HomeMy WebLinkAboutAESTHETIC ALTERNATIVE RECYCLING LLC - INSURANCE CERTIFICATEACC) OR ® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
'Ill5/21 /2019
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
Commercial Risk Solutions NAME__ Scott Anderson, CIC
6600 E Hampden Ave Ste 200 PWC.HONNo,E Fxt)- 303-996-7833 f4X No:303-757-7719
Denver CO 80224 E-MAIL_, sand erson(Mcrsdenver.com
INSURERS) AFFORDING COVERAGE NAIC #
INSURER A: Secura Insurance Co.
INSURED AESTH-1 INSURER B : Pinnacol Assurance 41190
Aesthetic Alternative Recycling LLC - - -- - — ---
2450 S. Syracuse Way INSURER c :- .
Denver CO 80231 INSURER0:
INSURER E : _
INSURER F : -
COVERAGES CFRTIFICATF NIIIIIIRFR-7S7z17oa0 0c%11crnw1 L1111AM .
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 ISUBRi - - - _
- POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE DL POLICY NUMBER MMiDD/YYYY T (MM/DDIYYYYI i LIMITS
A
X
COMMERCIALGENERALL
- ,IABILITY
— I X
20CP003253280
5/20/2019
5/20/2020
EACH OCCURRENCE
AMAGE TO RENTED) --�
$1,000,D00
--
CLAIMS OCCUR
PREMISES
$ 500,000
(Ea occurrence
--
$10,D00
MED EXP (Any oneperson�
PERSONAL 8 ADV INJURY
$1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
XPOLICY r— �
%�_ PRO- j
GENERAL_AGGRE_GATE
—
$ 2,000,000
i- JECT L^ J LOC
PRODUCTS - COMP/OP AGG
$ 2,000,000
i
$
OTHER.
A
AUTOMOBILE LIABILITY
8OA003253289
5/20/2019
5120/2020
COMBINED SINGLE LIMIT
SEa accidenfl
$ 1,000,000
X ', ANY AUTO
BODILY INJURY (Per person)
$
I OWNED SCHEDULED
I AUTOS ONLY AUTOS
--
I BODILY INJURY (Per accident)
—
$
X HIRED NON -OWNED
X
PROPERTYDAMAGE
$
AUTOS ONLY AUTOS ONLY
jP�r �.o4111rtnll
--.,..__—....
$
A
UMBRELLA LIAB X OCCUR
2000003253281
5/20/2019
5/20/2020
EACH OCCURRENCE_
-_- - —__
$4,000,000
X EXCESS LIA CLAIMS -MADE
-_- �_—
—_ --_
AGGREGATE
.—
$ 4,000,000
DEDRETENTI
D WORKERS MPENSATION
3228988
6/1/2019
8/t/2020
ER H
X PTAT
AND EMPLOYO RS' LIABILITY YIN
ER
E.L. EACH ACCIDENT
$ 1,000,000
-
ANYPROPRIETORPARTNER'EXECUTIVEFN
OFFICER/MEMBER EXCLUDED?
N/A
E.L. DISEASE - EA EMPLOYEE
---
(Mandatory In NH)
Iff yes.
yes. describe under
$1,00D,000
DESCRIPTION OF OPERATIONS below
I
E.L. DISEASE -POLICY LIMIT
$1,000,000
A Inland Marine
ACV/Special
20CP003253280 5/20/2019 5/20/2020 Rented/Lsd Equip
25,000
Deductible
I
1,000
DESCRIPTION OF OPERATIONS / LOCATIONS r VEHICLES (ACORD 101' Additional Remarks Schedule, may be attached if more space is required)
The insurance evidenced by this certificate will not reduce coverage or limits and will not be cancelled, except after thirty (30) days written notice has been
received by the city of Fort Collins.
van � n rvn �
City of Fort Collins
P O Box 580
215 North Mason St., 2nd Floor
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
V 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
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