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HomeMy WebLinkAbout132133 EARTH ENTERPRISES DBA WASTE-NOT RECYCLING - INSURANCE CERTIFICATE (8)P5]uaDlaxi)
DATE (MMIDDIYYYY)
ll�l/FZLJ CERTIFICATE OF LIABILITY INSURANCE 04/13/2015
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 1-303-534-4567 ICONTACT
NAME:
INA, Inc. - Colorado DiVi Sion PHONE FAX
IAIC. NR. EW):.. _ .____ _ ____ LAIC, Nu)'
1705 17th Street
Suite 100
Denver, CO 80202
INSURED
Earth Enterprises, Inc. dba Waste -Not Recycling
c/o OnePOint HRO LLC
10303 E. Dry Creek Road, Suite 400
Enalewood . CO 80112
rYIVCDA!_ce
rFOTICIr'ATC MIIMRCD- Ai R1779F
E-MAIL denaccounttechoSimac0 c(m _
—_ INSURER(S) AFFORDING COVERAGE NAI
INSURERA: PINNACOL ASSUR 41190
INSURER B :
INSURER C
INSURER D
INSURER E
RFVIRInid NIIMRFR
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.
INSRT— ADDIL POLICY ) POLICYEXP T
TYPE OF INSURANCE LIMITS
LTR POLICY NUMBER MMIDDIYYYY MMIDDIYYYY
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE___
$
GEfbRENTED
CLAIMS MADE OCCUR
PREM SES (Ea occumence)
$
MED EXP (Any one parson)
$
PERSONAL & ADV INJURY
$
GE_N'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$
POLICY C_ jEC7 C LOC
PRODUCTS - COMP/OP AGO
$
$
OTHER:
AUTOMOBILE UAM TTY
COMBINED SINGLE LIMIT
(Ea accident)
$
BODILY INJURY
$
ANY AUTO
(Per person)
ALL OWNED I SCHEDULED
BODILY INJURY (Per accident)
$
AUTOS AUTOS
NON -OWNED
PROPERTY DAMAGE
$
HIRED AUTOS AUTOS
it'_a accldenl__.
UMBRELLA LIAB OCCUR
EACH OCCURRENCE
$
EXCESS LIAB CLAIMS -MADE
AGGREGATE
$
DIED RETENTIONS
$
A
WORKERS COMPENSATION
4131018
05/01/15
*5101116
PER
R-SIATLn ER
.
- -
---
AND EMPLOYERS' LIABILITY YIN
E.L. EACH ACCIDENT _
—--
$ 1,000,000
'-----'------
ANY PROPRIETORIPARTNERIEXECUTIVE
OFFICER/MEMBER EXCLUDED? N NIA
E.L. DISEASE. EA EMPLOYEE
$ 1,000,000
(Mandatory in NH)
E.L. DISEASE -POLICY LIMIT
I $ 1,000,000
If yes ftB,Cnbe u-ider
DESCRIPTION OF OPERATIONS below
I
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101 Additional Remarks Schedule, may be attached if more space is reRWred)
Earth Enterprises, Inc. dba Waste not Recycling 1065 Poplar St., Loveland, CO 80534.
CtK I Ih ICA I t HOLULK
City of Fort Collins
215 North Mason
P.O. Box 580
Port Collins, CO 80522
ACORD 25 (2014101)
kbulliung
43537226
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 /A/,/�/
USA " k
© 1989-2014 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD