HomeMy WebLinkAboutABC NM CHAPTER MERIT SHOP AUI - INSURANCE CERTIFICATEACORD.. r<
DATE(MM DD/YY
NOW
02/27/07
PRODUCER
AOn Risk services, Inc. of N0W Mexico
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
6000 Uptown Blvd NE
AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
Suite 400
CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE
Albuquerque NM 87110 USA
COVERAGE AFFORDED BY THE POLICIES BELOW.
PHONE- SOS 889-6700 FAX- 505 884-7831
INSURERS AFFORDING COVERAGE
INSURED
INSURER A: Midwest Employers Cas. CO.
ABC NM chapter Merit shop -WC Group
AUI Inc.
INSURER B:
P.O. BOX 9825
Albuquerque NM 87119-9825 USA
INSURER C:
INSURER D: -
INSURER E: " T
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.
AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVEPOLICY
EXPIRATION
LIMITS
DATE(MM\DD\YY)
DATE(MM(DD\YY)
GENERAL LIABILITY
EACH OCCURRENCE
COMMERCIAL GENERAL LIABILITY
FIRE DAMAGE(Any one fire)
CLAIMS MADE ❑ OCCUR
MED EXP (Airy nne person)
PERSONAL & ADV INJURY
GENERAL AGGREGATE
GENT. AGGREGATE LIMIT APPLIES PER:
PRODUCTS-COMP/OP AGO
PRO-
POLICY 1:1JECT LUC
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
ANY AUTO
(Ea=i leap
ALL OWNED AUTOS
BODILY INJURY
SCHEDULED AUTOS
( Per person)
HIRED AUTOS
BODILY INJURY
NON OWNED AUTOS
(Per amidenQ
PROPERTY DAMAGE
(Per accident)
ARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
ANY AUTO
h
OTHER THAN EA ACC
AUTO ONLY
AGG
EXCESS LIABILITY
EACH OCCURRENCE
OCCUR ❑ CLAIMS MADE
AGGREGATE
DEDUCTIBLE
RETENTION
A
WORKERS COMPENSATION AND
EwCO07548
03/01/07
03/01/08
X
WC STATU-
OTH-
EMPLOYERS'LIABILITY
SIR Deductible $400,000
RY LIMITS
ER
E.L. EACH ACCIDENT
$1,000,000
EL, DISEASE -POLICY LIMIT
$1, 000, 000
E.L. DISEASE -EA EMPLOYEE
$1,000,000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
RE: Pipe Bursting Project
i
City Of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
Purchasing Division DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
215 N. Mason Street 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
Fort Collins CO 80522 USA BUT
FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY I
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE Cl !
I