HomeMy WebLinkAbout612352 ARCA RECYCLING INC - INSURANCE CERTIFICATE (4)® DATE(MM/DD/YYYY) A��
� CERTIFICATE OF LIABILITY INSURANCE W29019
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
Marsh USA Inc. NAME:.
PHONE FAX
/C 333 South 7th Street, Suite 1400 (A. N9 Extl: A/C No):
Minneapolis, MN 55402-2400 E-MAIL
Attn: Minneapolis CertRequest@marsh.com Fax 212-948-0114 ADDRESS:
INSURER A: Markel American Insurance Co. 28932
INSURED ARCA Recycling, Inc. INSURER B : Zurich American Insurance Company 16535
175 Jackson Avenue North INSURER C : NIA N/A
Suite 102
Hopkins, MN 55343 INSURER D
INSURER E :
COVERAGES CERTIFICATE NUMBER: CHI-007161755-16 REVISION NUMBER: 21
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
OF INSURANCE
ADDLSUBRTYPE
INSD
WVO
POLICY NUMBER
EFF
MMIDD/YYYY
POLICYPOLICY EXP
MM/DDYYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
MKLM6MMP1000082
06/01/2019
06/01/2020
EACH OCCURRENCE
$ 1,000,000
CLAIMS -MADE �X ] OCCUR
AMA ETD
PREMISES Ea occurrence
$ 1000000
MED EXP (Any one person)
$ 10,000
PERSONAL & ADV INJURY
$ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER.
GENERAL AGGREGATE
$ 2,000,000
POLICY PRO LOC
JECT
PRODUCTS - COMPIOP AGG
$ 2,000,000
$
OTHER
B
AUTOMOBILE
LIABILITY
BAP-1150703-01
06/01/2019
06101/2020
MBINED INGLE LIMIT
S
ac
(CEO, cident
$ 1,000,000
BODILY INJURY (Per person)
$
X
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident)
$
X
PROPERTYDAMAGE
Per accident
$
HIRED X NON -OWNED
AUTOS ONLY AUTOS ONLY
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
HCLAIMS-MADE
AGGREGATE
_
$
EXCESS LIAB
DIED RETENTION $
$
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANYPROPRIETOR/PARTNER/EXECUTIVE Y / N
OFFICER/MEMBER EXCLUDED? ❑N
(Mandatory in NH)
N / A
WC-1150701-01
06/01/2020
X PER OTH-
STATUTE ER
E.L. EACH ACCIDENT
$ 1,000,000
--
E.L. DISEASE - EA EMPLOYEE
---
$ 1,000,000
If yes describe under
OF OPERATIONS below
E L DISEASE - POLICY LIMIT
1,000,000DESCRIPTION
$
DESCRIPTION OF OPERATIONS / LOCATIONS I 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. General Liability is primary and non-
contributory over any existing insurance and limited to liability arising out of the operations of the named insured and where required by written contract, Per project aggregate applies to General Liability as required
by written contract. Waiver of subrogation is applicable where required by written contract in favor of the City of Fort Collins,
C:tK I IFII.:A It HULUtK I;ANL tLLA I IUN
The City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Attm Purchasing Dept. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
PO Box 580 ACCORDANCE WITH THE POLICY PROVISIONS.
Fort Collins, CO 80522
AUTHORIZED REPRESENTATIVE
of Marsh USA Inc.
Manashi Mukherjee K141_A.
@ 1988-2016 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD