HomeMy WebLinkAbout109888 INSITUFORM TECHNOLOGIES INC - INSURANCE CERTIFICATE (2)ACORD,N CERTIFICATE OF LIABILITY INSURANCE Ov01/200s
06/ivaoo '
PRODUCER
Lockton Companies,LLC-1 St. Louis
Three City Place Drive, Suite 900
St. Louis MO 63141-7081
(314) 432-0500
_
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 BELO
INSURERS AFFORDING COVERAGE
INSURED
1041932 Insituform Technologies, Inc.
17988 Edison Avenue
Chesterfield MO 63005
INSURER A: Elbert}' Mutual Fire Insurance (64�.___ --
INSURER B : Liberty Insurance Co 64
INSURER C :
UBER D
N TISSUING
COVERAGES INSTE02 29THIS OF INSURERISI.ICATE AU HOR17FD INSURANCE RE RESENT TI EDOES NOTCORSPRODIEI FROANn THIF FRTIFBETWEEC TF Hint nFR
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
I
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MM/DDIYYI
POLICY EXPIRATION
DATE MM/DD/YY
LIMITS
GENERAL LIABILITY
F EACH OCCURRENCE
$ _2,000,000
A
X ICOMMERCIAL GENERAL LIABILITY
CLAIMS MADE `X OCCUR
TB2-641-004218-037
07/01/2007
07/01/2008
FIRE DAMAGE .(Any. one fire
$ 350000
MED EXP An one person)
$__ 10,000
PERSONAL & ADV INJURY
$ 2,000,000
X INDPNT CONTRACTOR_
BROAD FORM PID/CONTRACTUAL
X
XCU _
GENERAL AGGREGATE
$ 4,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS -COMP/OP AGG
_
$ 4,000,000
POLICY X JECOT LOC
AUTOMOBILE
LIABILITY
A
ANY AUTO
AS2-641-004218-027
07/01/2007
07/01/2008
COMBINED SINGLE LIMIT
(Ea accident)
$ 2,000,000
X
BODILY INJURY
(Per person)
$ XXXXXXX
ALL OWNED AUTOS
SCHEDULED AUTOS
_
_
BODILY IN JURY
(Perraccident)
$ XXXXXXX
HIRED AUTOS
NON -OWNED AUTOS
X
Physical Damage
PROPERTY DAMAGE
(Per accident)
$ XXXXXXX
X
_ _
I Deduct - Der Doliev
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$ XXXXXXX
OTHER THAN EA ACC
XXXXXXX
ANY AUTO
NOT APPLICABLE
$ XXXXXXX
AUTO ONLY: AGG
EXCESS LIABILITY
OCCUR F] CLAIMS MADE
NOT APPLICABLE
EACH OCCURRENCE
$ XXXXXXX
AGGREGATE _
' $ XXXXXXX
_
XXXXXXX
- ElUMBRELLA
__
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 iE-L.
WC STATU- OTH-
X -LMT
- -
$- 1,000,000
EACH ACCIDENT
E.L. DISEASE._ EA EMPLOYEE
_
$_ 1,000,000
E.L. DISEASE - POLICY LIMIT
_ _
$ 1000 000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSfVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
RE: 2006 INSITUFORM PROJECT, 6" LINING PROJECT IN THE 800 BLOCK OF GARFIELD STREET, THE CITY OF FORT COLLINS IS ADDITIONAL
INSURED UNDER GENERAL LIABILITYAND AUTOMOBILE LIABILITYAS REQUIRED BY WRITTEN CONTRACT.
2648352 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
CITY OF FORT COLLINS DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30
P.O. BOX 580 DAYS WRITTEN
FORT COLLINS CO 80522 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
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
S.
ACORD 25-S (7/97) For questions regarding this certificate, contact the number listed In the 'Producer' section above and specify the client code'INSTE02'. n ACORD CORPrT ATInk! 1 OAR