The URL can be used to link to this page

Home My WebLink About330448 JACO ENVIRONMENTAL INC - INSURANCE CERTIFICATEa� �® CERTIFICATE OF LIABILITY INSURANCE page 1 of 1 09/`1 / 012 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 Willie of Seattle, Inc. c/o 26 Century Blvd. P. O. Box 305191 Nashville, IN 37230-5191 CONTACT AM PHONE FAX N 877-945-7378 A/C NO: 888-467-2378 E-MAIL ADD certificate9@willi9.com INSURER(S)AFFORDING COVERAGE NAICe INSURERA: Aspen Specialty Insurance Company 10717-001 q INSURED JACO Environmental, Inc. INSURERS: St. Paul Surplus Lines Insurance Co. 30481-000 INSURERC: Zurich American Insurance Company 16535-001 PO Box 14307 Mill Creek, WA 98082 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 18547831 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 TYPE OFINSURANCE DD' NM SUB WD POLICY NUMBER POLICY EFF POLICY EXP III LIMITS A GENERAL LIABILITY _J ERAAK1412 9/15/2012 9/15/2013 EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED PREMISES Ea occureno. $ 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR MED EXP(My one person) $ 5,000 PERSONAL& ADV INJURY $ 2,000,000 X WA Stop Gap Included X $10,000 Deductible GENERAL AGGREGATE S 2,000,000 G ENI AGG R EG�ATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY X]PRO LOC $ AUTO MOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURV(Per person) $ ANYAUTO ALLOWNED SCHEDULED AUTOS AUTOS BODILY INJURV(Per accident)$ HIRED AUTOS NON -OWNED AUTOS A A Per accident) E X UMBRELLA LIAB X OCCUR ZUP14S7979812NF 9/15/2012 9/15/2013 EACHOCCURRENCE $ 51000,000 AGGREGATE $ 5,000,000 EXCESS LIAB CLAIMS -MADE DED X RETENTION$ 10, 000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ N/A WC672515802 9/15/2012 9/15/2013 X E.L. EACH ACCIDENT $ 1,000,000 OFFICEWMEMBER EXCLUDED? fMandatory in NH) f yes, tlescribe untler E.L. DISEASE -EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below A ERAAK1412 9/15/2012 9/15/2013 Pollution Legal Liability $5,000,000 Per Incident including BI/PD & Cleanup $5,000,000 Aggregate $ 25,000 Deductible Each Incident DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (Attach Accrd 101, Additonal Remarks Schedule, linters space is required) The Workers' Compensation policy covers Wisconsin, California, New Mexico, Nevada, Oregon, Utah, Illinois, Colorado, Idaho, Georgia, Maine, Maryland, Massachusetts, Michigan, New Jersey, Pennsylvania, Arizona, New York, Texas and Maine only. The Umbrella policy also extends over the primary auto liability policy which has a $2,000,000 limit. L.ntt I InL,T& 1 c nvwnn City of Fort Collins Purchasing Division Attn: Christine Patterson -Jarvis 700 Wood Street 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 f ACORD 25 (2010/05) :3861613 :1516504 Cert:18547831 01988-2010ACORD CORPORATION. All rights The ACORD name and logo are registered marks of ACORD