HomeMy WebLinkAboutAAF INTERNATIONAL - INSURANCE CERTIFICATEACORDTM CERTIFICATE OF LIABILITY INSURANCE ATE(M D6"YYY)
PRODUCER 1-212-994-717 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Arthur J. Gallagher & Co. of New York ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
444 Madison Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
20th Floor
New York, NY 10022
Ana Greenfield
INSURED
AAF International
10300 Ormsby Park Place
KY 40223
COVERAGES
INSURERS AFFORDING COVERAGE
NAIC #
INSURER A: Travelers Ind Cc Of Amer
25666
INSURER B: Travelers Prop Cas Ina Cc
36161
INSURER C: Federal Ins Co
20281
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
ADO'L
POLICY NUMBER
POLICYEFFECTIVE
DATE (MMIDO/YYI
06/30/06
POLICY EXPIRATION
DATE (MMIODNY)
LIMITS
C
GENERAL LIABILITY
35379746
06/30/07
EACH OCCURRENCE
$1,000,000
X COMMERCIAL GENERAL LIABILITY
PREMISES Eaoccurence
$ 1,000,000
MED EXP(Anyone person)
$N/A
CLAIMS MADE Fx-1 OCCUR
PERSONAL&ADV INJURY
$ 1,000,000
GENERALAGGREGATE
$ 10, 000, 000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS-COMP/OPAGG
$2,000,000
X POLICY PRO- LOC
C
C
AUTOMOBILE
X
LIABILITY
ANYAUTO
73261760 (VA)
73225752 (A/O/8)
06/30/06
06/30/06
06/30/07
06/30/07
COMBINED SINGLE LIMIT
(Ea accident)
$2, 00 D, 000
BODILY INJURY
(Per person)
$
C
ALLOWNEDAUTOS
SCHEDULED AUTOS
73261761 (TX)
06/30/06
06/30/07
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
PROPERTYDAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY -EA ACCIDENT
$
OTHERTHAN EAACC
$
ANY AUTO
$
AUTOONLY: AGG
EXCESSIUMBRELLA LIABILITY
OCCUR CLAIMSMADE
EACHOCCURRENCE
$
AGGREGATE
$
$
DEDUCTIBLE
$
RETENTION $
A
WORKERS COMPENSATION AND
TC2HUH189X541806
06/30/06
06/30/07
X WC ITATIRY rR
B
EMPLOYERS'LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE INC
OFFICERIMEMBER EXCLUDED? EXC
If yes, describe under
SPECIAL PROVISIONS below
TRJUB823KI42606
06/30/06
06/30/07
E.L. EACH ACCIDENT
$500,000
E.L. DISEASE - EA EMPLOYEE
$500,000
E.L. DISEASE -POLICY LIMIT
$500,000
OTHER
7
DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
City of Fort Collins is an Additional Insured as respects the General Liability Coverage for the work and/or services
provided or performed by the Named Insured if required by written contract.
City of Fort Collins, Purchasing Division
256 West Mountain
P.O. Box 580
Fort Collins, CO 80522-0580
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
AUTHORIZED REPRESENTATIVE
USA
anagree
1988
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may
require an endorsement. A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
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