HomeMy WebLinkAbout133071 BIO KLEAN WORLD ENVIRONMENTAL INC - INSURANCE CERTIFICATE (4)ACORO® CERTIFICATE OF LIABILITY INSURANCE
`/1
DATE (MMloomrY)
08/01/2014
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
CONTACT
JOHN C. BECKETT S ASSOCIATES, INC.
PHONE As
JAM, No, Eat): (970) 484-2805 (AIC. No): (970) 484-2885
ADRIESS: tim@beckettlnsuranCe.Com
220 Smith Street
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PRODUCER Cl- Kl
E CUSTOMER ID ean World Environmental, Inc.
INSURERS AFFORDING COVERAGE
NAICA
Ft. Collins CO BOS24- )
INSURED
INSURER A :COLONY INSURANCE COMPANY
Bic, Klean World Environmental, Inc.
INSURER B
145 West Swallow Road, Ste A2
INSURER C
INSURER D
INSURER E
Fort Collins CO 80525-2500
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 INSURANCEADDL
INSR
BUSH
MO
POLICY NUMBER
POLICY EFF
IMMIDD/YYYY)
POLICY EXP
(MMIDDNYYY)
LIMITS
A
GENERAL LIABILITY
]r
3L3870404
7/29/2016
7/29/2015
EACH OCCURRENCE
$ 1,000,000
X COMMERCIAL GENERAL LIABILITY
/ /
/ /
PREMISES Ea occurrence
$ 100,000
CLAIMS -MADE Fx-1 OCCUR
/ /
/ /
MED EXP (Any one person)
$ 5000
PERSONAL 8 ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
$ 2,000,000
/ /
/ /
GENT AGGREGATE
LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGO
$ 2,000,000
POLICY
PRO LOC
JECTX
/ /
/ /
$
AUTOMOBILE
UABIU
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NO COVERAGE
/ /
/ /
/ /
/ /
/ /
/ /
COMBINED SINGLE LIMIT
(Ea accident)
$
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
NON -OWNED AUTOS
/ /
/ /
$
UMBRELLA Me
OCCUR
0 COVERAGE
/ /
/ /
EACH OCCURRENCE
$
AGGREGATE
8
EXCESS uIs
CLAIMS -MADE
/ /
/ /
DEDUCTIBLE
$
/ /
/ /
RETENTION $
/ /
/ /
$
WORKERS . COMPENSATIONSIO
COVERAGE
/ /
/ /
YJC STATU- OTH-
-
AND EMPLOYERS' LIABILITY YIN
ANY PROPRI ETORIPARTNER/EXECUTIVE ❑
OFFICER?AEMBER EXCLUDED?
(Mandatory in NH)
N/A
/ /
/ /
/ /
/ /
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYE
$
H yes describe under
DESCRIPTION OF OPERATIONS below
/ /
/ /
E.L. DISEASE - POLICY LIMIT
$
O COVERAGE
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES Usech ACORD 101, AdtlBional Remarks Schedule, X more space is rpuiredl
( ) - (970) 221-6707
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
CITY OF FORT COLLINS
ADMINISTRATIVE SERVICES AUTHORIZED REPRESENTATIVE
P O BOX 580���
FORT COLLINS CO 80522-0580 mil'
ACORD 25 (2009/091 (E) 19RR-2nn9 ArnRn rnRPORennN All rinhrc mcoga ,c.d
INS025 (2oo'JOB) The ACORD name and logo are registered marks of ACORD