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HomeMy WebLinkAboutCONTAMINATION CONTROL AND CERTIFICATION HOLDINGS I - INSURANCE CERTIFICATE (2)CERTIFICATE OF 'LIABILITY INSURANCE DATE(MWDD1�'�) 6/15/2021 6/8/2020 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 19SUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE. HOLDER. IMPORTANT: N them certificate holder is an ADDnTONALINSURED, the poliDy(ieli) must have ADDITIONAL INSURED provisions or be endorsed. - If SUBROGATION IS WAIVED, subject to the ters 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). PRODucEFt Lockton CompaniesCONTACT 444 W. 47th Street, Suite 900 A/c No No): Kansas City MO 64112-1906 (816) 960-9000 ADDRESS: INSURED CONTAMINATION CONTROL AND CERTIFICATION [455554 HOLDINGS, INC TECHNICAL SAFETY SERVICES LLC 620 HEARST AVE BERKELEY CA 94710 I iksbRiER c - Twin Citv Fire Insurance Comoanv 129459 I /n1/COAP_CC**** PMOTICV`ATC A111aaOCD. II Q77171117 DC\/ICl/1a1 IJtlaaQCD• YYYYYYY THIS IS TO CERTIFY THAT THEPOLICIES OF INSURANCE LISTED INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN BELOW HAVE'BEEN ISSUEDTO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS AFFORDED BY THE POLICIESOESCRIBED HEREIN IS SUBJECT TO ALL, THE TERMS, MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR L TYPE OF INSURANCE ADDL. Sp SUER POLICY NUMBER PO CY EFF M POLICY EXP M .LIMITS A X COMMERCIAL GENERAL LIABILITY IA CLAIMS-MADE OCCUR N N 1000065716201 6/15/2020 6/15/2021 EACH OCCURRENCE L OOO OOO DAMAGE TO RENTED.. P S S Ea ox SO OOO MED.EXP one rson 5,000 PERSONAL &ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC OTHER: GENERAL AGGREGATE. $. 2 OOO 000. PRODUCTS-.COMP/OP AGG $. 2,000,000 $ B AUTOMOBILE LIABILITY ANY AUTO AUTOS ONLY AUTOSUL� HIRED NON -OWNED AUTOS ONLY AUTOS ONLY N N 37UENTE39 2 6/15/2020 6/15/2021 Ee aBIN�EeD SINGLE LIMIT c $ 1,000,000 X BODILY INJURY (Per person) $xxxxxxx BODILY INJURY(Per accident $ XXXXXXX PROPERTY DAMAGE Per accident $ X)XXixx{ $XXXXXXX A UMBRELLA LIAB EXCESS LIAR X OCCUR CLAIMS -MAD N N 10003365802101 6/15/2020 6/15/2021 EACH OCCURRENCE $ 10 OOO OOO 'X. AGGREGATE _. _ $ 10600 000.... DIED RETENTION $0 $ XXXXXXX C WORKERS COMPENSATION. AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTNE OFFICER/MEMBER EXCLUDED? N❑ M sSdatory In NH) eBn y'/a DESCRIPTION OF OPERATIONS below N / A N 37WEAG2UIVL. 6/15/2020 6/15/2021 PER OTH- X STATUTE EL. EACH ACCIDENT _ $. 1000000 E.L. DISEASE - EA EMPLOYEE 1,000,000 E.L. DISEASE - POLICYLIMIT 1 1,000,000 A PROFESSIONAL LIABILITY POLLUTION LIABILITY N N 1000065716201 6/15/2020 6/15/2021 OCC/AGG Iu HT: $1,000,000 OCC/AGG LIMIT: $1,060,000 DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES (ACORD 101, Additlonal - Remarks Schedule, may be attached H more spew Is required) 15727707 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. 4-09! It, (2016103) 1©1988-2015 ACORD CORPORATION. All rights The ACORD name and logo are registered marks of ACORD Attachment Code: D564542 Master ID: 1455554, ID:15727707 CONTAMINATION CONTROL AND 15727707 City of Fort Collins PO BOX 580 Fort Collins, CO 80522 To Whom It May Concern:. In our continuing effort to provide ti delivery of Certificates of Insurance. To ensure electronic delivery for future contact us via the email below and refe Certificate ID number in order for us to Email: kctsu@lockton.com Subject Line: Email Address Lockton Companies W. 47th Street, Suite 900 Cansas City, MO 64112 :ICATION; 1455554 NEFARM ..WO& certificate delivery, Lockton Companies is utilizing paperless of this certificate, we need your email address. Please tificate ID: 15727707. You must reference the this process. If you received this certificate through an Internet link where the current certificate is viewable, we have your email and no further action is need d. If you would rather continue to receive printed certificates, no further action is required. If you no longer need this certificate, pleL contact us at the email address above. NOTE: The above email is for requests regarding electronic delivery of certificates only. Please do NOT send certificate requests or other insurance inquiries to this inbox.. Thank you for your cooperation and Lockton Companies Technical Services Unit ness in reducing our environmental footprint. Email /I Mailing Update - Liability Certificates