HomeMy WebLinkAbout132133 EARTH ENTERPRISES DBA WASTE-NOT RECYCLING - INSURANCE CERTIFICATE (4)UP IU:
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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