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HomeMy WebLinkAboutAAF INTERNATIONAL - INSURANCE CERTIFICATE (4)AAF-MCO-01 FLDE ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDO/YY ) 6/30/ 003 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The Graham Company ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Graham Building 9 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 1 Penn Square West COMPANIES AFFORDING COVERAGE Philadelphia, PA 19102 COMPANY Insurance Company JUL Federal ' 3 2003 INSURED AAF International 10300 Ormsby Park Place, Suite 600 COMPANY American Guarantee & Liability Insurance Company B Louisville, KY 40223 COMPANY Royal Indemnity Company C COMPANY D rnVFRArFs THIS IS TO CERTIFY 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 BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ISOCO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMIDD" POLICY EXPIRATION DATE (MMIDD" LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑X OCCUR OWNER'S & CONTRACTOR'S PROT 35379746 6/30/2003 6/30/2004 GENERAL AGGREGATE $ 2,000.000 X PRODUCTS - COMPIOP AGG $ 2.000. PERSONAL 6 ADV INJURY $ 1 000 O EACH OCCURRENCE $ 1 OOU OO FIRE DAMAGE (Anyone fire) $ MED EXP (Any oneperson) $ 5.00 A AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 73225752 6/30/2003 6/30/2004 COMBINED SINGLE LIMIT $ 2,000,0 00 BODILY INJURY (Per Person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ GARAGE LIABILITY ANY AUTO AUTO ONLY -EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ B EXCESS LIABILITY X UMBRELLA FORM OTHER THAN UMBRELLA FORM AUC930488201 6/30/2003 6/30/2004 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,0 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY THE PROPRIETOR/ X INCL PARTNERS/EXECUTNE OFFICERS ARE: EXCL R2TO464154 6130/2003 6/30/2004 X WC STATU- OLIMITS TH- TORY`. EL EACH ACCIDENT $ 500 EL DISEASE - POLICY LIMIT $ 500.0 EL DISEASE - EA EMPLOYEE $ 500,00 OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/SPECIAL ITEMS See attached page. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City of Fort Collins, Purchasing Division EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 256 West Mountain 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, P.O. Box 580 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Fort Collins, CO 80522-0580 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REP ENTATIVE ACORD 25-S (1195) — 0 ACORD CORPORATION 1988 DESCRIPTION OF OPERATIONS - AAF-MCQ-01 FLDE PAGE 1 OF 1 AAF International 10300 Ormsby Park Place, Suite 600 Louisville KY 40223 Compensation Coverage includes Policy #R2AP 002910. City of Fort Collins, Purchasing Division 256 West Mountain P.O. Box 580 Fort Collins CO 80522-0580 City of Fort Collins is an Additional Insured as respects the General Liability Coverage for the work and/or services provided or performed by the Named Insured if required by written contract.