HomeMy WebLinkAbout612352 ARCA RECYCLING INC - INSURANCE CERTIFICATE (6)ACORD CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
06/04/2018
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 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 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
IAIC. No Extim we No):
E-MAIL
ADDRESS:
_._
INSURERS AFFORDING COVERAGE
NAIC #
INSURER A: Markel American Insurance Co.
28932
INSURED ARCA Recycling, Inc.
175 Jackson Avenue North
INSURER B: Zurich American Insurance Company
16535
INSURER C : WA
N/A
INSURER D :
Suite 102
Hopkins, MN 55343
INSURER E
INSURER F :
rnvGver_Fc CERTIFICATE NUMBER: CHI-007161755-14 REVISION NUMBER: 21
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/DD/YYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
MKLM6MMP1000031
06/01/2018
06/01/2019
EACH OCCURRENCE
$ 1,000,000
CLAIMS -MADE 1XI OCCUR
DAMAGE TO RENTE
PREMISES Ea occur ence
$ 1,000,000
MED EXP (Any one person)
$ 10,000
PERSONAL & ADV INJURY
$ 1,000,000
GEN'L
AGGREGATE LIMIT APPLIES PER.
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMP/OP AGG
$ 2,000,000
POLICY n PRO- � LOC
JECT
OTHER:
B
AUTOMOBILE LIABILITY
BAP-1150703-00
06/01/2018
06/01/2019
Eaa cde.fSINGLELIMIT
$ 1,000,000
BODILY INJURY (Per person)
$
ANY AUTO
BODILY INJURY (Per accident)
$
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED X NON -OWNED
AUTOS ONLY AUTOS ONLY
rx
DAMAGE
(Per accident)
$
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
HCLAIMS-MADE
AGGREGATE
$
EXCESS LIAB
DIED RETENTION $
$
B
WORKERS COMPENSATION
WC-1150701-00
06/01/2019
X STATUTE EORH
AND EMPLOYERS' LIABILITY Y / N
ANYPROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? a
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N/A
E. L. EACH ACCIDENT
$ 1,000,000
E.L DISEASE -EA EMPLOYEE
$ 1,000,000
E.L. DISEASE - POLICY LIMIT
$ 1,0K000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
The City of Fort Collins, officers, agents and employees are included as additional insured where required by written contract with respect to General Liability 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.
It: MULUtK
The City of Fort Collins
Attn: Purchasing Dept.
PO Box 580
Fort Collins, CO 80522
vhrw��u� i w�•
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 %,� �tA.A.�<-+-
V IytSii-LUIb AI.UKU %,umt'VKA I ium. All miiitz trarrvcu.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD