HomeMy WebLinkAboutCXT INC LB FOSTER COMPANY - INSURANCE CERTIFICATEM AR � H
CERTIFICATE NUMBER
I ERTIFICATE CF INS1:0URAI�ICI* CLE•000661330-05
PRODUCER
Marsh USA Inc.
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
Six PPG Place, Suite 300
NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
Pittsburgh, PA 15222
POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
Attn: Myles Rooney (412) 552-5160
AFFORDED BY THE POLICIES DESCRIBED HEREIN.
COMPANIES AFFORDING COVERAGE
COMPANY
051823--ALL-05/06 CXT-PA
A STEADFAST INSURANCE COMPANY
INSURED
CXT, INC.
COMPANY
L. B. Foster Company
g N/A
ATTN: David Russo
COMPANY
PO Box 2806
Pittsburgh, PA 15230
C SENTRY INSURANCE COMPANY
COMPANY
D
t3V� AGO.
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
POLICY EFFECTIVE
POLICY EXPIRATION
LIMITS
DATE (MM/DD/YY)
DATE (MMIDD/YY)
GENERAL LIABILITY
GENERAL AGGREGRATE
$ 2,000,000
A
X COMMERCIAL GENERAL LIABILITY
SCC 3872553-03
01/01/05
01/01/06
PRODUCTS-COMP/OP AGO
$ 2,000,000
CLAIMS MADE aX OCCUR
PERSONAL & ADV INJURY
$ 1,000,000
OWNER'S & CONTRACTOR'S PROT
EACH OCCURRENCE
$ 1,000,000
X DEDUCTIBLE - $250,000/occur.
FIRE DAMAGE (Any we fire)
$ 300,000
x
$1,000,000 Ded. Aggregate
MED EXP (Any one person)
$ 10,000
AUTOMOBILE LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT
$
ALL OWNED AUTOS
BODILY INJURY
SCHEDULEDAUTOS
(Per person)
$
HIRED AUTOS
NON-OWNEDAUTOS
BODILY INJURY
(per accidenq
$
PROPERTY DAMAGE
$
GARAGE LIABILITY
AUTO ONLY- EA ACCIDENT
$
ANY AUTO
OTHER THAN AUTO ONLY
EACH ACCIDENT
$
AGGREGATE
$
EXCESS LIABILITY
EACHOCCURRENCE
$
UMBRELLA FORM
AGGREGATE
$
OTHER THAN UMBRELLA FORM
$
WORKERS COMPENSATION AND
X WC STATU- OTH
C
EMPLOYERS' LIABILITY
TORY LIMITS ERUMM
W14714-01(AOS))
01/01/05
01/01/06
EL EACH ACCIDENT
$ 1,000,000
C
THE PROPRIETOR/ X INCL
PARTNERSIE(ECUTIVE
90-14714-02 (MA & OR)
01/01/05
01/01/06
EL DISEASE -POLICY LIMIT
$ 1.000,000
OFFICERS ARE: EXCL
EL DISEASE -EACH EMPLOYEE
$ 1,000,000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/SPECIAL ITEMS
Evidence of Insurance
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 30 DAYS
256 W. Mountain Avenue
WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH
PO Box 580
NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER
Fort Collins, CO 80522-0580
AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE ISSUER OF THIS
CERTIFICATE.
MARSH USA INC
By R Scott Holden
II
tJiM1diiS VALID AS OF 12/30/04 i'i
. .. .. ..... ...... ..... .. ...... ... ...... . . ............. ..... ...
XX .. ....... .;.....4. ..... CERTIFICATE NUMBER
CLE-000663916-05
. ...
...... .. ............
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
Marsh USA Inc.
NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
Six PPG Place, Suite 300
POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
Pittsburgh, PA 15222 AFFORDED BY THE POLICIES DESCRIBED HEREIN.
Attn: Myles Rooney (412) 552-5160
COMPANIES AFFORDING COVERAGE
COMPANY
051823--ALL-05/06 CXT-PA A STEADFAST INSURANCE COMPANY
INSURED
CXT, INC.
COMPANY
L. B. Foster Company
B N/A
COMPANY
ATTN: David Russo
PO Box 2806
I
C SENTRY INSURANCE COMPANY
Pittsburgh, PA 15230
COMPANY
D
......................... .. ...
.. ............. ......... ......
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 MAYBE 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
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
POLICY EXPIRATION
LIMITS
LTR
DATE (MMIDD(Yy)
DATE (MMIDD(YY)
GENERAL LIABILITY
GENERAL AGGREGRATE
$ 2,000,000
A
X
COMMERCIAL GENERAL LIABILITY
SC03872553-03
01/01M15
01/01106
PRODUCTS-COMPIOPAGG
$ 2,000,000
CLAIMS MADE nX OCCUR
...
PERSONAL & ADV INJURY
$ 1,000,000
EACH OCCURRENCE
$ 1,0D0,000
OWNERS & CONTRACTORS PROT
DEDUCTIBLE - $250,000/occur.
FIRE DAMAGE (Any we fire)
$ 3D0,0DO
$_1,000,000 Ded. Aggregate
MED EXP (Any we person)
$ 10,000
LIABILITY
—AUTOMOBILE
ANY AUTO
COMBINED SINGLE LIMIT
$
ALL OWNED AUTOS
BODILY INJURY
SCHEDULED AUTOS
(Per Person)
$
HIRED AUTOS
BODILY INJURY
NONOWNEDAUTOS
(Per accidwp
$
PROPERTY DAMAGE
$
GARAGE LIABILITY
AUTO ONLY- EA ACCIDENT
$
ANY AUTO
OTHER THAN AUTO ONLY:
I
EACHACCIDENT
$
AGGREGATE
$
EXCESS LIABILITY
EACH OCCURRENCE
$
UMBRELLA FORM
AGGREGATE
$
OTHER THAN UMBRELLA FORM
$
WORKERS COMPENSATION AND
X I WCR TATU I OTH
C
EMPLOYERS' LIABILITY
90-14714-01 (AOS))
01/01/05
01/01/06
LIMITS ER
EL EACH ACCIDENT
$ 1,000,000
C
THE PROPRIETOR/
PARTNERS/EXECUTIVE INCL
90-14714-02 (MA & OR)
01/01/05
01/01/06
EL DISEASE -POLICY LIMIT
$ 1,000,000
OFFICERS ARE: EXCL
EL DISEASE -EACH EMPLOYEE
$ 1,000,000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
Evidence of Insurance
1.n
............. 77.
rtT�," . ...... ......
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION
The City of Fort Collins Colorado
DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL 30DAYS
256 West Mountain Avenue
WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH
P. 0. Box 580
NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER
Fort Collins, CO 80522-0580
AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE ISSUER OF THIS
CERTIFICATE.
MARSH USA INC
.4coar A.6v�,