HomeMy WebLinkAboutRECYCLE THAT LLC - INSURANCE CERTIFICATEI' CERTIFICATE OF LIABILITY INSURANCE
DATE 03/2812013I2013
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 Phone: (303) 972-6633 Fax: (303)9]2-6655
CONTACT Danielle
IRG - AFFINITY INSURANCE PARTNERS, LLC
7991 SHAFFER PARKWAY, SUITE 300
LITTLETON CO 80127
PHONEL11 (303) 972-6633 FAX (303) 972-6655
(303) 9 2-66
E-MAIL gco.com
PRODUCER 25660
INSURERS) AFFORDING COVERAGE
NAICN
INSURED
RECYCLE THAT, LLC
INSURERA Endurance American Specialty Insurance
DBA RECYCLE THAT
INSURER B
INSURER
9345 ELM CT
FEDERAL HEIGHTS CO 80260
INSURER D.
INSURER
INSURER
COVERAGES CERTIFICATE NUMBER: 42662 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,
INSR TYPE OF INSURANCE ADD'L SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE I XOCCUR
X
CBC100015387
03/28/13
03/28/14
EACH OCCURRENCE
$ 1,000,000
RE .TO RI.ENTED
DAM4GE an
$ 50,000
MED. EXP (Any one person)
$
PERSONAL B ADS INJURY
$ 1,000,000
GENERAL AGGREGATE
$ 2,000,000
GENE AGGREGATE LIMIT APPLIES PER:
POLICY PRO LOC
PRODUCTS - COMP/OP AGG
$ 2,000,000
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIREDAUTOS
NON -OWNED AUTOS
COMBINED SINGLE LIMIT
(Ea accident)
$
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
$
UMBRELLA LIMB
EXCESS LIMB
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE
$
DEDUCTIBLE
RETENTION $
$
$
WORKERS COMPENSATION
AND EMPLOYERS. LIABILITY YIN
my PROPPIETDRIPARTNERIEXECUTIVE �
OFFILERIMEMBER EXCLUDEDY
(Mandatory in NH)
It yee, bewnbe under
DESCRIPTION OF OPERATIONS below
NIA
WC STATUI OTH
$
E.L. EACH ACCIDENT
$
E.L. DISEASEEAEMPLOYEE
$
E.L. DISEASE -POLICY LIMIT
$
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
Additional insured include The City, its officers, agents and employees with respects to general liability as required by written contract or agreement.
CEKIIFICAIE HULUEK CANCELLATION
City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
PO Box 580 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Fort Collins, CO 80522 ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHDRIZEn REPRESENTATIVE
Attention:
Thomas J. Lt�ers t,
o)19Btl-ZU09A(;OHU(;ORFUKAIIUN. Allrightsresei
The ACORn mama and Innn Erie rpniefprpd markc of Ar.nPn
ACORN® CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DDIYYYY)
03/28/2013
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 Phone: (303) 972-6633 Fax: (303) 972-6655
CONTNA,EACT Danielle
IRG - AFFINITY INSURANCE PARTNERS, LLC
7991 SHAFFER PARKWAY, SUITE 300
LITTLETON CO 80127
PHONE (303) 972No Ext)-6633 FA' (303) 972-6655
E-MAIL dschmelingirgco.com
PRODUCER 25680
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURED
RECYCLE THAT, LLC
INSURER : Endurance American Specialty Insurance
DBA RECYCLE THAT
INSURER
INSURERC
9345 ELM CT
INSURER D:
FEDERAL HEIGHTS CO 80260
INSURER E
INSURER F
COVERAGES CERTIFICATE NUMBER: 42662 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,
INSR
TYPE OF INSURANCE
ADD'L
SUBR
POLICY NUMBER
POLICY EFF
POLICY EXPLTR
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE 17OCCUR
X
CBC100015387
03/28/13
03/28/14
EACH OCCURRENCE
$ 1,000,000
DAMAGE TO RENTED
$ 50,000
MED. EXP (Any one person)
$
PERSONAL & ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO LOC
PRODUCTS - COMP/OP AGG
$ 2,000,000
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIREDAUTOS
NON -OWNED AUTOS
COMBINED SINGLE LIMIT
(Ea accident)
$
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
$
UMBRELLA LIAB
EXCESS LIAB
OCCUR
EACH OCCURRENCE
$
HCLAIMS-MADE
AGGREGATE
$
DEDUCTIBLE
RETENTION $
$
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N/A
WC STATU- I OTH
$
E.L. EACH ACCIDENT
$
E.L. DISEASE -EA EMPLOYEE
$
E.L. DISEASE -POLICY LIMIT
$
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
Additional insured include The City, its officers, agents and employees with respects to general liability as required by written contract or agreement.
CERTIFICATE HOLDER CANCELLATION
City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
PO Box 580 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Fort Collins, CO 80522 ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
Attention:
Thomas 7LArski
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