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HomeMy WebLinkAboutFIBERGLASS STRUCTURES - INSURANCE CERTIFICATE-� ,- .�::. DATE IMM/DD/YYI : _:<07/02/2007 PRODUCER Rene C Leveaux THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HUB-BHJ Insurance, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2101 Overland Ave ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 80310 COMPANIES AFFORDING COVERAGE Billings, MT 59102 COMPANY Hallmark Insurance Co, Inc . 406-652-9151 . fax406-652-7838 A INSURED Fiberglass Structures, Inc. COMPANY Montana State Fund B Rob Harris COMPANY P.O. BOX 206 C Laurel MT 59044 COMPANY D COVERAGES 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. LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATIONCO LIMITS DATE (MM/DD/YY) DATE (MM/DD/YY) A GENERALLIABILITY 44CL446656 10/01/2006 10/01/2007 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 OMMERCIAL GENERAL LIABILITY 4.WNER'S CLAIMS MADE X❑OCCUR PERSONAL & ADV INJURY $ 1,000,000 EACH OCCURRENCE $ 1, 000,000 & CONTRACTOR'S PROT FIRE DAMAGE (Any one fire) _ $ 100,000 MED EXP (Any one person) $ 5,000 A A� 44CL446656 10/01/2006 10/01/2007 �UTOMOBILELIABILITY �� A I ANY AUTO COMBINED SINGLE LIMIT $ 1,000,000 ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ A EXCESS LIABILITY 44CU446657 10/01/2006 10/01/2007 EACH OCCURRENCE $2, 000, 000 UMBRELLA FORM AGGREGATE s2,000, 000 OTHER THAN UMBRELLA FORM i ' $ B WORKERS COMPENSATION AND 032739807 07/01/2007 07/01/2008 WCSTATU- OTH-. TORY LIMITS ER EMPLOYERS' LIABILITY EL EACH ACCIDENT $ 500,000 THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE EL DISEASE - POLICY LIMIT $ 500,000 OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE $ 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS ...A C#3IFICiE Ni3L©ER €AN.EA71LN City Of Fort Collins Utilities SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Attn: Opal Dick EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL PO BOX 580 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Fort Collins CO 80522-0580 36�ays notice for non pa ent BUT FAILURE TO MAIL SUCH NOSRAi POSE NO O ION OR LIABILITY OF ANY KIND UPON THE COMP Y S AG PRESENTATIVES. AUTHORIZED REPRESENTATIVE G � AGORA! S #119#i) > �tACORD C�RR©RAT`ft)N 39.8#3 ods#3770721 FIBS01-BL