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HomeMy WebLinkAbout365211 WESTERN ECOSYSTEMS TECHNOLOGY INC - INSURANCE CERTIFICATE (2)CliPntS- 195113R WFSTFFC(11 ACACORD,CERTIFICATE OF LIABILITY INSURANCE D4/04/2DDYVYV) TE /04/2 015 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 endorsement(s). PRODUCER USI Insurance Services, LLC 1904 Warren Ave. Cheyenne, WY 82001 CONTACT NAME: Karla Wright H0N o Ems; 307 637-2525 �; ADDRESS,karla.wright@usi.biz INSURERS) AFFORDING COVERAGE NAICA INSURER A: Hartford Casualty Insurance Com 129424 INSURED INSURER B : Atterre America Insurance Compa 21296 Western Ecosystems Technology, Inc. INSURER C: Continental Casualty Company 20443 415 1 Street, Suite 200 Commerce & Indust Insurance C INSURER D: rY 19410 Cheyenne, WY 82001 INSURER E : James River Insurance Company 12203 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 CONTRACTOR 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. L III TYPE OF INSURANCE INSR ADDL VOVD POLICYNUMBER MUBR MND/Y1'VYF MMIDONYYP LIMITS A GENERAL LIABILITY X X 34UUNAQ9132 2/03/2015 02/03/2016 $ 1 000O OO COMMERCIAL GENERAL LIABILITY pEAACCHHGOECCCUR gqRENCE PREMISES Ea RE $$300 000 CLAIMS -MADE F7X OCCUR MED EXP (Any oneperson) $$10 000 PERSONAL &ADV INJURY $$1,000,000 GENERAL AGGREGATE $$2 000,000 GEN1. AGGREGATE LIMIT APPLIES PER: X POUCY LECT LOC PRODUCTS - COMP/OP AGG $ $2OO O,OOO $ A AUTOMOBILE LIABILITY X X 34UUNA09132 2/03/2015 0:2/03/2016 EBMBINED SINGLE LIMIT $1 000,000 BODILY INJURY (Par person) $ ANY AUTO X ALLOOWNED SCHEDULED AUTOS NON -OWNED HIRED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE floor accident $ $ g UMBRELLA A LIAR X OCCUR X X MAXA3EC500001435 03/2015 02/03/201 EACH OCCURRENCE $ 10 000 000 AGGREGATE $$10,000,000 EXCESS LIAB CLAIMS -MADE DED i RETENTION $$10,000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? � N/A X 34UUNA09132 2/03/2015 02/03/201 WC STATU- OTH- E.L. EACH ACCIDENT $$1000 NO E.L. DISEASE - EA EMPLOYEE $$1 00O 000 (Mandatory in NH) N yes, describe under DESCRIPTION OF OPERATIONS below _ 592376511 E.L. DISEASE - POLICY LIMIT $$1 000,000 C I Professional 4/02/2015 04102/2016 $5,000,000/$5,000,000 D Workers Comp X X 62716092 4/04/2015 04/04/2016 $1,000,000 D Workers Comp X X 62716093 4/04/2015 04/04/2016 $1,000,000 DESCRIPTION OF OPERATIONS i LOCATIONS VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) This Certificate is issued for insured operations usual to Environmental & Natural Resources Consultants. The General Liability, Auto Liability and Worker's Compensation policies include an automatic Additional Insured endorsement that provides Additional Insured status to the Certificate Holder, only when there is a written contract or written agreement between the named insured and the certificate holder and with regard (See Attached Descriptions) City of Fort Collins 700 Wood Street Fort Collins, CO 80521 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 ACORD 25 (2010105) 1 of 2 #S14811626/Ml4809482 © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD KKWBQ DESCRIPTIONS (Continued from Page 1) to work performed on behalf of the named insured. The General Liability, Auto Liability and Worker's Compensation policies provide a Blanket Waiver of Subrogation in favor of the same, when required by written contract. The General Liability and Auto Liability policies contain a special endorsement with "Primary and Noncontributory" wording, when required by written contract. Western EcoSystems Technology Inc. has used or sometimes referenced the dba WEST Inc. This is only an acronym used, not an official dba or entity name. Policy #66456077 provides coverage for the State of California. SAGITTA 25.3 (2010/05) 2 of 2 #514811626/M14809482