HomeMy WebLinkAbout612352 ARCA RECYCLING INC - INSURANCE CERTIFICATE (3)ACC", R" CERTIFICATE OF LIABILITY INSURANCE
(MMID
D05/29/2019DfYYYY)
ATE I
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.
333 South 7th Street, Suite 1400
PHONE l FAX
Nam;_
E-MAIL
Minneapolis, MN 55402-2400
Attn: Minneapolis.CertRequest@marsh.com Fax 212-948-0114
ADDRESS: _
INSURER(S) AFFORDING COVERAGE NAIC q
INSURER : N/A
N/A
INSURED
ARCA Recycling, Inc.
_A
INSURER B : N/A
N/A
INSURER C : NIA
N/A
175 Jackson Avenue North
Suite 102
Hopkins, MN 55343
INSURER D: Allied World Assurance Company U.S. Inc.
19489
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: CHI-007161690-17 REVISION NUMBER: 14
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
LTR
TYPE OF INSURANCE
ADD L
SUBR
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MM/DD/YYYY
LIMITS
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$
CLAIMS -MADE D OCCUR
PREMDAMARENTED
PREMISES Ea occurrence
$
MED EXP (Any one person)
$
PERSONAL & ADV INJURY
$
GEN'L AGGREGATE LIMIT APPLIES PER
GENERAL AGGREGATE
$
POLICY PRO-
JECT ❑ LOC
PRODUCTS - COMP/OP AGG
$
$
11 OTHER
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
'Ea acci-'ar,t
$
BODILY INJURY (Per person)
$
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident)
$
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
PROPERTY DAMAGE
Per accident
$
UMBRELLALIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
FED RETENTION $
$
WORKERS COMPENSATION
PER OrH-
AND EMPLOYERS' LIABILITY Y / N
STATUTE ER
E.L. EACH ACCIDENT
$
ANYPROP RI ETOR/PART NER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? ❑
N/A
E.L. DISEASE - EA EMPLOYEE
$
(Mandatory in NH)
If yes, describe under
—
E.L. DISEASE - POLICY LIMIT
$
DESCRIPTION OF OPERATIONS below
D
Contractors Pollution
0308-6513
06/01/2019
06/01/2020
SIR: $25,000 Limit:
5,000,000
D
Professional Liability
0308-6513
06/01/2019
06/01/2020
SIR: $25,000 Limit:
5,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
The City of Fort Collins, officiers, agents, and employees are included as additional insured where required by written contract with respect to Contractors' Pollution.
The City of Fort Collins
Attn:Purchasing Dept.
PO Box 580
Fort Collins, CO 80522
L;ANL:tLLA I IUN
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 -l+dL AAA--ft% .
@ 1988-2016 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD