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Home My WebLink About386996 WESTERN STATES RECLAMATION INC - INSURANCE CERTIFICATE (3)rliantif- '077A WFSSTAPC ACORD. CERTIFICATEOF . LIABILITY INSURANCE ATE-MIDWYYYY) - FOM2S12020 6/ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED HOLDER. IMPORTANT: -If the certificate holder is an ADDITIONAL INSURED, If SUBROGATION IS WAIVED, subject to the terms and conditions this certificate does not confei any rights to the certificate the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. of the policy, certain policies may require an endorsement A statement on holder in lieu of such endomement(s). PRODUCER Holmes Murphy -Colorado 7600 East Orchard Road, Suits230 South Property Casualty - Colorado Greenwood Village, CO 80111 . _GT Nick Brown PPT"E E).720-458-5770 No,:J44248-0468 E-MAIL s hol owrn memu h _om_ ADDRESS:. nb@ rp yc- INSURER($ AFFORDING COVERAGE NAIC 0 INSURER At Travelers Property Casualty Co. America 25674 INSURED - Western States Reclamation, Inc. 3756 Imperial Street Frederick, CO 80516 INSURER B : Pinnacol Assurance Company 41190 Travelers Indemnity Co of America INSURER C : lty 25666 INSURER D: Admiral Insurance 24856 INSURER E INSURER F.: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 CONTRACTOR 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 _ DDL I R UBI WVD I POLICY NUMBER POLICY EFF M POU EXP M UM_IT.S_. A X COMMERCULLGENERALLIABILITY CLAIMS-MADEOCCUR PO Ded: $2,500 X DTCW26D029ATIL20 D710112020 07/01/2021 $1 000000 pEAACCHHOCCCURgqRENCE PREMISESEs Mnos $300000 X MED EXP (Any one Person) $5 000 PERSONAL$ ADV INJURY $1 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY O. ECT LOC OTHER: GENERAL AGGREGATE _ $2,000,000. _ PRODUCTS-COMP/OP.AGG .s2,000,000. $ A AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X AUTOS ONLY X NON -OWNED AUTOS ONLY 8102N222190TIL2026 7/01I2620 07/01/2021 Ea oodd n SINGLE LIMIT 1,000,000 BODILY INJURY (Per person) 6 eODILY INJURY (Per aoddera) $ PROPERTY DAMAGE$ Per accident E p, X UMBRELLA WLB EXCESS WLB X OCCUR CLAIMS -MADE CUP6J2166662026 D710112020 07/01/2021 EACH OCCURRENCE $5 000 000 AGGREGATE $5 000 000 DIED I X RETENTION$10000 $ B wORILERSCOMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE Y 1 N OFFICERIMEMBER EXCLUDED? F�] (Mandatory In NH) if yes, describe under DESCRIPTION OF OPERATIONS below N/A 420278,y 7/01/2020 07/01/2021 X PER OTH- E.L. EACH ACCIDENT $1 00O 000 E.L. DISEASE:- EA EMPLOYEE $1 00O 000 E.L. DISEASE _.POLICYLIMIT 0.000.000 _ C C D LeaSSWRented Eq. Installation Fit Poll/Prof Usti. CIT6602A931946TIA QT660iA931946TIA FFJEC61629707 7/01/2020 7/01/2020 7/01/2020 07/01/2021 07/01/2021 07/01/2021 $100001000; $2,500 Ded $250,000; $1,000 Ded $2 000 000• $10 000 Ded DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional The City, its officers, agents and employees are included including Completed Operations, as required by written Remarks Schedule; maybe attached H more space Is required) as Additional Insured on the General Liability, contract, per policy terms and conditions. City of Fort Collins PO 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 ACORD 25 (2016103) 1 of 1 The ACORD name iiCri7lGAriA/MF4ri7R1 logo are registered marks of ACORD MA.NV1 reserved.