HomeMy WebLinkAboutPB AMERICAS INC - INSURANCE CERTIFICATE( "•.,••• _•— ® �'» _' ,4. `ia!i5 W pPx m `} ;; -u, 6 P't 'li xta {yt { "t i ' i 'A.'it•.•t' Rro"}t = Iu+'' "i`y"m ..,{•„ • . d 0 " j i, ••. ' • "_
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ACORD!S"(,ERTIEI,(ATE10FI:LIABILITY0•INSURANCE'n°':II'1 11/01/2007a 'RSii+HSlf ^.:SSgtYrA..n:rmfi. ` ...,:F.S..dx>wr.w%i14.i `a'7-.a »4 {t'i�u.r�AN�6i,�: • i rlt*8 o i {':
PRODUCER Senal # 503377 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Aon Risk Services, Inc of New York HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
199 Water Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
New York, NY 10038 COMPANIES AFFORDING COVERAGE
PHONE 866-266-7475
FAX 866-467-7847 coMAAANv AMERICAN CASUALTY CO OF READING PA (NAIC #20427)
INSURED
COMPANY
B
PB AMERICAS, INC
COMPANY TRANSPORTATION INSURANCE COMPANY (NAIC #20494)
C
ONE PENN PLAZA
NEW YORK, NY 10119
COMPANY
D
S=m-v:u,. �� ` � an°�,i�.ne.,_:.� �'`y�•..a,,,.«;wi;l;xk u»r' m�+,6� =';'� v ...'. ,•__r,l �' ,' R41 ,.'R,,;.,'L.imY'`{.,`^~&' - PisL,rB,.mvx.i`Ls'c'»:Wl�'_"si.{L,"`.m °C.....,.-I'N%� ru.�:.,y-�'
THIS IS TO CE RTI FY 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 B YTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
CO
LTq
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MMlDDIYV)
POLICY EXPIRATION
DATE (MM/DWYV)
LIMITS
A
GENERAL
LIABILITY
GL 2095788109
11/01/2007
11/01/2008
GENERAL AGGREGATE
is 5,000,000
PRODUCTS COMP/OP AGO
Is 5,000,000
X
COMMERCIAL GENERAL LIABILITY
GENERAL LIABILITY(A/S)
G
CLAIMS MADE OCCUR
GL 2095788093
PERSONAL B ADV INJURY
$ 1,000,000
OWNERS B CONTRACTOR S PROT
GENERAL LIABILITY -STOPGAP
EACH OCCURRENCE
$ 1,000,000
FIRE DAMAGE(ARy one tire)
$ 300,000
MED EXP (Anyone person)
Is 5,000
A
AUTOMOBILE
X
LIABILITY
ANY AUTO
BLIA 2095788112
COMMERCIAL AUTO
11/01/2007
11/01/2008
COMBINED SINGLE LIMIT
$ 2,�D,D�
ALL OWNED AUTOS
SCHEDULED AUTOS
BLIA 2095788126 PD
AUTO PHYSICAL DAMAGE
BODILY INJURY
(Per person)
$
BODILY INJURY
(Peracm0ent)
$
HIRED AUTOS
NON-OWNEDAUTOS
$500 DED COMP
$1,000 DED COLL
PROPERTY DAMAGE
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN AUTO ONLY
ANY AUTO
EACH ACCIDENT
$
AGGREGATE
$
LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
hCESS
UMBRELLA FOflM
$
_OTHEP
THAN UMBRELLA FORM
-
A
WORKER S COMPENSATION AND
WC, 2095788059 ADS
11/01/2007
11/01/2DD$
X may l�Nlrs OEa
A
EMPLOYERS LIABILITY
2095788062 CA ONLY
11/01/2007
11/01/2008
EL EACH ACCIDENT
$ 1,000,000
C
THE PROPRIETOR] X INCL
PARTNEFS/EXECUTIVE
OFFICERS ARE EXCL
�WC
WC 2095788076 PIETRO(OR,VA,wq
11/01/2007
11/O1/2008
ELDISEASE POLICVLIMIT
$ 1,000,000
EL DISEASE EA EMPLOYEE
Is 1,000,000
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLI &/SPECIAL ITEMS
(PH #A) CITY OF FORT COLLINS MIST -CITY OF FORT COLLINS ITS OFFICERS, AGENTS AND EMPLOYEES INCLUDED AS ADDITIONAL INSUREDS,
BUT ONLY WITH RESPECT TO WORK PERFORMED BY PB OPERATIONS
;CERTIFICATE HOLDER "`'ti s "`m „I a1 =') i 7.t^ i = si,
'aic."�''`',C�''.::'P.,t:..e,3 ! i2sv.,a.:..,.`,iaT'.>.�:.,.'-`�s4w»,»:rICANCELCA710N,
, a•yo-x U th i_6'
...5'''..».',ru3..a"e'--,...'•,{P'i,.{w,.-..>u. v..-......,aw...:'_.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
CITY OF FORT COLLINS
EXPIRATION DATE THEREOF THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
RISK MANAGEMENT
30 DAYS WRITTEN NOTICETO THE( ERTIFICATE HOLDER NAMED TO THE LEFT,
P O BOX 580
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
FORT COLLINS, CO 80522
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES
AUTHORUEEy�pEPRESENTAT�
Fall t 10242936
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PARSON 200029 S FP9PARSON4 LIARILITY 09-06 FPS
Aon Risk Services
November 1, 2007
RE Certificates of Insurance
Policy Period November 1, 2007 — 2008
To Whom It May Concern
We are pleased to provide to you with the renewed Certificate of Insurance for subject policy
period
This evidence of Insurance is provided to you on behalf of PB Americas, Inc , and their
affiliated Companies
PLEASE NOTE
If coverage is no longer required, please write "CANCEL" across the face of the Certificate and
fax it to Karen Thorp at 1-800-363-0105
If you have any questions, please call me
Yours truly,
Karen Thorp
Senior Client Specialist
Aon Client Services
Aon Risk Services, 1000 N Milwaukee Avenue, Glenview, IL 60025