/ LIMITS GENERAL LIABILITY EACH OCCURREN CE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMSWADE I —XI OCCUR CPP0099342 06/03/12 06/03/13 DAMAGE TO RENTED PREMISES (Ea acwrrenceJ $ 10Q, 100 MED EXP(Any one person) $ 10,000 PERSONAL BADVINJURY $ 1,000,00 X UND2470402 BLKT ADD'L INSURED X UND390 GENERAL AGGREGATE $ 2,000,00 PRIMARY/NONCONTRIBUTORY GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,00 POLICY /l PE'TRO n LOO $ A AUTOMOBILE LIABILITY ANY AUTO CPP0099342 06103/12 06/03/13 COMBINED SINGLE LIMIT 'Ea accidenp $ 1,000,00 BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ X SCHEDULED AUTOS HIRED AUTOS PROPERTY DAMAGE (Per ccident) a $ X NON-OWNEDAUTOS X $ X Hired/Non-Owned (COMP DED: $100 Is X UMBRELLA LIAR X OCCUR EACHEGATE OCCURRENCE $ 4,000,00 AGGR $ 4,000,00 A EXCESS LIAB CI -AIMS -MADE CPP0099342 06103/12 06/03113 DEDUCTIBLE $ X $ RETENTION $ D WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (MI ndatory in NMI NIA N/A WC STATU OTH-I TORY-LIMITS ER EEL EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE E $ DEIt sdescribe under SCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT I $ Om 1250,00 A IErrors POLLUTIONissions I CPP 099342D 06103/12 I 06/03113 IPOOLLUTION DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD lot, Additional Remarks Schedule, if more space Is required) If required by written contract or written agreement, the certificate holder is included as additional insured for ongoing operations under general liability. CITYOFF City of Fort Collins Purchasing Division P.O. Box 580 Fort Collins„ CO 80522-0580 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 .6R/Y ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD