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Home My WebLink About468473 VEOLIA ES TECHNICAL SOLUTIONS LLC - INSURANCE CERTIFICATE (9)A�CORD� CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 12119I2018 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 have ADDITIONAL INSURED provisions or 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 CONTACT NAME., - Marsh USA, Inc. PHONE FAX 540 W. Madison Street I . No €xtl— —_ (A/C, No): E-MAIL ADDRESS: Chicago, IL 60661 Attn: Veolia.CertRequest@marsh.com Fax: 212-948-5053 INSURERS AFFORDING COVERAGE NAIC # INSURER A : Natonal Union Fire Insurance Company Of Pittsburgh, 19445 LOM- INSURED Veolia ES Technical Solutions. LLC INSURER B : AIG Specialty Insurance Company -�- - - 26883 INSURER C : NIA 700 East Butterfield Road, Suite 201 N/A INSURER D : New Ham shire Insurance Lombard, IL 60148 _INSURER E: Lexington Insurance Company 19437 INSURER F : Illinois National Insurance Company 23817 COVERAGES CERTIFICATE NUMBER: CHI-007496336-41 REVISION NUMBER: 5 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. MR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY GL 542-58 35 01/01/2019 01/01/2020 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE 1 X 1 OCCUR DAMAGETO1,000,000 PREMISESSEa occurrence $ MED EXP (Any one person) $ 10,000 PERSONAL 8 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 1,000,000 POLICY ❑PRO JECT ❑ LOC X PRODUCTS - COMP/OP AGG $ 1,000,000 $ OTHER A AUTOMOBILE _ LIABILITY CA 976-74-18 (AOS) 01/01/2019 01/01/2020 COMBINED SINGLE LIMIT (Ea accldentI) $ 1,000,000 X BODILY INJURY (Per person) $ A ANY AUTO CA 976-74-19 (MA) 01/01/2019 01/01/2020 A OWNED SCHEDULED AUTOS ONLY __.__ AUTOS CA 976-74-20 (VA) 01/01/2019 01/01/2020 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY ___ AUTOS ONLY UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DEDT I RETENTION $ $ D D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY N ANYPROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? a (Mandatory in NH) N/A WC 046-91-2802 (AOS) WC 046-91-2803 (AZ,IL,KY,NC,NH,NJ, PA,UT,VA,VT) 01/01/2019 01/O1I2020 01101/2020 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 F If yes, describe under DESCRIPTION OF OPERATIONS below WC 046-91-2804 (FL) 01/01/2019 01/01/2020 E L. DISEASE - POLICY LIMIT $ 1,000,000 B CPL - SIR: $500,000 CP029329661 01/01/2019 01/01/2020 Occurence/Aggregate 1,000,000 E E80 - SIR: $2,0W000 065703643 01/01/2019 01/01/2020 Per Claim/Aggregate 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Fort Collins is included as additional insured (except as respects all coverage afforded by workers' compensation and professional liability) where required by written contract but only for liability arising out of the operations of the named insured. A waiver of subrogation is granted as required by written contract but only for liability arising out of the operations of the named insured. CERTIFICATE HOLDER CANCELLATION City of Fort Collins 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. ManashiMukherjee `" @ 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD