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Home My WebLink About468473 VEOLIA ES TECHNICAL SOLUTIONS LLC - INSURANCE CERTIFICATE (7)ACORO® CERTIFICATE OF LIABILITY INSURANCE �/. DATE 12014 YYYY) 11/29I2014 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 terns 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 Marsh USA, Inc. 540 W. Madison Street CONTACT NAME: IAfC No PHONE FAX qD No EMAIL ADDRESS: Chicago, IL 60661 Attn: Vedia.CMRequest@marsh.com I Fax: 212-948-5053 INSURERS AFFORDING COVERAGE NAIC p INSURER A: ACE American Insurance Company 22667 HEN-TS INSURED Vedia ES Technical Solutions, LLC 9131 East 96th Avenue INSURER B: ACE Fire Underwriters Co 20702 INSURER C : NIA NIA INSURER D: Henderson, CO 80640 INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: CHI-004797793-29 REVISION NUMBER:8 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 ADDL UBR POLICY NUMBER POLICY EFF IMMUDDMYYI POLICY EXP IMMIDDNYYYILIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE M OCCUR HDO G27340167 01/0112015 01I01016 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,000 MED EXP(Any one person) $ 10,000 PERSONAL S ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: X POLICY PRO- LOC JECT PRODUCTS-COMPIOP AGG $ 1,000,000 $ A AUTOMOBILE LIABILITY X MY AUTO ALL OMED SCHEDULED AUTOS AUTOS NOWOWNED HIRED AUTOS AUTOS ISA HOW040A 0110112015 0110112016 COMBINED SINGLE LIMIT Ea acccent It 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Par acc'denl $ $ UMBRELLA LIAB EXCESS DAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION$ 1 $ A B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE YIN[ OFFICERIMEMBER EXCLUDED? /❑NN (Mandatory In NH) U yes, describe under DESCRIPTION OF OPERATIONS below N /A WLR C48139826(AOS) SCF C48144986 (WI) (Re1r0) 01/01/2015 01101I2015 01/01/2016 01I01I2016 WC STATU- OTH- E.L. EACH ACCIDENT g 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Affsch ACORD 101. Additional Remarks Schedule, If mom space Is required) City of Fort Collins, its officers, agents and employees are included as additional insured (except as respects all coverage afforded by workers' compensation) where required by written contract but only for liability arising out of the operations of the named insured. City of FM Collins Purchasing Division Attn: Ed Bonnette, CPM 215 North Mason P.O. 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 of Marsh USA Inc. Manashi Mukherjee _Jet Lu " W 18B8-2010 AGOKU GUKPUKA I ION. All rights reserVBD. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD