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HomeMy WebLinkAbout132133 EARTH ENTERPRISES DBA WASTE-NOT RECYCLING - INSURANCE CERTIFICATE (6)P52"2RM2
Aco> CERTIFICATE OF LIABILITY INSURANCE
DATE11/2UIO14
OC/1/2R
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(les) must be endorsed. N 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 andorsemenl(s).
PRODUCER 1-303-534-6567
ONTA T
NAME'.
INA, IDC. - Colorado Division
PHONE FAX
WC. No. 011; Myct set
EMAa
E-MAI a: dM11PYP1MaCGiP•tHs<
1705 17th Street
Suite 100
--- —
Denver, CO 80202
WBURERS AFFOR MCOVERAGE
NAIC0
-__
WSURERA: P1IMM L ASSUR
42190
INSURED
INSURER B:
Earth Enterprleee, Im. dba Nasb-IEot ReoyG11NP
- -
WSURERc:
INSURER D:
c/o OnePOint Baployer Solutions, LLC 1;2133
10303 E. Dry Creek Road, Suite 600
Bngleeood , CO 80112
INSURER E:
INSURER F
COVERAGES CERTIFICATE NUMBER: 3922e260 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 W7N 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.
ILTTRR
TYPEGFarWRANCE
POLICY NUMBER
POLJCYEFF
POLICRADUr ExP
lJ�a
GEIFJiAL LIABILITY
EACH OCCURRENCE
f
auc
COMMERCIAL GENERAL LABILITY
E Dnc
f
MEDEXP .
S
CWMS-MADE F71 OCCUR
PERSOULaADVINJURY
f
GENERALAGGIEGATE
f
GEN-AGGREGATE
LIMIT APPLIES PER:
PRODUCTS -COMPIOP AGG
f
POLICY
PR6 LOCJECT
S
AUTOMOBEE LIABILITY
COMBINED SINGLE LIMIT
e Wden1
BODILY INJURY (Pe pMsonl
f
ANYAUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
BODILY INJURY (Paramdm0
f
DAMAGE
=
HIRED AUTOS NOW OWNED AUTPROPERTY
S
UMBRELLA me
OCCUR
EACH OCCURRENCE
f
AGGREGATE
f
EXCESS LIAR
CWM94AADE
DED I I RETENTION
S
A
WORKERS COMPENSATION
AND EMPLOYERS' LABILITY YIN
ANY PROPRIETOHIPARTNEHIEXECUTIVE
OFFICERIMEMBEREXCLUDEDI a
NIA
6131010
05101/
03/01/15
= WCs7ATu oT1P
E.L.T . EACH ACCIDE
f 1,000,000
El. DISEASE -EA EMPLOYEE
$1,000,000
(ManNlory In Nlq
11m, diatribe undo
DESCRIPTION OF OPERATIONSIsIPN
El. DISEASE -POLICY UNIT
f 1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES fARaeh ACORD 101, AWRIonal RamMha SehadNM, If mon •pau Ia a UlnNl)
Barth Bnterprlses, Inc, dba Neste not Recycling 1065 Poplar St., Loveland, CO 80536.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City
of Port Collins
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
215 North Mason
AUTHORRED REPRESENTATIVE
P.O.
Box SBO
/ f
Port
Collins, CO 90522
USA
ACORD 25 (2010/05)
ryan23
39228260
©1988-2010 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
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