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Home My WebLink About468473 VEOLIA ES TECHNICAL SOLUTIONS LLC - INSURANCE CERTIFICATE (14)r ® DATE (MM/DD/YYYY) AFRO CERTIFICATE OF LIABILITY INSURANCE 01/04/2017 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). CONTACT PRODUCER NAME: Marsh USA, Inc. PHONE FAX 540 W. Madison Street (A/C. No. Ext : (A/C_, No1:_ Chicago, IL 60661 ADDRESS: -- Attn: Veolia.CertRequest@marsh.com I Fax: 212-948-5053 INSURERISI AFFORDING COVERAGE NAIC M INSURED Veolia ES Technical Solutions, LLC 700 East Butterfield Road, Suite 201 Lombard, IL 60148 LOM- INSURER A: ACE American Insurance Company INSURER B : AIG Specialty Insurance Company INSURER C : N/A INSURER D : ACE Fire Underwriters Insurance Company INSURER E : Lexington Insurance Company cn. r`W1_nnrA7r,7dn_'l7 RFVICIr%N "I IMRFR.5 19437 vvv �r�rrvw 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. INSR LTR TYPE OF INSURANCE ADD! SUBR POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY HDO G27860497 01/01/2017 01/01/2018 EACH OCCURRENCE $ . 1,000,000 � CLAIMS -MADE OCCUR LJ DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 1,000,000 PRODUCTS - COMP/OP AGG $ 1,000,000 POLICY ❑ PRO ❑ LOC X JECT OTHER. A AUTOMOBILE LIABILITY ISA H09052677(AOS) 01/01/2017 01/01/2018 COMBINED SINGLE LIMIT _(Ea accidentL $ 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ EXCESS LIAB DED I I RETENTION $ $ WORKERS COMPENSATION WLR C49107493 (AOS) 01/01/2017 01/01/2018 H X STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 rDB AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/NSCF OFFICER/MEMBER EXCLUDED? � (Mandatory in NH) N/A C49107535 (WI) (Retro) 01/01/2017 01/01/2018 E L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT 1,000,000 $CPL If yes, describe under DESCRIPTION OF OPERATIONS below - SIR: $500,000 CP029329661 01/01/2017 01/01/2018 Occurence/Aggregate 1,000,000 E E&O - SIR: $2,000,000 065703643 01/01/2017 01/0112018 Per ClaimlAggregate 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Fort Collins is included as additional insured (except as respects all coverage afforded by workers' compensation and professional liability) where required by written contract but only for liability arising out of the operations of the named insured. A waiver of subrogation is granted as required by written contract but only for liability arising out of the operations of the named insured. CERTIFICATE HOLDER %11A1YI1CLIJY I "Jim City of Fort Collins P.O. 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 wA4-u- U 1y88-LV 14 AVVMLJ I,V RrVRM 11V1�. nu na�nw cacr •c� ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD