HomeMy WebLinkAboutJACO PRODUCT RECOVERY SERVICES LLC - INSURANCE CERTIFICATE33442F
AcoRO® CERTIFICATE OF LIABILITY INSURANCE DATE (MMlDDIYYVY)
11 /23/2016
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 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 endorsements .
PRODUCER CONTACT Millie Anderson
Commercial Lines - (949) 358-6100 NAME: PHONE g49 358 6123 FAX
A/C No Ext : ( (877) 358 6189
) A/C No
Wells Fargo Insurance Services USA, Inc. - CA Lic#: OD08408 E-MAIL_ mile.anderson WeIlsFar
ADDRESS: lio.com _ CO% g
2030 Main Street, Suite 700 INSURER(S)AFFORDINGCOVERAGE NAIC#
Irvine, CA 92614-7253 INSURERA: Twin City Fire Insurance Company 29459
INSURED INSURER B: Zurich American Insurance CO 16535
JACO Product Recovery Services, LLC INSURER C :
--
est 69th Street
INSURER E : ---_-� I
Loveland CO 80538 INSURERF: 1
COVERAGES CFRTIFICATF NI IMRFR• 11126696 0MRIZIn61 kit ueoro. coo
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
ADDL
UBR
POLICY NUMBER
MM/DD/YYYY
MM/DDIYYYY
— -
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE � OCCUR
72CESOF6457
11/23/2016
11/23/2017
EACH OCCURRENCE
$ 1,000,000
PREMISES Ea occurrence
$ 300,000
MED EXP (Any one person)
$ 10,000
PERSONAL &ADV INJURY
$ 1,000,000
GEN'L
X
AGGREGATE LIMIT APPLIES PER:
POLICY PRO- ❑
JEC7 LOC
OTHER:
GENERAL AGGREGATE
S 2,000,000
PRODUCTS -COMP/OP AGG
$ 2,000,000
$
B
AUTOMOBILE
LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED X NON -OWNED
AUTOS ONLY AUTOS ONLY
PRA0162297-00
11/23/2016
11/23/2017
COMBINEDSINGLELIMIT
a accident
$ 1,000,000
X
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident )
$
X
PROPERTYDAMAGE
(peracci ent
$
UMBRELLA LIAB
EXCESS LIAR
HCLAIMS-MADE
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
DED RETENTION $
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANYPROPRIETOR(PARTNER/EXECUTIVE ❑
OFFICER/MEMBEREXCLUDED7
(Mandatory in NHi
If yes, describe under
DESORPTION OPERATIONS below
N!A
PER OTH-
STATUTE I ER
E.L. EACH ACCIDENT
__`
$
E.L. DISEASE - EA EMPLOYEE
$
E.L. DISEASE - POLICY LIMIT
$
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required)
City of Fort Collins is named as Additional Insured on the General Liability policy.
City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
215 N Mason St ACCORDANCE WITH THE POLICY PROVISIONS.
Fort Collins, CO 80524
AUTHORIZED REPRESENTATIVE
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The ACORD name a