HomeMy WebLinkAboutCORRESPONDENCE - GENERAL CORRESPONDENCE - INSURANCE CERTIFICATEAC_ORD CERTIFICATE OF
LIABILITY INSURANCE
DATE 3I0 /003
9
PRODUCER PHONE#: 509-358-3900
THIS CERTIFICATE IS ISSUED AS A
MATTER OF INFORMATION
MARSH ADVANTAGE AMERICA
A SERVICE OF SEABURY & SMITH
ONLY AND CONFERS NO RIGHTS
HOLDER. THIS CERTIFICATE DOES
ALTER THE COVERAGE AFFORDED
UPON THE CERTIFICATE
NOT AMEND, EXTEND OR
BY THE POLICIES BELOW.
PO BOX 2151
WA 99210 SPOKANE, W
INSURERS AFFORDING COVERAGE
INSURED
INSURER A: St. Paul Fire
& Marine Ins. C
Itron, Inc. et al
INSURER B:
Attn: Michelle Smith
INSURER C:
P.O. Box 15288
INSURERD:
Spokane WA 99215
1 INSURER E:
COVERAGES
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.
INF
LTR
TYPE OF INSURANCE
POLICY NUMBER
DATE POLICY EMIDDNYE
POLICY EXPIRATION) DATE fMMIDD(YYI
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE a OCCUR
TE 08400864
8/31/03
8/31/04
EACH OCCURRENCE
a 1000000
FIRE DAMAGE (Any one fire)
e 250000
MED EXP tAny one person)
_
a 10000
PERSONAL & ADV INJURY
a 1000000
GENERAL AGGREGATE
S 2000000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PR� X LOC
PRODUCTS - COMP/OP AGG
3 2000000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
TE 08400864
8/31/03
8/31/04
COMBINED
Eaa acciden )SINGLE LIMIT
9
1000000
X
BODILY INJURY
(Par person)
5
X
BODILY INJURY
IPer accident)
5
X
PROPERTY DAMAGE
(Par accident)
9
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
a
OTHER THAN EA ACC
AUTO ONLY: AGG
5
a
A
EXCESS LIABILITY
X OCCUR 171 CLAIMS MADE
X DEDUCTIBLE
RETENTION s 10000
TE 08400864
8/31/03
8/31/04
EACH OCCURRENCE
a 2500000
AGGREGATE
$ 2500000
a
9
$
A
I WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
WVA8400554
10/01/03
10/01/04
X TQRV LIANITRS OT
ER
E.L. EACH ACCIDENT
$ S 0 0000
E.L. DISEASE - EA EMPLOYEE
5 500000
E.L. DISEASE -POLICY LIMIT
e 500000
A
OTHER
ELECTRONIC E&O
TE 08400864
8/31/03
8/31/04
$1,000,000
$100.000 DED
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
AS RESPECTS: OPERATIONS OF THE NAMED INSURED
INSURED; INSURER LETTER:
CITY OF FORT COLLINS
256 W. MOUNTAIN AVE
FORT COLLINS, CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE XXSXBYG INSURER WILL ENDEAVOR TO MAIL 3 O DAYS WRITTEN
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.
ACORD
41 APn Dn PnDDnIOATInM 1000
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
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 may
require an endorsement. A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsementfsl.
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insureds), 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 thereon.
ACORD 25-S