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Home My WebLink About612352 ARCA RECYCLING INC - INSURANCE CERTIFICATE (2)A�COR" CERTIFICATE OF LIABILITY INSURANCE D05/29/2019D/YYYY) 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 Marsh USA Inc. 333 South 7th Street, Suite 1400 CONTACT NAME___ AT N o E9 A/C No Minneapolis, MN 55402-2400 Attu;Minneapolis. CertRequest@marsh.com Fax 212-948-0114 E-MAIL INSURERS AFFORDING COVERAGE NAIC # INSURER A: Markel American Insurance Co. 28932 INSURED ARCA Recycling, Inc. _ INSURER B : Zurich American Insurance Company 16535 — INSURER C : N/A NIA 175 Jackson Avenue North Suite 102 Hopkins, MN 55343 INSURER D INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: CHI-008964339-17 REVISION NUMBER: 1 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. NR ILTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MM/DDNO /YYYY MMLDD YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY I X J OCCUR MKLM6MMP1000082 06/01/2019 06/01/2020 EACH OCCURRENCE $ 1,000,000 DAMACLAIMS-MADE PREMIREMI T RENTED SES (Ea occurrence $ 1,000,000 MED EXP (Any one person) $ 10,000 GENT _ AGGREGATE LIMIT APPLIES PER: POLICY ❑PRO JECT LL EX LOC OTHER. PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ B AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY BAP-1150703-01 .06/01/2019 06101/2020 (CEO MBINE.,dent) SINGLE LIMIT $ 1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ UMBRELLA LIAB EXCESS LIAB OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ DED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRI ETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A WC-1150701-01 06/01/2020 X PER OTH- STATUTE ER E.LEACHACCIDENT _ $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L DISEASE - POLICY LIMIT $ 1,000,000 T7 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Fort Collins, officers, agents and employees are included as additional insured where required by written contract with respect to General Liability and Auto Liability. l.tK I It - It A I t MULUtK 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. Manashi Mukherjee �4.auoo►� .10.,tGw,ata. @ 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD