HomeMy WebLinkAbout420440 HAYWARD BAKER INC - INSURANCE CERTIFICATE06/11/2007 14:43 3034693581 HAYWARD BAKER DENVER PAGE 02102
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PRODUOdR
MARSH USA INC.
TWO LOGAN SQUARE
PHILADELPHIA, PA 19103.2797
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THIS OERTIPICATE 1E ISSUED AS A NATTER OF INFORMATION ONLY AND CONIFERS
NO RIOHT& UPON THE CSNIIFlOATE HOLDER OTHER THAN THOSE PROVIDED IN THE
POLICY. THIS CERTIFICATE DOES NOT AMINO, EXTEND OR ALTER THE OOVERA09
AFFORDED BY THE POLICIES 02SCRIMO NF.REIN,
COMPANIES AF ORDING COVERAGE
COMPANY
10906-AL,L-GAWUP-01.6A HBCO FOSSIL GAw N/A NO
A ZURICH AMERICAN INSURANCE COMPANY
INSURED
COMPANY
HAYWARD BAKER INC.
B N/A
11575 WADSWORTH BOULEVARD
BROOMFIELD, CO 80020
COMPANY
C WA
COMPANY •—J.
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TH19 IS TO CERTIFY THAT POLICES OF INSURANCE DESCRIBED HEREIN HAVE OEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTY11114GTANDING ANY REOUIRSMENT, PERM OR CONDITION OP ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHtCM THE CERTIFICATE MAY SE ISSUED OR MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DCSORSJEO HEREIN IS SUBJECT TO ALL 7NB TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE
I,IMITS SHOWN MAY HAVE REST/ REDUCED BY PAID CLAIMS.
00 TYPR OF INSURANCE POLICY NUMBER POLICYEFFEOTIVB POLICY FXPIRATION LIMITS
LTR DATE(MMIDb" DATE(MWDDIYY)
A OENERALLIABILITY IGLO3373933-04 06101/07 08/01108 -0EMERALaqpm253 $ 1,000,0013
X COMMERCIALGONERALLIAOILITY PROWOTS-COMP)OPAOICI $ 1.000,000
CLAIMS MADE nOCCUR PBRSONAL&ADV INJURY $ 1,000,000
.:. 0WNER'S&CONTAACTORTIPTN7T EACH2MMRRENC6 $ 11000,000
X PFjR B-QOJEICMAWREGATE MRS DAMAGE LAN ON (In) $ 1 OD,000
X roN C AL LIAR. & KO XP nen $ 10 ODU
A
A
MORILE LIABILITY
BAP3481708-06(ADS) 06/01/07
05/01/08
COMBINED DINOLE LIMIT
$ 1,000,000
X
ANY AUTO—•
ALL, CWNED AUTOS
BODILYIHUURY
(cAvpErADnI
$
_ �•"
SCHECLJLED AUTOS
_
X
HIRED AUTO$
50DILYINJURY
$
^;
X
NON•OWNEOALl1'OS
PROPERTY DAMAGE
$
GARAGE LIABILITY
ANY AUTO
ALTO OYam_
$ �
ERTHAN AUTO ONLY:
rt,,r•:b' >:..•
A A I
$
3
CRECATE
-- —
ExOts IARILITY
BAG CURRENCE
$ _
AGtMOATE
$
.. UMBRELLA FORM
q
A
--TFR
Ot�IER THAN UMDRELI.A FORM
KBRSCOMPENSATION
EMPLOYERS' LIABILITY
TILE PROPRIETOR' X INCI,
PARTNERSIRXECUTIT'E
OFFICERSARE: EXCL
--
348170645(AOS) OB101/07
3481783.OS(MA,WI) 06I01107
— i
08/01I06
08/01/08
u s
EL EACH ACCIDENT
-'���." •`'
$ 110 , 00
EL DISCASE:POLICY LIME
$ 1,000.000
ELDISEASE•FwCHEMPLOYED
I —
IS 1,000,000
— — -
- --
ORSCRIPTION OF OPERATIONS OATIONSIOBHICLESISPBCIAL ITEMS
RE: FOSSIL CREEK PARKWAY BRIDGE, FORT COLLINS, CO,
CITY OF FORT COLLINS IS INCLUDED AS ADDITIONAL INSURED WHERE REQUIRED BY WRITTEN CONTRACT EXCEPT FOR WORKERS'
rOMPENSAT(ON.
ClRTIPfc' 'HOktlER :�. •"•.'"` :; _. - `�`,.
'F}'fvBL &, 4c`7� -
FNOlAO ANY THE fOUCRt PEPCRRm NCMIN 115 CANCELLED DEPOIIE THE EXPtlTNGN DATE THEPEOT.
CITY OF FORT COLLINS
ATfN' JIN WANE
7L7E MSLAMP AF UIIORIO COVRRACE WILL ENDEAVOR TO MAR _• 31L DAVR WRRTEN NDTu,`C TD THE
COTMEATE HOLDER NAMED HEREIN. BUT FAILURE TO MAR AUCH NOTICE ^HALT" IMPOSE NO OBLIGATION OB
281 N. COLLEGE AVENUE
FORT COLLINS, CO 50522
LIABRRY DY ANY IONO L/PaH}HE IN.^.IIRFR AFFDRDND OOVEAAOG, RSACENTS OR RSPPESENTATNER, OR THE
ISSUER OFTHM CCATFICATR.
MANSUSA INC.
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