HomeMy WebLinkAboutAEARO CORPORATION - INSURANCE CERTIFICATEMARSH C
"'" IFI..CME OF, INSUR kllf�'N^ CERTIFICATE NUMBER
1dlr
I#` 41 F17 [S#411ir CHI-001241118-01
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
PRODUCER
MARSH USA INC.
NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
BANK ONE CENTER
POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
111 MONUMENT CIRCLE
AFFORDED BY THE POLICIES DESCRIBED HEREIN.
SUITE 4300
INDIANAPOLIS, IN 46204-2492
COMPANIES AFFORDING COVERAGE
COMPANY
Attn:Linda Bottoms 317-261-9321
87962---
A LIBERTY SURPLUS INSURANCE CORP.
INSURED
COMPANY
AEARO CORPORATION
B N/A
5457 WEST 79TH STREET
COMPANY
INDIANAPOLIS, IN 46268
C LIBERTY MUTUAL INSURANCE CO
COMPANY
D N/A
Ep01E tE ES This Deltifi a epPe las ally r (aC ally pFeilduSly issued oartifiDate'for 0ja ppolicy p»rlod rioted below. 1
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICYEFFECTIVE
DATE(MM/DD/YY)
POLICY EXPIRATION
DATE(MMIDDIYY)
LIMITS
A
GENERAL
LIABILITY CONTRACTU
EGL-BO-078991-032
09/30/04
09/30/05
GENERAL AGGREGATE
$ 2,000,000
X
PRODUCTS - COMP/OPAGG
$ 2,000,000
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE Fx-1 OCCUR
PERSONAL& ADV INJURY
$ 1,000,000
EACH OCCURRENCE
$ 1,000,000
OWNER'S&CONTRACTOR'S PROT
X
FIRE DAMAGE (Anyone fire)
$ 50,000
X
SIR 20,000 PREMISES
MED EXP (Any oneperson)
$ NIL
C
AUTOMOBILE
LIABILITY
AS2-641-005060-054 (AOS)
09/30/04
09/30/05
COMBINED SINGLE LIMIT
$ 1,000,000
X
C
ANY AUTO
AS 1 -641-005060-044 (OH)
09/30/04
09/30/05
BODILY INJURY
$
ALL OW NED AUTOS
SCHEDULED AUTOS
(Per person)
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OW NED AUTOS
X
COMP DED: 2,500
PROPERTY DAMAGE
$
X
OLL DED: 2,500
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN AUTO ONLY:
ANY AUTO
EACH ACCIDENT
$
AGGREGATE
$
EXCESS LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
UMBRELLA FORM
$
OTHER THAN UMBRELLA FORM
C
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
WA7-64D-005060-074 (AOS)
09/30/04
09/30/05
X ORY L MITS OER THI-
$250,000 DED (AOS ONLY)
09/30/04
09/30/05
EL EACH ACCIDENT
$ 1,000,000
C
THE PROPRIETOR/ X INCL
PARTNERS/EXECUTIVE
W C7-641-005060-064 (OR, WI)
09/30/04
09/30/05
EL DISEASE -POLICY LIMIT
$ 1,000,000
EL DISEASE -EACH EMPLOYEE
$ 1,000,000
OFFICERS ARE: EXCL
THER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL -_--U DAYS WRITTEN NOTICE TO THE
CITY OF FT. COLLINS
ATTN: DAVID CAREY
CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
300 LAPORTE AVENUE
UABILRY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE
FT. COLLINS, CO 80521
ISSUER OF THIS CERTIFICATE
MARSH USA INC.
BY: Linda Bottoms,
MM Ij$pU2�'' VALID AS OF: f' 12/29/04