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Home My WebLink AboutSOURCE ENVIRONMENTAL DBA AET ENVIRONMENTAL - INSURANCE CERTIFICATE (2)CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ROLL, CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POL. BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZE. REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. I NIHUK IAN I: Irmo Certificate homer IS an ADDITIONAL INSURED, the policy(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 endomementfsl. PRODUCER lenry'Ham Agency i45 E. Evans Ave. )enverCO 80250 INSURED Source Environmental, Inc. DBA: AET Environmental, Inc 14-16 Lakeside Lane Denver CO 80212 SOUE001 COVERAGES CERTIFICATE NUMBER: 1637410815 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 NTH 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 ADDL INSR SUSR WVD POLICY NUMBER POLICY EFF JMMrdDrYYyYI POLICY EXP (MMIDpoODY,LIMITS A GENERAL LIABILITY Y Y 18256315 /1/2014 /l/2015 EACH OCCURRENCE $1.000,000 PREMISES Ea occurrence) E300,000 X COMMERCIAL GENERAL LIABILITY X CLAIMS -MADE OCCUR MED EXP Any one Person) $25.000 X Profess Liab PERSONAL &ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGO $2.000.000 X POLICY PRO- LOC JFCT I I PcIl/Professlonal - $1.000.000 A AUTOMOBILE LJABILITY Y Y CA1932252 51112014 11/2015 Ea accident S1,000,000 X BODILY INJURY (Per person) $ ANY AUTO -- '" - -" - ALL OWNED F7 SCHEDULED AUTOS AUTOS BODILY INJURY Peraccldent ( ) $ PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOS AUTOS. - $ A X UMBRELLA DAB X OCCUR Y 18259214 /12014 /12015 EACH OCCURRENCE $9.000,000 AGGREGATE $9.000,000 EXCESSLUI9 CLAIMS -MADE DED X RETENTION $ 10000 1 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN y 3445583 /12014 112015 X WC STATU- OTH- TORY LIMITS ER E.L EACH ACCIDENT $1.000.000 ANY PROPRIETOR/PARTNER/EXECUTNE❑ IM OFFICEREMBER EXCLUDED? N/A E.L. DISEASE- EA EMPLOYEE $1.000,000 (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 C Equipment Floater Misc Tools Rented Equipment N N N 4X75445 /12014 112015 Equipment Floater $50,000 Misc Tools $25,000 Rented/Leased Equip $50,000 DESCRIPTION OF OPERATIONS LOCATIONS IVEHICLES (Aeach ACORD 101, Additional Ramarb schedule, If mom space is required) Certificate holder, its elected & appointed officials, officers, employees, agents and representatives are included as Additional Insured with respects to the Liability coverage stated above per forms attached 110029 (10/11)when required by written contract. 78123(06/01). A waiver of subrogation applies in favor of the Additional Insured with respects to the Liability coverage and workers compensation policy per forms attached. 78011 (5/01). City of Fort Collins P tY Box 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 / ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD