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Home My WebLink AboutARCA RECYCLING INC - INSURANCE CERTIFICATEACC ® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 04/04/2016 THI�RTIFICATE 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 Marsh USA Inc. 333 South 7th Street, Suite 1400 Minneapolis, MN 55402-2400 Attn: Minneapolis.CertRequest@marsh.com Fax 212-948-0114 CONTACT -- _NAME: PHONE FAX No Est):(A/C NO1= E-MA ADDRILESS: INSURERS AFFORDING COVERAGE NAIC tt INSURER A: Liberty Mutual Fire Insurance Company 23035 INSURED ARCA Recycling, Inc. 175 Jackson Avenue North INSURER B : The First Liberty Insurance Corporation 33588 INSURER C N/A NIA Suite 102 INSURER D : INSURER E : _. Hopkins, MN 55343 INSURER F ........... ..�..............unrn-�n COVEKAULb %lr=rc 1 Irn,r+1 Iwnlu�l�. _... --- - -- _ - -- 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. IN RI LTR A TYPE OF INSURANCE X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR ADDL SUBR POLICY NUMBER TB2-Z91-426090-106 POLICY EFF MM/DD/YYYV 04/01/2016 POLICY EXP MMlDDIYYYY 04/01/2017 LIMITS EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY1:1 PRO X LOC JECT PRODUCTS - COMP/OP AGG $ 2,000,000 B OTHER: AUTOMOBILE LIABILITY AS6-Z91-426090-016 04/01/2016 04/01I2017 COMBINED SINGLE LIMIT Ea accident -- $ 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED X HIRED AUTOS X AUTOS CA,CO,GA,IL,KY,MA,MO,OH,TX,WA,MN BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident)$ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE X PER ER STATUTE ER B WC6-Z91-426090-076 (CA) 04/01/2016 04/01/2017 DED I RETENTION $ WORKERS COMPENSATION E.L. EACH ACCIDENT $ 1,000,000 B AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A WC6-Z91-426090-046 CO,GA,IL,KY,MA,OH,OR,TX,WA 8 MN 04/0112016 04/01/2017 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS ! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Fort Collins, offciers, agents and employees are included as additional insured where required by written contract with respect to General Liabililty and Auto Liability. General Liability is primary and non-contributory over any existing insurance and limited to liability arising out of the operations of the named insured and where required by written contract. Per project aggregate applies to General Liability as required by written contract. Waiver of subrogation is applicable where required by written contract in favor of the City of Fort Collins. CtK 1 II-I(_:A It MULL) The City of Fort Collins Attn: Purchasing Dept. 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 of Marsh USA Inc. Manashi Mukherjee niln w TIA.1 A 11 .. I,*- mince. -A W 1.7VV'LV IY I'9VVI�v vv•�• v•�r•••..... .... .� ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD ' 7 ® ACORD CERTIFICATE OF LIABILITY INSURANCE -DATE (MMIDD/YYYY) 04/04/2016 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 Marsh USA Inc. 333 South 7th Street, Suite 1400 Minneapolis, MN 55402-2400 Attn: Minneapolis.CertRequest@marsh.com Fax 212-948-0114 CONTACT NAME: PHONE FAX c No ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: N/A N/A INSURED ARCA Recycling, Inc. 175 Jackson Avenue North Suite 102 INSURER B : NIA N/A INSURER C : NIA N/A INSURER D: Allied World Assurance Company (U.S.) Inc. 19489 Hopkins, MN 55343 INSURER E : INSURER F : rnv�owr_�c r-P0TIPIr_ATE NUMBER: CHI-005851312-08 REVISION NUMBER:14 vTHIS '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. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DDIYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ POLICY ❑ PRO ❑ LOC JECT OTHER. AUTOMOBILE LIABILITY(Ea acccdentSINGLE LIMIT $ — — BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Pe r accident $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ EXCESS LIAB DED I I RETENTION $ $ WORKERS COMPENSATION PER OTH- STATUTE ER E.L. EACH ACCIDENT $ AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. DISEASE - EA EMPLOYE $ — OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) N / A E L DISEASE - POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below D Contractors Pollution 0308-6513 04/01/2016 04/01/2017 SIR: $25,000 Limit: 5,000,000 D Professional Liability 0308-6513 04/01/2016 04/01/2017 SIR: $25,000 Limit: 5,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Fort Collins, officiers, agents, and employees are included as additional insured where required by written contract with respect to Contractors' Pollution. The City of Fort Collins Attn: Purchasing Dept. 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 of Marsh USA Inc. Manashi Mukherjeeacc�a U 1Vt3t3-ZU74 AGUKLf UUKYUKA I IUIV. All rignUi rtt5UFVttu. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD