Loading...
HomeMy WebLinkAboutINDEPENDENT SALT COMPANY - INSURANCE CERTIFICATE (6)ACORA CERTIFICATE OF LIABILITY INSURANCE DATE 09/14/20044/2004 PRODUCER (800) 563-1871 FAX (785)825-5098 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Insurors & Investors, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 217 S. Santa Fe HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P. 0. Box 1213 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Salina, KS 67402-1213 INSURERS AFFORDING COVERAGE NAIC # INSURED Independent Salt Company INSURERA: Chubb Group of Insurance Co. 20346 P. 0. Box 36 INSURER& Liberty Mutual Kanopolis, KS 67454 INSURERC: INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIN 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE (MMMDIYYI POLICY EXPIRATIONDATE DATE IM LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE rj] OCCUR 37110044 09/16/2004 09/16/2005 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED $ 1,000, MED EXP (Any one person) $ 5 ' 00 PERSONAL & ADV INJURY $ 1,000,00( GENERAL AGGREGATE $ 2, ON, GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY jECT LOC PRODUCTS - COMP/OP AGG $ 2 , ODD AUTOMOBILE LIABILITY ANY AUTO 79389735 09/16/2004 09/16/2005 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 X BODILY INJURY (Per person) $ A ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON -OWNED AUTOS X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY -XI OCCUR CLAIMS MADE 79764048 09/16/2004 09/16/2005 EACH OCCURRENCE $ 5 ' 000 ,000 AGGREGATE $ 5,000,000 A $ DEDUCTIBLE X RETENTION $ 10,00 $ WORKERS COMPENSATION AND WC734S336671014 09/16/2004 09/16/2005 X WC STATU- I OTH- EMPLOYERS' LUURLTTY E.L. EACH ACCIDENT $ 1,000,000 B ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe underr SPECIAL PROVISIONS below E.L. DISEASE - EA EMPLOYE $ 1,000000 E.L. DISEASE - POLICY LIMIT $ 1,000 00 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS City of Fort Collins ATTN: Purchasing Division PO Box 580 Fort Collins, CO 80522-0580 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIgD REPRESENTATIVE , d ^ A AGUKU ZO (ZUUIIUU) ©ACORD CORPORATION 1988