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HomeMy WebLinkAbout132133 EARTH ENTERPRISES DBA WASTE-NOT RECYCLING - INSURANCE CERTIFICATE (4)UP IU: ,a►��Ro TE CERTIFICATE OF LIABILITY INSURANCE D06/04I2013/2 O6/0413 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: PFS Insurance Group -JT 4848 Thompson Pkwy, Ste 200 Fax: Johnstown, CO 80534 INSURED Dba Waste- Not Recycling 1065 Poplar Street Loveland, CO 80537 EARTH-3 I INSURER a: Underwriters at Lloyds. London I I 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. CTR TYPE OF INSURANCE ZIRI WIDII POLICY NUMBER MMIDDYM'EFFMMOIDD,YYYYJ1 LIMITS A GENERAL LIABILITY X COMMERCIALGENERALLIABILITY CLAIMS -MADE 1XI OCCUR X CPP0250701 �BLKT ADD'L INSURED PRIMARYINON-CONTRIBUTORY 06/03/2013 06/03/2014 EACH OCCURRENCE DAMAGEI RENTED DAEAGETORENoccurrence) MED EXP(Any one person) $ 1,000,000 �$ 300,00 $ 10,00 PERSONAL B ADV INJURY $ 1,000,00 X GENERAL AGGREGATE $ 2,000,000 GEN1 AGGREGATE LIMIT APPLIES PER: POLICY X PRO-n LOC IFCT PRODUCTS-COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS Hired/Non-Owned BAP0250704 COMP DIED: $100 06/03/2013 06/03/2014 COMBINED SINGLE LIMIT (Ea accidenq $ 1,000,00 X BODILY INJURY (Per person) $ BODILY INJURY(Peraccident) $ (Pe PERT nlDAMAGE $ X X $ X $ A UMBRELLA LIAB X I OCCUR EXCESS LIAB CLAIMS -MADE CPP0250701 06/03/2013 06/03/2014 EACH OCCURRENCE $ 4,000,OOg rX AGGREGATE $ 4,000,000 $ 0 -RETENTIDEDUCTON 1 S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) It yes, describe under DESCRIPTION OF OPERATIONS below NIA N/A WC I TORYSTATU LIMITSJ_ETH R E.L. EACH ACCIDENT $ EL DISEASE-EAEMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ A TIONissions POLLU,000,000 CPP 25070'12 106/03/2013 06/03/2014 IPOLOLUTION 1250,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AKach ACORD 101, 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 John Hintzman O 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD