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HomeMy WebLinkAbout468473 VEOLIA ES TECHNICAL SOLUTIONS LLC - INSURANCE CERTIFICATE (5)ACOR P CERTIFICATE OF LIABILITY INSURANCE ��. DATE12012 YYYY) onosnmz 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 'Marsh USA, Inc. Two Logan Square CONTACT NAME: PHONE A/C Not: E-MAIL ADDRESS: Philadelphia, PA 19103-2797 Attn: veolia.certrequeslOmarsh.com 1212.948.5053 INSURER(S) AFFORDING COVERAGE NAICs A: New Hampshire Insurance Company 23841 010056-ES-GAWX 12-13 HENDEi�qiINSURER INSURED 'Vedic 9131 East Technical Solutions, LLC 961h Avenue INSURER B : Insurance Company Of The Slate Of PA 19429 INSURER c : Natrona) Union Fire Insurance Co 19445 INSURER D: Commerce And Industry Ins Co 19410 Henderson, CO 80640 INSURER E: NIA NIA INSURER F: Navigators Specialty Insurance Company 36056 COVERAGES CERTIFICATE NUMBER: HOU-001838688-16 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. INSR LTR TYPEOFINSURANCE AODL UB POLICY NUMBER /Y MM/DOYYY MMR)DfYYYYI LIMITS A GENERAL LIABILITY GLOG4572700($3m) 07101/2012 0710112013 EACH OCCURRENCE $ 5•000•000 F X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Ifl OCCUR CHI2XENOA2P58NC($2m XS of$3m) 0710112012 07101/2013 DANIA ETO RENTED PREMISES Ea occurrence $ 1000000 MED EXP (Anyone person) $ 10.000 PERSONAL a ADV INJURY S 5,0w,5 0 GENERAL AGGREGATE $ 5,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 5,000,000 X POLICY PRO-LOC JECT $ B AUTOMOBILE LIABILITY CA4576281 (ADS) - $5m 0710112012 07101/2013 - COMBINED SINGLE LIMIT Ea accident �500000 X BODILY INJURY (Per person) $ B ANY AUTO CA4576283 (VA) - $5m 0710112012 07/0112013 B ALL OWNED SCHEDULED AUTOS AUTOS CA4576282 (MA) - $5m 07101/2012 07/0112013 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Par accident $ G NOWOWNED HIRED AUTOS AUTOS SISCSEL01840512-$2.5m XS of$5m 07/01/2012 07101/2013 $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ A WORKERS COMPENSATION WC6517886(ADS) 0710112012 07/0112013 X WCSTATU OTH- C B AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECunvE Y/N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA WC6517888(CA) WC] 55B3561FL) 0710112012 0710112012 0710112013 0710112013 E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE 1,000,000 $ D If yes, descries under DESCRIPTION OF OPERATIONS below WC6517889 (MAANI/Slo Gap) P p) 07/Ol/2012 07101/2013 E.L. DISEASE - POLICY LIMIT 1.000,000 $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ANach ACORD 101, Additional Remarks Schedule, if more space is required) City of Fat Collins, its officers, agents and employees are included as Additional Insured (except as respects all coverage afforded by the WorkersCompensation policy) as required by w iffen contract, but only, for liability arising out of the operations of the named insured. City of Fort Collins Purchasing Division Attn. Ed Bonnehe, CPM 215 North Mason P.O. Box 580 Fat 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. Manashi Mukherjee�lauoo*� �4,..-eenawdea. ® 1988-2010 ACORD CORPORATION. All rights ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 010056 LOC #: Houston ACORO® 11..�. ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY 'Marsh USA, Inc. NAMED INSURED 'Vmlia ES Technical Solutions, LLC 9131 East 96th Avenue Henderson, CO 80640 POLICY NUMBER CARRIER NAIC CODE EFFECTIVE GATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance INSURERS AFFORDING COVERAGEINAIC # INSURER G: Starr Indemnity& Liability Compalry (38318) ACORD 101 (2008ti © 2008 ACORD CORPORATION. All rights The ACORD name and logo are registered marks of ACORD