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HomeMy WebLinkAbout132133 EARTH ENTERPRISES DBA WASTE-NOT RECYCLING - INSURANCE CERTIFICATE (5)OP ID: NR ,d►`oRo CERTIFICATE OF LIABILITY INSURANCE D061281201 YY) 06128/2013 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 pollcy(les) 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 endorsemerlt(s). PRODUCER Phone: 970�35-9400 CONTACT PFS Insurance Group - JT Fax: 970$35-9401 4848 Thompson III Ste 200 PHONE NC No E-MAIL ADDRESS: Johnstown, CO 80534 John Hlntzman PRODUCER EARTH-3 CUSTOMER ID r: INSURERS) AFFORDING COVERAGE NAIC r r' INSURED Earth Enterprises, Inc. INSURERA:MountainStates Insurance Grp Dba Waste -Not Recycling - 1085 Poplar Street Loveland, CO 80537 INSURER B: Underwriters at Lloyds, London INSURER C : INSURER D: INSURER E INSURER F 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. NOTWRHSTAN DING ANY REQUIREMENT, TERM OR CONDIiICN 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 MAYHAVE BEEN REDUCED BY PAID CLAIMS. L NSI TYPE OFINSURANCE POLICY NUMBER POLICY EFF POLICY E%P LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR CPP0250701 06/0312013 0610312014 PREMISES aoccunence $ 300,00 MED EXP (Any one person) $ 10,00 X BLKT ADD'L INSURED PERSONAL B AOV INJURY $ 1,080,00 X GENERAL AGGREGATE $ l 2,000,00 RIMARYINON-CONTRIBUTORY GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG $ '2,000,00 X POLICY PRO LOC $ A AUTOMOBILE LIABILITY ANY AUTO BAP0250704 06/03/2013 06/03/2014 COMBINED SINGLE LIMIT (Eaaccident) $ 1,000,00 BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY peer accident) $ SCHEDULED AUTOSHIRED AUTOS JX PROPERTY DAMAGE(Per accident) $ NON -OWNED AUTOS Hired/Nom Owned COMP DIED: $100 s X UMBRE ILA LIAR X OCCUR EACH OCCURRENCE $ 4,000,00 AGGREGATE E 4,000,00 A EXCESS LIAB CLAIMS -MADE CPP0250701 06/03/2013 06/03/2014 DEDUCTIBLE $ X $ RETENTION $ 0 WORKERS COMPENSATION AND EMPLOYERS' LIABILBN YIN ANY PROPRIErORIPARTNER/EXECUTIVE OFFICERIMFMBER EXCLUDED? NIA N/A WCSTATU- OTH- TORY LIMIT ER E.L. EACH ACCIDENT $ EL DISEASE - EA EMPLOYE E (Mandatory In NH) If yds.SCOF O describe DERIPTION OF OPERATIONS Delow E.L. DISEASE - POLICY UMIT $ B EROrs&Omissions 12LFSPLO442 06/03/2011 06/03/2014 E&O 1,000,00 A POLLUTION CPP0250701 06/03/2013 06/03/2014 POLLUTION 250,00 OESCRIPnONOFOPEMnONSILOCATIONSIVEIOCLES (Attach ACORD 101, AddMonal Remarks Schedule, If more span la redul red) If required by written contract or written agreement, the certificate holder is included as additional insured for ongoing operations under general liability. City of Fort Collins Purchasing Division P.O. Box 580 Fort Collins„ CO 80522-0580 CITYOFF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ACORD 25 (2009109) ACORD The ACORD name and logo are registered marks of ACORD reserved