HomeMy WebLinkAboutFIBERGLASS STRUCTURES - INSURANCE CERTIFICATE (3)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.
CO
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TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
POLICY EXPIRATION
OMITS
DATE (MM/DDNY)
DATE (MM/DD/YY)
A
GENERAL
LIABILITY
CWP238085222
10/01/2003
10/01/2004
GENERAL AGGREGATE
s 1,000,000
X
PRODUCTS - COMP/OP AGG
$1, 000, 000
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE XOCCUR
PERSONAL &ADV INJURY
S 1,000,000
EACH OCCURRENCE
S 1,000, 000
OWNER'S& CONTRACTOR'S PROT
FIRE DAMAGE (Any one fire)
S 100, 000
MED EXP (Any one person)
5 5 000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
CWP238085222
10/01/2003
10/01/2004
COMBINED SINGLE LIMIT
S 1, 000, 000
X
BODILY INJURY
(Per person)
$
BODILY INJURY
(Per accident)
S
PROPERTY DAMAGE
S
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
S
OTHER THAN AUTO ONLY:
EACH ACCIDENT
S
AGGREGATE
$
A
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
CU239868421
10/01/2003
10/01/2004
EACH OCCURRENCE
$1,000,000
AGGREGATE
$1, 0 0 0, 0 0 0
s
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
THE PROPRIETOR/ INCL
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL
OTHER
WC STATU- OTH
70RY LIMIT ER
EL EACH ACCIDENT
_.
$
EL DISEASE -POLICY LIMIT
S
EL DISEASE - EA EMPLOYEE
S
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESISPECIAL ITEMS
City of Fort Collins Utilities
Attn: Opal Dick
PO Box 580
Fort Collins CO 80522-0580
d
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
10
DAYS
WRITTEN
$D TOTHEC=ERTIFICATEE "LDER NAMED TO THE LEFT,
BUT FAILURE :F0 MAIL SUCH 710E S;ALL IMAQd' E�0 OBLIGATION OR LIABILITY
` I
OF ANY KIND UPON E COMPANY, _i(S/� TS OR REPRESENTATIVES. I
AUTHORIZED REPRESENTATIVE
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