HomeMy WebLinkAboutCORRESPONDENCE - GENERAL CORRESPONDENCE - INSURANCE CERTIFICATE1 ram ( - y CERTIFICATE NUMBER
:1�1 '�;-�5'4ir NYC-000805480-02
PRODUCER
MARSH USA
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
601 T7
NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
NORWALKALK, CT 06856-6010
POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POLICIES DESCRIBED HEREIN.
KIM RICHARDSON FAX: 203) 229-6787
EMCOR.CERTREOUEN MARSH.COM
COMPANIES AFFORDING COVERAGE
COMPANY
A CONTINENTAL CASUALTY CO
888715-EMC-TRA.
INSUREDTRAUTM
COMPANY
4406RA RACE STREET
4406 RACE STREET
B AMERICAN CASUALTY COMPANY OF READING, PA
DENVER,CO 80216
COMPANY
C TRANSPORTATION INSURANCE CO.
COMPANY
D
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THIS IS TO CEFMFYTHAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUEDTO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT W ITH RESPECT TO WHICH THE CERTIFICATE MAYBE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BVTHE POLICIES DESCRIBED HEREIN IS
SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES.
AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BV PAID CLAIMS.
CO
TYPE OF INSURANCE
POUCY NUMBER
POLICY EFFECTIVE
POLICY EXPIRATION
LIMITS
LTR
DATE (MMIDD(YY)
DATE (MMIDD/YY)
A
GENERAL LIABILITY
CUP268208285
10/01/03
10/01/04
GENERAL AGGREGRATE
$ 6,000,000
X
COMMERCIAL G ENERAL LIABILITY
PRODUCTS—COMP/OPAGG
$ 14,000,000
CLAIMS MADE ❑X OCCUR
PERSONAL &ADV INJURY
$ 1,500,000
OWNER'S&CONTRACTOR'S PROT
EACH OCCURRENCE
$ 1,5D0,000
X
Per Project General Aggregate
FIRE DAMAGE (Any one fire)
$ 500,000
APPIIeS
MED EXP (Any one person)
$ 10,000
A
AUTOMOBILE LIABILITY
BUA 251926231 All States
10/01/03
10/01/04
X
ANVAUTO
COMBINED SINGLE LIMIT
$ 2,000,000
ALL OWNED AUTOS
BODILY INJ URV
SCHEDULEDAUTOS
(Per Person)
$
X
HIREDAUrOS
X
NON-OWNEDAUTOS
BODILVINIURV
(per aoadenp
$
X
Auto Physical Damage
PROPERrV DAMAGE
$
$SOD comp/$500 troll deductible
"RAGE LIABILITY
AUTO ONLY -EA ACCIDENT
$
ANY AUTO
OTHERTHANAUTO ONLY:
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EACHACCIDENT
$
AGGREGATE
$
A
LEXCESS LIABILITY
CUP268208285
10/01/03
10/01/04
EACH OCCURRENCE
$ 5,000,000
X UMBRELLA FORM
AGGREGATE
$ 5,000,000
OTHER THAN UMBRELLA FORM
$
B
WORKERS COMPENSATION AND
WC 251926195 All Other States
10/01/03
10/01/04
X
O
EMPLOYERS' LIABILITY
WC 251926178 (AZ, NJ, OR & WI)
10/01/03
10/01/04
TORV LIMITS
ER
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EL EACH ACCIDENT
$ 1,000,000
g
THE PROPRIETOR/ X INCL
PARTNERS/EXECUTIVE
WC 251926181(CA)
10/01/03
10/01/04
EL DISEASE -POLICY
$ 1,000,000
OFFICERS ARE: IXCL
EL DISEASE -EACH EMPLOYEE
$ 7 000000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSAIEHICLE&SPECIAL ITEMS
Additional insureds under all pollcIes (except Workers' Comp.) where required by contract:
Re: all operations.
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SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION
City of Fort Collins
DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL 60 DAYS
300 Laporte Avenue
WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH
Fort Collins, CO 80524
NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER
AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE ISSUER OF THIS
CERTIFICATE.
MARSH USA INC
BY: John Lapresy w
i
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