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.