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HomeMy WebLinkAbout132133 EARTH ENTERPRISES DBA WASTE-NOT RECYCLING - INSURANCE CERTIFICATE (7)OP ID: KH AFRO" CERTIFICATE OF LIABILITY INSURANCE D06/02/2014ATE Y) 06/02/2014 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 endorsements . PRODUCER PFS Insurance Group -JT 4848 Thompson Pkwy, Ste 200 Johnstown, CO 80534 John Hintzman CONTACT PAl HONE FAX Afc No. Evil, uc, Ne E-MAIL ADDRESS' PRODUCER EARTH-3 CUSTOMER ID 0: INSURER(S AFFORDING COVERAGE NAIL N INSURED Earth Enterprises, Inc. Dba Waste- Not Recycling 1065 Poplar Street Loveland, CO 80537 INSURER A: Mountain States Insurance Grp INSURER e: 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, 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. INSR LTR TYPE OF INSURANCE A POLICY NUMBER POLICY EFF MMIOD/YYYYf POLICY EXP IMNVDDrYYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FX] OCCUR CPP0250701 06/03I2014 06/03/2015 TED PREMISES Ea ofccu ence) $ 300,00 MED EXP (Any one person) $ 10,00 X BLKT ADD'L INSURED PERSONAL BADV INJURY $ 1,000,00 X GENERAL AGGREGATE $ 2,000,00 PRIMARY/NON-CONTRIBUTORY GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 2,000,00 POLICY X PRO LOG $ A AUTOMOBILE LIABILITY ANY AUTO BAP0250704 06/03/2014 06/03/2015 COMBINED SINGLE LIMIT (Ed accident) $ 1,000,00 X BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS HIRED AUTOS X PROPERTY DAMAGE (PER ACCIDENT) $ X $ NON -OWNED AUTOS Hired/Non-Owned ICOMP DED: $100 X $ X UMBRELLA LAB X OCCUR EACH OCCURRENCE $ 4,000,00 AGGREGATE $ 4,000,00 A EXCESS LAB CLAIMS -MADE UMB0259995 06I0312014 0610312015 DEDUCTIBLE $ X $ RETENTION $ 0 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N/A N/A WCSTATU- OTH- TORTORY LIMITS JFR E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below B Errors 8. Omissions 12LFSPLO442 06/03/2014 06/03/2015 1,000,00 A POLLUTION CPP0250701 06/03/2014 06/03/2015 PE POLLUTION 250,00 DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES (Attach 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. AUTHORMED REPRESENTATIVE 4_EP-- 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD