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HomeMy WebLinkAboutARCA RECYCLING INC - INSURANCE CERTIFICATE (5)(MMID A DATE /2017 /YYYY) CERTIFICATE OF LIABILITY INSURANCE 06/01/2017 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). PRODUCER CONTACT Marsh USA Inc. NAME: 333 South 7th Street, Suite 1400 PHONE VC �,FXW___-__ _ _ __ � No): Minneapolis. MN 55402-2400 E-MAIL Attn Minneapolis CertRequest@marsh.com Fax 212-948-0114 ADDRESS:___ _ INSURER(S) AFFORDING COVERAGE NAIC # INSURED ARCA Recycling, Inc. 175Jackson Avenue North Suite 102 Hopkins, MN 55343 A: Liberty Mutual Fire Insurance Company B : The First Liberty Insurance Corporation c :NIA -- - - D: INSURER F : I COVFRAGFR CFRTIFICATF NIIMRFR- CHI-005447519-10 REVISION NIIMRER-19 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- -------- LTR — ---- - INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MM/DD/YYYY MMIDD YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY TB2-Z91-426090-107 06/01/2017 06/01/2018 EACH OCCURRENCE $ 1,000,000 X CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PRO LOC JECT M'OTHER PRODUCTS - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE LIABILITY AS2-Z91426090-147 06/01/2017 0610112018 COMBINED SINGLE LIMIT accident)__ $ 1,000,000Ea X BODILY INJURY (Per person) $ ANY AUTO (CA, CO, GA, IL, KY, MA, ALL OWNED SCHEDULED AUTOS AUTOS MO, OH, PA, TX, WA, MN) BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Pare c dent $ X NON -OWNED HIRED AUTOS AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Ya OFFICER./MEMBER EXCLUDED? (Mandatory in NH) N / A WC6-Z91-426090-127 (CA.CO. IL, IN, KY, MA. MN. NM, NV, NY, OR, PA, SG TX, VA, WA, WI) 06/01/2017 06/01/2018 X STATUTE ER E L EACH ACCIDENT $ 1.000,000 E.L. DISEASE - E4 EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L DISEASE -POLICY LIMIT $ 1,000.000 DESCRIPTION OF OPERATIONS / 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 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. CERTIFICATE HOLDER CANCELLATION The City of Fort Collins Attm 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 © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD