HomeMy WebLinkAboutAEARO HOLDING - INSURANCE CERTIFICATECERTIFICATE NUMBER
CERTIFICATE
MARCH CERTIFICATE OF INSURANCE
+.Je v V 111rVG CHI-00124111E-05
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
MARSH USA INC. NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
CHASE TOWER POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
111 MONUMENT CIRCLE AFFORDED BY THE POLICIES DESCRIBED HEREIN.
SUITE 4300 COMPANIES AFFORDING COVERAGE
INDIANAPOLIS, IN 46204-2492
Attn: Linda Bottoms 317-261-9321 COMPANY
87962--- 06-07 A LIBERTY SURPLUS INSURANCE CORP.
INSURED
COMPANY
AEARO HOLDING CORPORATION
B N/A
5457 WEST 79TH STREET
COMPANY
INDIANAPOLIS, IN 46268
C LIBERTY MUTUAL INSURANCE CO
COMPANY
D N/A
COVERAGES This certificate supersedes and replacesany previously Issued certificate for the policy period noted below. t `<
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE(MMIDDIYY)
POLICY EXPIRATION
DATE(MM/DDIYY)
LIMITS
A
GENERAL
LIABILITY CONTRACTU
EGL-BO-078981-052
09/30/06
09/30/07
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS. COMPIOPAGG
$ 2,000,000
MMERCIAL GENERAL LIABILITY
CLAIMSMADE OCCUR
(PERSONAL&ADV INJURY
$ 1,000,000
EACH OCCURRENCE
$ 1,000,000
NER'S & CONTRACTOR'S PROT
TXIR
FIRE DAMAGE(Anyone fin:)
$ 50,000
20,000 PREMISES
MED EXP 4AnY onePerson)
$ NIL
C
AUTOMOBILE
LIABILITY
AS2-641-005060-056
09/30/06
09/30/07
COMBINED SINGLE LIMIT
$ 1,000,00()
X
ANY AUTO
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
X
COMP DED: 2,500
PROPERTY DAMAGE
$
X
OLL DED: 2,500
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN AUTO ONLY,
ANY AUTO
EACH ACCIDENT
$
AGGREGATE
$
EXCESS LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
UMBRELLA FORM
$
OTHER THAN UMBRELLA FORM
C
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
WA7-64D-005060-076 AOSWC
(
09/30/06
09/30/07
X I TORY LIM TS ER
EL EACH ACCIDENT
$ 1,000,000
C
THE PROPRIETOR/ X INCL
PARTNERS/EXECUTIVE
WC7-641-005060-066 (OR, WI)
09/30/06
09/30/07
EL DISEASE -POLICY LIMIT
$ 1,000,000
EL DISEASE -EACH EMPLOYEE
$ 1,000,000
OFFICERS ARE: EXCL
i
DESCRIPTION OF OPERATIONSJLOCA-nO SIVEHICLESrSPECIAL ITEMS
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
THE INSURER AFFORDING COVERAGE WU_ ENDEAVOR TO MAIL _gyp DAYS WRITTEN NOTICE TO THE
CITY OF FT. COLLINS
ATTN: DAVID CAREY
CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
300 LAPORTE AVENUE
LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE
FT. COLLINS, CO 80521
ISSUER OF THIS CERTIFICATE.
MARSH USA INC.
BY: Linda Bottoms
MM1(3/02) VALID AS OF: 10/03/06