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Home My WebLink AboutPACE INDUSTRIAL - INSURANCE CERTIFICATE (2)'CERTIFICATE OF INS'UI2ANICE;' , ',', ,xi,;,,", ' , I'i,';';" ,I'; '{ ; '" ,", 6,'c�,"+' ;"y';'.?I"',' + , ISSUE DATE ember 14, 2007 THIS CERTIFICATE IS ISSUEDAS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HO DER THIS CERTIFICATE DOES NOT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES DESCRIBED BELOW INSURED Pace Industnal (USA) Inc Allllant Insurance Services Houston L C 1855 W Union Avenue — Unit G 5847 San Felipe, Suite 2750 Shendan, CO 80110 Houston, TX 77057 Aa41/iant i1 1.,I Id P ;191, a,uifi't6 tly [',,UW 4�'iE;+rP�9 ;+I; an',i ,4u,i,n jyw(yr;yp r,{h4a 4°p"',4;d,lii iNY—,0x,t ,COVERAGESJ;hQ+tit'i�nlllt��.�i61-'�$�i�!�,„,fl;�ll��+'~h,1. ''i;, ;SSi`I't4'^„�d,Ss4�'4,�I' ,�I3'. �M`M,�' `�,.�'i,,,,..,, �j a �Il,,640141f,� l b if I �'[ nN-�lii �y,„5 ll�i THIS IS TO CERTIFY THAT THE POI ICIES LISTED BELOW HAVE BEEN EFFECTED FOR THE INSURED NAMED ABOVE FOR THE POLICY PERIO INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS ERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSION AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMI rS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS TYPE OF INSURANCE POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE AGREED VALUE, LII ITS OF LIABILITY MMID M DD M GENERAL LIABILITY CP09140579-00 Sept-15-07 Sept-15-08 GENERAL AGGREGATE $ 2,000,000 ® COMMERCIAL GENERAL LIABILITY PRODUCTSCOMPX)PA $1,000,000 ❑ CLAIMS MADE PERSONAL&ADV INJUR 1,000,000 ® OCCURRENCE OCCURRENCE $1,000,000 ❑ _EACH _FIRE DAMAGEiAnYo,e fi _ — _ -$_ 100_000 _ __ ❑ MED EXPENSE ane $ 10,000 INSURED WITH Zunch Amencan Insurance Company AUTOMOBILE LIABILITY COMBINED SINGLE $1,000,000 ❑ ANY AUTO LIMIT ❑ ALL OWNED AUTOS _____ _____ _______________ BODILY INJURY $ ❑ SCHEDULED AUTOS _ (Rar rs nZ ® HIRED AUTOS BODILY INJURY $ ® NON-0WMED AUTOS SPeramdent) PROPERTY DAMAGE $ ❑ INSURED WITH Zurich Amencan Insurance Company EXCESS LIABILITY EACH OCCURRENCE $ ❑ UMBRELLA FORM AGGREGATE ❑ OTHER THAN UMBRELLA FORM INSURED WITH WORKERS COMPENSATION AND Lj STATUTORY LIMITS ypt`tv?ti++,°4,+nb1++1";;IR' EMPLOYERS' LIABILITY EACH ACCIDENT $ $ DISEASE-POUCY UMIT DISEASE EACH EMPLOYE $ INSURED WITH OTHER INSURED WITH ' y£7,P, 1 A ;� a{iu, pq4 §t t� M k1 i t Y 'Wt it tot AF 1"4,1 i"`1, rsit, t ,;,�REf,ERENCEU,„(„arty,.��'s6,,ufii��°�w�l�l,la�>E,G'�i"�,?t„L$ i:da,�i.:'hk`�i'�C,� ��aai�`at'<$�5d1vuJt'iEf��C! IS+Li,�"L��;Lth,.vitttu�!n,E,{i�i'`1u:}u"iJ�;._.' ;'o pt( im, il')10A n, r CERTIFICATEHOLDER'� ,�n "" "'�'+P�Yr+i";fi+t i5"+„"5" n 'u .1i,1a�l'Uai'u,RN,1!",M'2aka:u6ra;.iidt191Jd;CANCELCATION , 7,r ,,';I{+, G++ittilhfl',+`+titlF',t,'n„ bLs�'sil�§ C '11 1` 5t�:.��u. r�,,,91,t v;t'da s Ila+nj 1 �}CJ„II,W(w wi SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELED EFORETHE City Of FOCI Collins 215 North Mason Street 2nd floor EXPIRATION DATE THEREOF THE INSURER AFFORDING COVERAG TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER FAILURETOMAIL SUCH NOTICE SHALL IMPOSE NOOBLIGATION OR VNLLENDEAVOR ED HEREIN, BUT IABILTIYOFANY PO BOX 580 KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES OR THE ISSUER OF THIS CERTIFICATE Fort Collins, CO 80522-0580 Affiant Insurance Services .Houston, By ALLIANTINSURANCESERVICES HOUSTON INC IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed A sta 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 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 betweei 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 there 1 ®� �® Jardine Lloyd Thompson Canada Inc Certificate of I isurance ❑ Vancouver 161h Floor 1111 West Georgia Street, Vancouver B C Canada V6E 4G2 Telephone (604) 682-4211 Facsimile (604) 682-3',520 ❑ Victoria 202-3045 Douglas Street, Victoria, B O Canada VBT 4N2 Telephone (250) 388-4416 Facsimile (250) 388-9926 ❑ Calgary Suite 2810 144 - 4th Avenue S W , Calgary, Alberta Canada T2P 3N4 Telephone (403) 264-8600 Facsimile (403) 264-8608 ® Edmonton Suite 747 10104 -103rd Avenue , Edmonton, Alberta Canada T5J O1-18 Telephone (780) 421-7188 Facsimile (780) 421-7 7 ElSurrey 180 - 10470 -152 Street, Surrey, B C V3R OY3 Telephone (604) 583-9800 Facsimile (604) 5835777 Certificate Carl No C07-007 Holder City of Foil Coll ins 215 North Mason Street 2nd floor PO Box 580 Fort Collins CO 80522-0580 Re Confirmation of Insurance Description Mechanical Contractor Name of Insured Pace Industnal (USA) Ina This is to certify that the policies of Insurance listed below have been issued to the insured named above for the policy period indicated, notm standing any requirement, term or condition of any contract or other document with respect to which this certificate maybe issued or may pertain The msuradce afforded by the policies descrbed herein is subject to all the terms exclusions and conditions of such policies Limits shown may have been or maybe reduced by paid claims/expenses Schedule of Insurance Company and Policy Type of Insurance Number Policy Dates Limit of LiabibtyfAmount Umbrella Liability/ Zurich Insurance Company Effective 15-Oct-07 $9,000,000 00 Limits Excess Liability 8590679 Expiry 15-Seot-08 $9,000,000 00 Products/Completed Operations/Hazards Aggregate $9,000,000 00 Other Aggregate These statements have been made in good faith and are a summary of the insurance cover in force (which is subject to the full terms and conditions of the policy) We accept no responsibility whatsoever for any inadvertent or negligent act, error or omission on our part in preparing these statements or for any loss, damage or expense thereby occasioned to any recipient of this certficate 1-1 d M)INE, � s 8fifp3o6k�4?ri@ PFE, Dated September 14, 2007 PER Per MP4-92 Insurance & Surety Bond!JBusmess Life Insurance Signed Terri Lewis Continued Particulars of Insurance Terms and Conditions This certificate is issued for convenience only All of the terms and conditions of the Policies referred to are contained in the onginal docurlt which are not modified or amended by this Certificate With respect to Liability Insurance Coverages, where an Aggregate limit applies, the Certificate Holder is advised that the limit shown may apply to products/completed operations or projects other an shown inthis certificate and the limit may be reduced by laimslExpenses