Loading...
HomeMy WebLinkAboutCXT INC LB FOSTER - INSURANCE CERTIFICATE5r; d i, 3' d t8 a:Av 32 8 3 2yi i:`r':" "`t i 8 3 ililii4. 8 2 d F d� £ d d h h. 2 h # # .... . d hj!1g IN$ V' "` 3 d F¢'£ A d r + -. d CERTIFICATE NUMBER �3 : 3 # d 2s: dAM� d *� '�,, "� ' CLE-000661330.04 �r{:.`i # d A'" 'h 2 d vA {2 d # d 3.v 3` a F R r ., v. • n r F a= .r ra r...r..•. 4 vi i ... s c v i+ £ 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: Glendora Hams (412) 552-5160 COMPANIES AFFORDING COVERAGE COMPANY 051823--ALL-04/05 CXT-PA A STEADFAST INSURANCE COMPANY INSURED COMPANY CXT, INC. g N/A L. B. Foster Company COMPANY ATTN: David Russo PO Box 2806 C SENTRY INSURANCE COMPANY Pittsburgh, PA 15230 COMPANY D ,yy�y{.,,: # 3 $. {v$' v"': 2ti 2" 2 83 3 3' h d # 3 2: § 8 8 2 # h d 3 d Nii''vv4'Li. 15` 25'i' 3h d £ hd d dd 'iv. l2: 3 8 5'. 2v 5v h •F'v i -4 - #r d" ��.:'a 0.�yy� : 'lj :ls S A FA 22 y._F�{: Fr • • • n. F Fr4 R iF r.'M1 h`r T: -.":. r .. >•..:: : .d $3 ' a £ ..= 8 -: -" •` 'S"i' d __ } 2 J•'3 :. $ `}§ v3 h$:. 2 `k• A hl _.'Fia F,'ia h iv a >_V•' t d. Fha :y :i`_'§i ..•. r r 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE (MM/DD/YY) DATE (MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGRATE $ 2,000,000 PRODUCTS-COMP/OPAGG $ 2,000,000 A X COMMERCIAL GENERAL LIABILITY SCO 3872553-02 01/01/04 01/01/05 _7 CLAIMS MADE �X OCCUR PERSONAL &ADV INJURY $ 1,000,000 OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,DD0 X DEDUCTIBLE - $250,000/OCCUr. FIRE DAMAGE (Any one fire) $ 300,000 X $1,000,000 Ded. Aggregate MED EXP (Any we person) $ 10,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANYAUTO BODILY INJURY ALL OWNED AUTOS SCHEDULED AUTOS (Pa pwsw) $ HIRED AUTOS BODILY INJURY $ NON-OWNEDAUTOS (pa eoddent) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY -EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: 3 tI i££f „'r i EACHACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND X WC STATU- OTH- EMPLOVERS'LIABILITY TORY LIMITS ER'#;2y!ikti C 90.14714-01 (AOS)) 01/01/04 01/01/05 EL EACH ACCIDENT $ 1,000.000 C THEPROPRIETOFU X INCL 90-14714-02(MA&OR) 01/01/04 01/01/05 EL DISEASE -POLICY LIMIT $ 1,000,000 PARTNERS/EXECUTIVE EL DISEASE -EACH EMPLOYEE $ OFFICERS ARE: EXCL OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS Evidence of Insurance h ,kv Fry" kA'k A.h . ;F �k.d ,<d �i: -::' 'r': �.' ry 24 '$ riF`r'rrig k� ypy2;} 16111 4, 1 ii'::Ai11 :F 11 'i ..._._ :__.1 ixnv. :: v3 !ur.v$aa r'r$.'h d. d-v 2_ v: n 4F5•h r'44`i '.'r'i4 as ::;d1. .iy4 R`.'28'S i`y~i FrfF 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 [NO R Scott _. .2 ,y 8 rd'''r�' d'Nl� :9i'_ £: rA F{ :i riA' `F {• r1: 2', r` r.2 `2' _''2 ,v4 '4 r`4V omag cis BY. } v •i ¢' yyi`h .. • £i: Ty'S•11•.i'�2de' " £: 'id 1010. v ::}3'd r3 Av 2 h 4 d.- v.'!di ova aiu.. d h _.;.'ice ,Annri'. vra h ddig; r' F ^ay.Aa; av '1.�.c3i vyyF'�$'�ry'-„VALIDA90F ,01/09/04+?I • "" 3 3 * 2 ¢ t3 t 3. i i - 2: t t 84 3 3 ny 3 3 3 3 i 'S t,duj v�` ��'• S" 2 t ¢ d 8 3 t £. 2 t 8 5� �.v. rvr:: r • ir.di .:.. '� 3 t d h t �' €� "" t >• 3 CERTIFICATE NUMBER R. t CLE-000663916-04 SF� R' 4„t •. t ti 'i.2.:._:. vS 3 2 i. r.r an r-� g:I _ .nv. nr:r 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: Glendora Harris (412) 552-5160 COMPANIES AFFORDING COVERAGE COMPANY 051823--ALL-04/05 CXT-PA A STEADFAST INSURANCE COMPANY INSURED COMPANY CXT, INC. L. B. Foster Company B N/A COMPANY ATTN: David Russo PO BOX 2806 C SENTRY INSURANCE COMPANY Pittsburgh, PA 15230 COMPANY D y. vry^ ��yy '�M1 ry y �4 vy .._ i' r r 4^av'• ?'? •. • •3 §IQ:IAlm h2•h' .ii'Yv ryii.T3§ 'in4'v} rf$3. rS M1'h'2'1'v£u1Rv �33F:3�'8833r�: 3 d. F4 SFMh d:5. :y4 i4.'§i,ny }`.r2=5 '}h.§t $3 3; ,v'4i 'Si4i'i'82}4y42v2ri4y ,Ay 'u3i F r3'{}38. F yi2y;_4. F'n•r: "cr•a t:.g.nr 3.§F4 "i _.. THIS 13 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 BYTHE 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. c0 LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MMIDD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGRATE $ 2,000,000 PRODUCTS-COMP/OP AGG $ 2,000,000 A X COMMERCIAL GENERAL LIABILITY SC03872553-02 01/01/04 01/01/05 CLAIMS MADE OCCUR - PERSONAL li INJURY $ 1.000,000 EACH OCCURRENCE $ 1.000,000 OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE (Any one fire) $ 300,000 X DEDUCTIBLE - $250,000/occur. MED EXP (Any we person) $ 10,000 X $1,000,000 Ded. Aggregate AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANYAUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJ URY (per aoddel $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY -EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ $ OTHER THAN UMBRELLA FORM C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 90-14714-01 (AOS)) 01/01/04 01/01/05 X oc STATU- TflY LIMITS OTH ER EL EACH ACCIDENT $ 1,000,000 C THE PROPRIETOR/ X INCL PARTNEFI=ECUTIVE 90-14714-02 (MA & OR) 01/01/04 01/01/05 EL DISEASE -POLICY LIMIT $ 1,000,000 EL DISEASE -EACH EMPLOYEE $ OFFICERSARE: EXCL OTHER DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLESISPECIAL ITEMS Evidence of Insurance * 7 k.hh.*£t. k X k} b 4. ':., r, v:.r .v v. d n.nr rv. ::v rS$'*vi vihii r'.;i i.r.vi2i+S'h 4Sd h:.2u4: i.ri4r .r¢.i4 rhiv.b :hSME!v'i lip ,,�rr��55'' .h ':}'3'•" h v4 '�' ,•„h.,h :v4+ hhii :22k4 YEN.,kr4, by r.rrr ':.Td v, r4r .'4:i r4r 24v. r2}34 :{ bru 'r34 r3 h4h•vh:: vf3'tr v,'vi ri4.i r.v v. .irrrv: { 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 30 DAYS 256 West Mountain Avenue WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH P. O. 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. =USAen R . �� ��i t• .. R 3. . $ 3 } anF 3 h. i 3 S. h h 3i $• �'' :r"r'4 ,2. S 3 3 rS 3 i:'3v •n: �r44 i .r iS; �i4 r}•i.'} th rt3 2yvh�D ASOF 01/08/04}4.; "r:: fir .•i:rA4 . "F,.•.:: • 4S n .: : i v