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HomeMy WebLinkAboutKLEEN-TECH SERVICES CORPORATION - INSURANCE CERTIFICATEP326(X)28002 A/^� s. 40�Y©CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 05/31/2019 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 1-303-534-4567 IMA, Inc. - Colorado Division CONTACT NAME: PHONE FAX AIC No): E-MAIL denaccounttechs@imacorp.com ADDRESS: rp•com 17th Street _ INSURER(S) AFFORDING COVERAGE NAIC0 Suite 100 INSURERA: LIBERTY MUT FIRE INS_ CO 23035 Denver, CO 80202 INSURED INSURERB: LIBERTY INS CORD 42404 Rleen-Tech Services Corporation INSURER C : INSURER D: 7100 Broadway, Suite 6L INSURER E : INSURERF: Denver, CO 80221-2925 COVERAGES CERTIFICATE NUMBER- 56325042 RFVISIAN NIIMRFR- 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. INSTRR TYPE OF INSURANCE 2L%ADDL WVD SUER POLICY NUMBER M�DY EFF MoDICDY M LIMITS A X COMMERCIAL GENERAL LIABILITY TB5Z91436710149 01/01/19 01/01/20 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE l� OCCUR DAMAGE TO REWT—ED PREMISES Es occurrence) $ 300,000 MED EXP (Any one person) $ 10,000 PERSONAL BADVINJURY $ 1,000,000 _ GENI AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY[]RCT O LOC JE - COMPIOPAGG $ 2,000,000 _PRODUCTS _ $ OTHER: A AUTOMOBILE LIABILITY AS2Z91436710109 01/01/19 01/01/20 COMBINED SINGLE LIMIT Ea accldent $ 1,000,000 BODILY INJURY (Per person) -, $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ X HIRED % NON -OWNED AUTOS ONLY AUTOS ONLY $ PROPERTY DAMAGE Per accident — $ — — -- B % I UMBRELLA LIAO X OCCUR TH7Z91436710129 01/01/19 01/01/20 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 EXCESS LIAB CLAIMS -MADE DED X RETENTION $ 10,000 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETORPARTNER/EXECUTIVE � OFFICERlMEMBEREXCLUDED9 NIA WCCZ91436710089 01/01/19 01/01/20 X STATUTE ERH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory in NH) It yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1, 000, 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) City of Fort Collins is included as Additional Insured on the General Liability Policy if required by written contract or agreement subject to the policy terms and conditions. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 215 North Mason Street, 2nd Floor AUTHORIZED REPRESENTATIVE //�& Fort C011ino, CO 80524 USA ( / ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD sadie55 56328042 M 7 z w