HomeMy WebLinkAboutCARRIER CORPORATION - INSURANCE CERTIFICATE (5)MARSH
CERTIFICATE OF INSURANCE
'03zs,°004
PRODUCER
This certificate is issued as a matter of information only and confers no rights
MARSH USA INC.
upon the Certificate Holder. This Certificate does not amned, extend or alter the
ONE STATE STREET
HARTFORD, CT 06103-3187
coverage afforded by the policies below.
COMPANIES AFFORDING COVERAGE
Company Hartford Fire Insurance Co
A
INSURED
CARRIER CORPORATION
Company Ins Co of the State of PA
B
ONE CARRIER PLACE
FARMINGTON, CT 06034-4015
Company American Home Assurance Co
C
Company New Hampshire Insurance Co
D
Company National Union Fire Ins Co Pa
E
COVERAGES This certificate supersedes and replaces any previously issued certificate for the policy noted below.
This is to certify that the 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 contract or other document with repect to which this certificate may be issued or may pertain, the insurance afforded by
the policies described herein is subject to all the terms, conditions and exlusions of such policies. Limits shown may been reduced by paid claims.
CO
LT
TVPEOFINSURANCE
POUCYNUMBER
EFFECTIVE
EXPIRATION
LIMITS OF LIABILITY
A
GENERAL LIABILITY
XiCommercial General Liability
[—]claim Made XOOccurerlce
OOxners' and ConeaCtDFV Protection
General Aggregate Unit apples per:
02CSET10004
$2,WO,OW general aggregate per
locationlprojecl
$10,000,ODO policy general aggregate
04101I2GO4
04/0112005
EACH OCCURANCE
$ 1 000 DDp
FIRE DAMAGE
$ 300000
MEDICAL EXPENSE
$ 5,000
PERSONAL BADV INIURV
$ 1,00DOW
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS -COMPIOP ADS
$ 2,000000
Polry O Project❑ L—ton
A
AUTOMOBILE LIABILITY
02CSET10000 (AID)
04/0112004
D410112005
COMBINED SINGLE UNIT
$ 1,000,000
XOAny ALAomobile
02CSET10W3(TX)
BODILY INJURY (Per person)
$
O Ay Owed Automobiles
O Scheduled Automobiles
O Hired Automobiles
Non -owned Autonobiles
Hartford Casualty Ins Co
02CSETI 0002(MA)
Hartford Acc R Ind Ins CO
02CSET10019(HI)
Hartford Underwriters Ins
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
$
COMPREHENSIVE
$
COLLISION
$
B
WORKERS COMPENSATION
WC5212397(Other states)
04101/2004
04/0114005
we Stalutory Limit X odler
c
AND EMPLOYERS' LIABILITY
WC5212398(CA) 1401(NJ)
EL EACH ACCIDENT
$ 1,000,000
D
E
WC5212400(NY,WI)
WC5212402 (excess CT)*
EL DISEASE (Each employee)
$ 1,00DODO
EL DISEASE (Policy Limit)
$ 1.000,000
WC5212399(ME,MS,NV,OR,RI,UT)•
'National Union Fire Ins Co Pa
A
EXCESS LIABILITY
02HUT10021
04101/2004
04101 MOOS
EACH OCCURRENCE
$ 10,000D00
0 Occurrence O Claims Made
AGGREGATE
$ 10,000,000
Retention,dedxtible $
$
$
$
$
CONTRACTORS LICENSE
CERTIFICATE HOLDER
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WALL MAIL 30 DAYS WRITTEN NOTICE TO THE
CERIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO
OBLIGATION OF LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
4964'e*""' ALL FOR AADC
800
REPRESENTATIVES.
MARSH USA INC
CITY OF FORT COLLINS
Po Box 580
Fort Collins, CO 80522-0580
Ilu'llfuull'nlll'nll llluull'llullllnl'ulllluul'l l'
BY: