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HomeMy WebLinkAbout119699 GALLEGOS SANITATION INC - INSURANCE CERTIFICATE (14)GALLSAN-01 BADA ACORO FIDD/YYYY) 017 E (MM CERTIFICATE OF LIABILITY INSURANCE 0DATE(MM/ DNY 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 NAMT�T PFS Insurance Group 4848 Thompson Parkway Suite 200 AJCC,NNo, Ext): (970) 635-9400 FAX No):(970) 635-9401 Johnstown, CO 80534 _Ms. info@mypfsinsurance.com INSURED Gallegos Sanitation Inc. GBP, LLC Services Colorado LLC Tom Clock P.O. Box 1986 Fort Collins, CO 80522 INSURER A: Gallegos INSURER B : INSURER C : INSURER D , INSURER E . INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 00 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 I TYPE OF INSURANCE ADDL V4VQ POLICY NUMBER POLICY EFF POLICY EXP LIMITS INSD WV / MM/ A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR ACPGLA03027019089 05/01/2017 i 05/01/2018 DAMAGE TO RENTED PREMISES Ea o currence 300,000 $ MED EXP (Any oneperson) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GE_ RL AGGREGATE LIMIT APPLIES PER: POLICY n inT n LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMP/OP AGG $ 2,000,000 OTHER: A AUTOMOBILE LIABILITY Ea aBcd 'it, LE LIMIT $ 1,000,000 $ X ANY AUTO ACPBAPD3027019089 05/01/2017 05/01/2018 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY TnDAMAGE PROPERTY i--- $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 11000,000 EXCESS LIAB CLAIMS -MADE ACPCAA3027019089 05/01/2017 05/01/2018 AGGREGATE $ 1,000,000 DED X i RETENTION $ 0 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE (: PER OTH- TAT T R E.L. EACH ACCIDENT $ - $ OFFICER/MEMBER EXCLUDED? u (Mandatory in NH) N/A �'E.L. DISEASE - EA EMPLOYE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT A Equipment Floater ACPCIM3027019089 06/01/2017 05/01/2018 Leased 8r Rented 200,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) If required by written agreement, the certificate holder Is included as additional insured for ongoing operations under general liability. City of Fort Collins Financial Services Risk Management 215 North Mason Street Fort Collins, CO 80524 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 ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD