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HomeMy WebLinkAboutCOLORADO CLEANUP CORPORATION - INSURANCE CERTIFICATEACOKa O CERTIFICATE OF LIABILITY INSURANCE DATE 01/0 /2015YY) of/aenols 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. R 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 1-303-233-2828 Orcutt Insurance Group. LLC CONTACT Scot[ Orcutt ,NAME:_ (acPHONE Ent,' 303-233-2828 LNpI; 303-233-6570 E-MAIL SorcuttLaorcut[ roU Ce0 ADDRESS: 4 D• 965 S. R101ing PAW, 9t0 B INSURER@) AFFORDING COVERAGE NAICd Lakewood, CO 80226 INSURER A: PINNACOL ASSURANCE 41190 A943338 INSURED Colorado Cleanup Corporation INSURER B INSURER C INSURER D: c/o Resource Nenagenient Systems, Inc. 6465 S Greenwood Plaza Blvd., Suite 650 Centennial, CO 80111 INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER- 42723847 RFVISION NIISi 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 TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LIMITS LTft POLICY NUMBER MMIDDIYYYY MMIDDIYYYY GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISESIEaerclmenpe_ $ MEG EXP(Any one person) $ CLAIMS -MADE 0OCCUR PERSONAL A ADV INJURY f GENERAL AGGREGATE E GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG f PO PoLICY PRO- S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea aaiaent) f BODILY INJURY Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Perac en0 f NON -OWNED HIREDAUTOS AUTOS PROPERTY DAMAGE 1P( f f UMBRELLA LIAB OCCUR EACH OCCURRENCE f AGGREGATE i EXCESS LIAR CLAIMS -MADE DED RETENTIONS $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNERiEXECUTIVE OFFICEPUMEMBER EXCLUDED? N❑ NIA 4065382 01/01/1 O1/O1/16 X WC STATU OTH. TOBYLIMIT5—_ER_ E.L.ACH ACCIDENT L $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory In NH) If yea, describe ender DESCRIPTION OF OPERATIONStse. E.L. DISEASE - POLICY LIMIT E 11000,000 DESCM"OMOFOPERATIONSILOCATIONSIVEHICLES(Aft.h ACORD141,Additional Ramada Sohed.k,l1.rpaolaM.0 ) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 281 N. College Avenue AUTHORNEO REPRESENTATIVE FO Box Fort Collins,li CO 80522 1 BSA ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD orcuttol 42723847