HomeMy WebLinkAbout622474 BRONCO ENVIRONMENTAL LTD - INSURANCE CERTIFICATE (2).4C®R& CERTIFICATE OF LIABILITY INSURANCE
°A'E(°"M/D°'""'"
3/23/2020
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 ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy'(ies) must 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
Van Oppen & Co. 2, Inc.
VOCO 2 Insurance & Risk -Control Services ..$MAIL..
P.O. Box 793
-Teton Village WY 83025'
TAC
NAME T Brenda Todd
FAX
Evtl- 860-746-0048 _INC.o:
._..
aooREss: service vano encoZcom
INSURERS AFFORDING. COVERAGE-..
NAICIt -
'.INSURER A:: Crum & Forster -Specialty Insurance Eom any
44520
INSURED BRONENV-01
Bronco Environmental Ltd.
INSURER. B.: Pinnacol Assurance
41.190
2735Geneva Place
INSURER C'i.
INSURER Do
Longmont CO 80503
-INSURER E.i -
- '
<INSURER.F:
UUVGP1AleG5 CtRIIFiCA4F NIINIRFN- ll /nQAR9Dz GCNICIlf,N 11,1112nomO.
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 TEAMS,
ON EXCLUSIS AND CONDITIONS OF SUCH "POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY`PAM CLAIMS.
-_.q. ..
JLTH
TYPE OF INSURANCE
AO-
I -
WVD
POUCYNUMBER_.
.POLICYEFF._
mmtoo1YYYY
POLICTEXP:
MM(OD/YYY
LIMITS'
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE. ExIOCCUR
CP.L (Pollution)
Y
I
Y
'
EPK-129219
il/25/2019
1125/2021
EACH OCCURRENCE-
$2;00g000
A
PREMISE W rI3
$100:000
X
MED EXP (Any one person)
$10,000
-
PERSONAL 8 ADV INJURY
$ 2,000,000
GEN'L
x
AGGREGATE LIMIT APPLIES .PER:
POLICY PRO
JECT LOG.
OTHER:
GENERALAGGREGATE
$.2,000,000.
PRODUCTS - COMP/OP AGG
$ 2,000,000
I -
$.
_
AUTOMOBILE
LIABILITY
ANY. AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
NON -OWNED
HIRED AUTOS AUTOS .
-
-
COMBINED SINGLE LIMIT.
aaWdemt
$.
SODILYINJURY '(Per ,person)
$
BODILY INJURY (Per accident)
$.
PROPERTY DAMAGE
$
$ _
.
UMBRELLA UAB-
EXCESS_LIAS j---I
( OCCUR
CLAIMS -MADE
-
EACH OCCURRENCE
$.
AGGREGATE
$
._.J..OED..
:RETENTION$.
.. _ .
$..... .
B
_
WORKERS COMPENSATION
AND EMPL.OVERS'-..LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICERIMEMBER EXCLUDED? ❑
(Mandatory. In NH)"
Ilyes. describe under ...
O SCRIPTIONOF OPERATIONS' below
NIA
-
Y
4208588
- - -
4/1/2020
-
4112021
X STATUTE I
:ERH
- -
. E.L. .EACH ACCIDENT
.
$1,000,000
E.L. DISEASE'. --EA EMPLOYE
$1,000,000
ec.OISEAse = Poucramnrr-5'1',
one ;00a—
A.
Professional'. Liability'
Claims Made'
Subject toG
: L Agg.
EBK-129219
1125/2019
1125/2021
Each Claim - 2,000,000
Aggregate 2,000.000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
City of Fort Collins
Pb Box580
Fort Collins CO 80522
SHOULD ANY OF THE ABOVE' DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE' THEREOF," NOTICE WILL BE DELIVERED IN
ACCORDANCE W(THTHE POLICY PROVISIONS.
rAWIKVZO JZU114/01) The ACORD name and logo are registered marks of ACORD
2 of 2 5525