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HomeMy WebLinkAbout109888 INSITUFORM TECHNOLOGIES INC - INSURANCE CERTIFICATEACORDN CERTIFICATE OF LIABILITY INSURANCE 07/01/2008 DATE
(MMAD f )
PRODUCER Lockton Com anies,LLC-1 St. Louis THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
P ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Three City Place Drive, Suite 900 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
St. Louis MO 63141-7081 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
(314)432-0500
INSURERS AFFORDING COVERAGE
INSURED INSURER A : Liberty Mutual Fire Insurance 64
1041932 Insituform Technologies, Inc. rtY �)
17988 Edison Avenue INSURE— R B: Liberty Insurance Co 64
Chesterfield MO 63005 INSURER
INSURER D
Ti.tc.mrnn lrn THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING
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
POLICYEFFECTIVE
DATE IMMIDDfYYI
POLICY EXPIRATION
DATE MMIDDIYY
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 2,000,000
FIRE DAMAGE Anvone fire)
$ 350000
A
IXCOMMERCIAL GENERAL LIABILITY
TB2-641-004218-037
07/01/2007
07/01/2008
MED EXP (Any oneperson)
$ 10,000
CLAIMS MADE X 1 OCCUR
PERSONAL & ADV INJURY
$
X INDPNTCONTRACTOR
BROAD FORMPD/CONTRACT
L
X
XCU __ -_
GENERAL AGGREGATE
._2,000,000
$ 4,000,000
GEN'L AGGREGATE LIMIT APPLIES
POLICY X I dECOT
PER:
LOC
PRODUCTS - COMP/OP AGG
$ 4,000,000
AUTOMOBILE
LIABILITY
A
ANY AUTO
AS2-641-004218-027
07/01/2007
07/01/2008
COMBINED SINGLE LIMIT
(Ea accident)
$ 2,000,000
X
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per person)
$ XXXXXXX
HIRED AUTOS
NON -OWNED AUTOS
BODILY INJURY
(Per accident)
$ XXXXXXX
X
Physical Damage
PROPERTY DAMAGE
(Per accident)
$ XXXXXXX
X 1
Deduct- Der noliev
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$ XXXXXXX
OTHER THAN EAACC
AUTO ONLY: AGO
XXXXXXX
- ANY AUTO
NOT APPLICABLE
$ XXXXXXX
EXCESS LIABILITY
OCCUR Ll CLAIMS MADE
NOT APPLICABLE
EACH OCCURRENCE
$ XXXXXXX
_
AGGREGATE
$ XXXXXXX
_
_ _-_.
XXXXXXX
OUMBRELLA
XXXXXXX
DEDUCTIBLE FORM
XXXXXXX
RETENTION $
B
B
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
WA7-64D-009004-447
WC7-641-004218-017 (WI&OR)
07/01/2007
07/01/2007
07/01/2008
07/01/2008
X WCSTATU- O7H-
T
--------
$ 1000000
-
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEEI
$ 1 000,000
E.L. DISEASE -POLICY LIMIT
$ 1,000,000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
RE: P-1022, CURED -IN -PLACE PIPE SANITARY AND STORM SEWERS. THE CITY OF FORT COLLILNS, ITS OFFICERS, AGENTS AND EMPLOYEES
ARE ADDITIONAL INSUREDS UNDER GENERAL LIABILITY AND AUTOMOBILE LIABILITYAS REQUIRED BY WRITTEN CONTRACT. EXCEPTION
TO CANCELLATION PROVISIONS: 10 DAYS FOR NONPAYMENT OF PREMIUM. XX
2660597 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
CITY OF FORT COLLINS DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR VOR- O MAIL 10
215 N. MASON STREET DAYS WRITTEN
FORT COLLINS CO 80524 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,RUT FAILURE TO 00 SO SHALL
IMPOSE NO OBLIGATION OR 1 1 A RILITY OF ANY KIND UPON TI is lPISURERj ITS AGENTS 0
REPRESENT
AUTHORIZED REPRESENTATIVE
ACORD 25-S (7/97) For questions regarding this certificate, contact the number listed in the'Prodo..e section above and ."city the client code'INSTE02'. ©ACORD CORPO ATION 19AA