HomeMy WebLinkAboutAUI INC - INSURANCE CERTIFICATE/q` ORD.
DA03/27/06
PRODUCER
All Risk Services, Inc. of New 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.
INSURERS AFFORDING COVERAGE
PHONE• SOS 889-6700 FAX- SOS 884-7831
INSURED INSURER A: Transportation Insurance Co.
AUI Inc. INSURERB: American Casualty Co. of Reading PA
P 0 Box 9825
Albuquerque NM 87119-992S USA INSURERC:
INSURER D:
INSURER E:
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.
I NSK
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE(MMl
POLICY EXPIRATION
DATE(MMl
LIMIM
B
GENERAL LIABILITY
0076725143
04/01/06
04/01/07
EACH OCCURRENCE
$1,000,000
FIRE DAMAGE(Any ow 1
i 300 , 000
X COMMERCIAL GENERAL LIABILITY
MED EXP (Any one person)
$5 , 000
CLAIMS MADE a OCCUR
PERSONAL &ADV INJURY
$2,000,000
GENERAL AGGREGATE
$2,000,000
GENL AGGREGATE LIMIT APPLIES PER:
PROECT
POLICY El JLOC
PRODUCCS- COMPlGPAGG
S2,000,000
A
AUTOMOBILE LIABILITY
C2076725093
04/01/06
04/01/07
COMBINED SINGLE LIMIT
'
X ANY AUTO
(Ea accident)
$1,000,000
BODILY INJURY
ALL OWNED AUTOS
SCHEDULED AUTOS
(Per person)
BODILY INJURY
X HIRED AUTOS
X NON OWNED AUTOS
(Per accident)
PROPERTY DAMAGE
(Per accident)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
ANY AUTO
OTHER THAN EA ACC
AUTO ONLY -.
AGG
EXCESS LIABILITY
EACH OCCURRENCE
OCCUR ❑ CLAIMS MADE
AGGREGATE
DEDUCTIBLE
RETENTION
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
STATU
WC
TO LIMITS
LIMITS
EROTH-
E.L. EACH ACCIDENT
EL. DISEASE -POLICY LIMIT
E.L. DISEAS&EA EMPLOYEE
F
OTHER
i
J7-
r`j
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
RE: Pipe Bursting Project
City Of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Y-
Purchasing Division DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
215 1 Mason Street 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, L
BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY �-
Fort Collins CO 80522 USA OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
DATE (MM/DD/YY)
03/27/06
PRODUCER
HIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
AOn Risk Services, Inc. of New Mexico
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
6000 Uptown Blvd NE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
Suite 400
POLICIESBELOW.
Albuquerque NM 87110 USA
COMPANIES AFFORDING COVERAGE
PHONE 505 889-6700 FAX- 505 884-7831
COMPANY Transportation Insurance Co.
A
INSURED
COMPANY
AUI Inc.
B
P O Box 9825
a
Albuquerque NM 87119-9825 USA
COMPCANY
..
a~+
COMPANY
D
�
0
x
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.
CO
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
LICY EXPIRATIO
COVERED PROPERTY
LIMITS
DATE (MMIDD/YY)
DATE (MM/DD/YY)
PROPERTY
BUILDING
CAUSES OF LOSS
PERSONAL PROPERTY
BASIC
BUSINESS INCOME
./o exo-. e.pmu
BROAD
EXTRA EXPENSE
SPECIAL
BLANKET BUILDING
n
EARTHQUAKE
BLANKET PERS PROP
FLOOD
BLANKET BLDG & PP
O
f\
C,
O
O
n
A
INLAND MARINE
CZUZ5b4Z5U9
04/01/06
04/01/07
x
Deductible
$2,50
Builders Risk
TYPE
OF POLICY
Builders
Risk
,�-
CAUSES
OF LOSS
E
NAMED PERILS
z
OTHER
V�
V
CRIME
TYPE OF POLICY
V
BOILER & MACHINERY
OTHER
LOCATION OF PREMISES \ DESCRIPTION OF PROPERTY
=
RE: AUI No. 204013- Pipe Bursting Project
SPECIAL CONDITIONS / OTHER COVERAGES
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
City Of Fort Collins
EXPIRATION DATE THEREOF THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
Purchasing Division
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
215 N. Mason Street
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
Fort Collins CO 80522 USA
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES,
AUTHORIZED REPRESENTATIVE /y I
Q
m
S
DA02/22/06Y
rRODUCISR
AOn Risk services, Inc. of New McXi CO
6000 Uptown Blvd NE
suite 400
Albuquerque NM 87110 USA
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE
COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
PHoNE• 505 889-6700 FAX- SOS 884-7831
INSURED
INSURER A: Midwest Employers Cas. Co.
ABC NM Chapter Merit Shop -WC Group
AUI Inc.
INSURERS
INSURER C:
P.O. BOX 9825
Albuquerque NM 87119-9825 USA
G
d
INSURER D:
INSURER E:
tr
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
F.
d
10
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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
DATE(MM\DD\YY)
EXPIRATION
DATE(MM\DD\YY)
LIMITS
r`
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE ❑ OCCUR
EACH OCCURRENCE
m
Ol
n
'•i
p
n
FIRE DAMAGE(AnY ope fire)
MED EXP (Any one person)
PERSONAL & ADV INJURY
GENERAL AGGREGATE
GEN'L AGGREGATE LIMIT APPLIES PER:
PRO-
POLICY 1:1JECp LOC
..
z
PRODUCTS - COMP/OP AGO
d
y
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
A
U
I
ANY AUTO
(Ea accident)
tl
ALL OWNED AUTOS
N
BODILY INJURY
SCHEDULED AUTOS
( Per person)
BODILY INJURY
HIRED AUTOS
NON OWNED AUTOS
(Per accident)
PROPERTY DAMAGE
(Per accidea)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
ANY AUTO
OTHER THAN EA ACC
AUTO ONLY
AGO
EXCESS LIABILITY
EACH OCCURRENCE
OCCUR ❑ CLAIMS MADE
AGGREGATE
DEDUCTIBLE
RETENTION
A
WORKERS COMPENSATION AND
EMPLOYERS'LIABILITY
EWC007548
SIR Deductible $350,000
03/01/06
03/01/07
X
C STATu-
TORY LIMITS
OTH-
ER
E.L. EACH ACCIDENT
$1,000,000
E.L. DISEASE -POLICY LIMIT
$1,000,000
_
E.L. DISEASE -EA EMPLOYEE $1,000,000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
RE: Pipe Bursting Project
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
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.1
�•+
AUTHORIZED REPRESENTATIVE