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HomeMy WebLinkAboutAESTHETIC ALTERNATIVE RECYCLING LLC - INSURANCE CERTIFICATE (2)ACC>R� DAIC11eM'WfTLTT) ��. CERTIFICATE OF LIABILITY INSURANCE 512012020 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 holderIs 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 ri hts to:the certificate holler InAeuiof such endorsements . , PRODUCER NAME;, - SCO$Anderson, CC Commercial Risk Solutions PHONE Eki,303-996-7833..._.. ... .._...,_. -..___ _. ac No :303-757-7719 6600 E Hampden Ave Ste 200 E-Mar . Denver CO 80224 ADDREss: sanderson orsdenvercom INSURE AFFORDING COVERAGE NAIC d INSURERA.: Secura Insurance Co. INSURED AESTH-1 INSURERB: Pinnacol Assurance 41190 Aesthetic Alternative Recycling LLC 2450 S. Syracuse Way INSURERC: Denver CO 86231 INSURERD: 372639583 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. IIEFIF LTR I°OLU TYPEOFINSURANCE POLICY NUMBER D M DNYY I MWI Y I LIMITS - A X COMMERCIAL GENERAL LIABILITY 20CP003253280 5/20/2020 5/20/2021 EACHOCCURRENCE $1,00D.000 CLAIMS -MADE OCCUR I AGETORENTED PREMISES Ea occurrence)_ $500,000 MEDEXP (Anyone person) $10,000 .� PERSONAL &'.ADV INJURY $1,000.000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2;000,000 PRODUCTS -COMPiOP AGG $2,000,000" X 1 POLICY 1. j CT X LOG $ I OTHER: I A AUTOMOBILE LIABILITY 80A003253289 5Y2012020 5/20/2021 COMBINED SINGLE LIMIT' I$1:000,000 Ea accident BODILY INJURY (Per person) $ X ANY AUTO i OWNED SCHEDULED AUTOS ONLY AUTOS X HIRED x, NON -OWNED i AUTOS ONLY AUTOS ONLY BODILY INJURY (Per accident) $ I PROPERTY D (PerarAideritl $AMAGE $ A UMBRELLALIAS OCCUR 2000003253281 5/202020 5I20/2021 EACH OCCURRENCE $4,000.000 AGGREGATE $4,000,000 X I EXCESS UAS I CLAIMS -MADE I i DED I X I RETENTION $ 1 n nnn $ _ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOWPARTNERfEXECUTIVE Y I❑NN .NIA 3221111 6/1/2020 6/12021 X _ STATUTE ERH- EL. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 OFFICERIMEMSEREXCLUDED7 (Mandatory In NH) E.L. DISEASE - POLICY LIMIT .$ 1,000,000 - gzes; describe under SCRIPTION.OF. OPERATIONS balow- - A Intend Manna ACV/Special 20CP003263280 -" - ""- 5/202020 I 5120/2021 -' RentedlLsd Equip. Deducible 25',DOO -1:000 DESCRIPTION OF OPERATIONS ( LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is requtred) The insurance evidenced by this certificate will not reduce coverage or:lirnits and will not be cancelled, except after thirty (30) days written notice has been received by the city of Fort Collins. CERTIFICATE HOLDER CANCELLATION. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE' THE EXPIRATION DATE THEREOF, NOTICE, WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS.. - P O Box 580 AUTHORQED REPRESENTATIVE 215 North Mason St:, 2nd Floor Fort Collins CO 80522 ©1 OW2015 ACORD CORPORATION. All rights reserved.. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 2• of 2 2926