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HomeMy WebLinkAbout468473 VEOLLA ES TECHNICAL SOLUTIONS LLC - INSURANCE CERTIFICATEAFRO® CERTIFICATE OF LIABILITY INSURANCE DATE(MM10°YYYY) 1 Z'31i2013 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 OT NAME, Marsh USA, Inc, PHONE FAX AAM, No. 511kAIC No 540 W. Madison Street E-MAIL Chicago, IL 60661 Ath Vedia.CertRequesb@marsh.cam I Fax 212-948-5053 WSURE 8 AFFORDING COVERAGE NA1ca INSURER A: ACE American Insurance Company 22667 LOM• INSURER B : Illinois Union InsulaKe Company 2796D INSURED ^ / Technical Solutions, LLC Venia700lE lTechnicalC INSURER C : WA N/A Road, Suite 201 O Fast Suit East 1 _ ��� INSURER D : Lombard, IL 60148 INSURER E : INSURER F : CERTIFICATE NUMBER' CHI-00479526o-13 REvlalvna nUMBE c:6 COVERAGES 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. l�Tp A TYPE OF INSURANCE GENERAL UABIUTY X COMNnABI AL GENERAL LIABILITY CIAIMSADE M OCCUR AI pL POLICY NUMBER HOD G27329950 POLICY EFF M OV0112014 POLICY EXP M/ O 0110112015 LIMITS EACH OCCURRENCE S 5,000,000 AMA N PREMISE t S 1,0D0,000 MED EXP An one $ 10,000 PERSONAL S AOV INJURY S 5,000,000 rGENLGGREGATE GENERAL AGGREGATE $ 25,OOD,ODO LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 10,000,000ICY COMBINED SINGLE LIMI Ea accident $ $ 5,000,000 A PRO- LOC AUTOMOBILE UABBUTY IBA FK)MI661A 01/0112014 01101/2015 BODILY INJURY (Par Person) $ X ANV AlfTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS PAUTOS BODILY INJURY (Perecdeart) S PR OPERTY DAMAGE(Per accident) $ It UMBRELLA Me OCCUR EACH OCCURRENCE $ AGGREGATE i ExCE68 UAB CLAIMS -MADE DED I RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY yI N ANY PROPRIETOWPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory in Nil) If yes, describe under DESCRIPTION OF OPERATIONS below vJc CR,$TATU- oTH- S A A NIA R C47877891 (ADS) SCF C4787788A Retro ) ( ) 01101I2014 01/07/2014 1 12015 O1N72015 E.L. EACH ACCIDENT 1,000,0U0 $ E.L. DISEASE - EA EMPLOYEE $ 1'0off'wo E.L. DISEASE - POLICY LIMIT S i'�'� B Prof Liability/Claims-Made GOO G27269M 001 07/01/2013 01101IN016 Each Occunmce 1,000,000 Contractors' Poll Occurrence SIR: $100,000 Aggregate 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Allach ACORD 101, Additional Roma" Schedule, B more apace Is required) City of Fort Collins is included as additional insured (except as respects all coverage afforded by Workers' Compensation and professional liability) Where required by WdBen contract but only for liability arising out of the operations of the named insured, A Waiver of subrogation is granted as required by Milan contract but Only for liability arising out of the operations of the named insured. City of Fat Collin P.O. Bolt 580 Fort Collins, CO 80522 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 of Marsh USA Inc. Manashi MukherjeeA�^�� (C) 1999-2010 ACORD 25 (2010106) The ACORD name and logo are registered marks of ACORD All rights