HomeMy WebLinkAboutFIBERGALSS STRUCTURES - INSURANCE CERTIFICATETHIS 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.
CO )
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MMIDDNY)
POLICY EXPIRATION
DATE (MMIDD/YY)
LIMITS
A
GENERAL
LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE ❑X OCCUR
OWNER'S& CONTRACTOR'S PROT
44CL446656
10/01/2006
10/01/2007
I
GENERAL AGGREGATE
$ 1,000,000
X
PRODUCTS - COMP/OPAGG
S 1,000,000
PERSONAL &ADV INJURY
$ 1,000,000
EACH OCCURRENCE
$ 1,000,000
FIRE DAMAGE (Any one tire)
$ 100,000
MED EXP IAnv one Derson)
S 5.000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
44CL446656
10/01/2006
10/01/2007
COMBINED SINGLE LIMIT
$ 1,000,000
X
BODILY INJURY
(Per person)
$
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN AUTO ONLY
EACH ACCIDENT
$
AGGREGATE
$
A
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
44CU446657
10/01/2006
10/01/2007
EACH OCCURRENCE
$2,000,000
AGGREGATE
$2,000,000
$
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
THE PROPRIETOR( TIVE INCL
PARTNERS/EXECU
OFFICERS ARE: EXCL
WC STATUS OTH
T RY LIMITS ER
EL EACH ACCIDENT
$
EL DISEASE - POLICY LIMIT
$
EL DISEASE - EA EMPLOYEE
S
OTHER
DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLES/SPECIAL ITEMS
City of Fort Collins Utilities
Attn: Opal Dick
PO Box 580
Fort Collins CO 80522-0580
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
i —cTays notice for non-payment
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY N THE COMPAN ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED KEPRESENTA E /
@ds#3593945 FIBS01-BL