HomeMy WebLinkAboutPACE INDUSTRIAL - INSURANCE CERTIFICATEAJardine Lloyd Thompson Canada Inc. Certificate of Insurance
❑ Vancouver 16th Floor, 1111 West Georgia Street, Vancouver, B.C. Canada V6E 4G2 Telephone: (604) 682-4211 Facsimile: (604) 682-3520
❑ Victoria 202-3045 Douglas Street, Victoria, B.C. Canada V8T 4N2 Telephone: (250) 388-4416 Facsimile: (250) 388-9926
❑ Calgary Suite 2810, 144 - 4th Avenue S.W., Calgary, Alberta Canada T2P 3N4 Telephone: (403) 264-8600 Facsimile: (403) 264-8608
® Edmonton Suite 747, 10104 -103rd Avenue., Edmonton, Alberta Canada T5J OHS Telephone: (780) 421-7188 Facsimile: (780) 421-7717
❑ Surrey 180 -10470 -152 Street, Surrey, B.C. V3R OY3 Telephone: (604) 583-9800 Facsimile: (604) 583-5777
Certificate
Certificate No.: CO6-929
Holder.
City of Fort Collins
215 North Mason Street 2nd Floor,
P.O. Box 580 Fort Collins, CO
80522-0580
Re:
Confirmation Of Insurance
Description:
Mechanical Contractor
Name of Insured:
Pace Industrial (USA) Inc.
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 or may be reduced by paid
claimstexpenses.
Schedule of Insurance
Company and Policy
Type of Insurance Number Policy Dates Limit of Liability/Amount
General Liability Including Zurich Insurance Company Effective 15-Oct-06 Bodily Injury and Property Damage
Non -Owned Auto Liability ICF 3079 Expiry 15-Sept-07 $1 000,000.00 Inclusive
$1000,000.00 Aggregatewith respect to
Products/Completed Operations
Automobile (Owned/Leased) Zurich Insurance Company Effective 15-Oct-06 Bodily Injury and Property Damage
Liability 9800102 Expiry 15-Sept-07 $1,000 000.00 Inclusive
Umbrella Liability/ Zurich Insurance Company Effective 15-0ct O6 $9,000,000.00 Limits
Excess Liability ICF 3082 Expiry 15-Sept-07 excess of $1 000 000.00 General Liability
excess of $1,000.000.00 Automobile
Contractors Equipment Zurich Insurance Company Effective 15-Oct O6 As on File with Insurer Limit of Liability
ICF 3079 Expiry 15-Sept-07
Property Zurich Insurance Company Effective 15-Oct-06 As on File with Insurer Limit of Liability
ICF 3079 Expiry 15-Sept-07
These statements have been made in good faith and are a summary of the insurance cover in force (which is subject to the
full terms and conditions of the policy). We accept no responsibility whatsoever for any inadvertent or negligent act, error or
omission on our part in preparing these statements or for any loss, damage or expense thereby occasioned to any recipient of
this certificate.
Dated October 13, 2006
MP4-92 Insurance & Surety Bonds/Business Life Insurance
Jardine Lip Thompson Canada Inc.
Per
Signed Kelly Peacher
Continued
Certificate of Insurance C06-929
Particulars of Insurance
General Liability
®
Premises Property and Operations
❑
Exclusions pertaining to Blasting, Collapse, Underpinning, deleted as
®
Products and Completed Operations
follows:
®
Blanket Contractual (all written agreements)
❑
Owner as Additional Insured
®
Owners and Contractors Protective
®
Provides Coverage for Claims arising from Use of Machinery and
®
Occurrence Bodily Injury and Property Damage
Equipment attached to licensed construction machinery on Project Site
®
Broad Form Property Damage
❑
30 Days Notice of Cancellation or Material Change
®
Contingent Employers Liability
❑
Wrap up Liability Insurance
®
Personal injury
❑
Completed Operations Insurance Provided for months after
®
Employees as Additional Insured
completion of Project
®
Cross Liability
®
Professional Liability Exclusion
®
Pollution Exclusion
❑
Deductible —jig .000.00
®
Tenants Fire Legal Liability
Contractors Equipment
®
"All Risk" Form
❑
30 Days Notice of Cancellation or Material Change
❑
Subrogation Waived Against Owner
®
Deductibles— 10 00 .00
❑
Subrogation Waived Against Owner, Construction or Project Manager,
Architects and Engineers
Property
®
All Risk" Form
®
Replacement Cost
❑
Fire and Extended Coverages Form
®
Coinsurance —
Flood Included
®
Deductible-510.000.00
®
Earthquake Included
®
Indicates applicable.
Effective: October 15, 2006
Terms and Conditions
This certificate is issued for convenience only. All of the terms and conditions of the Policies referred to are contained in the original document which are not
modified or amended by this Certificate. With respect to Liability Insurance Coverages, where an Aggregate limit applies, the Certificate Holder is advised that
the limit shown may apply to products/completed operations or projects other than shown in this certificate and the limit may be reduced by ClaimslExpenses
Paid.