HomeMy WebLinkAbout109888 INSITUFORM TECHNOLOGIES INC - INSURANCE CERTIFICATE (13)ACORDrN CERTIFICATE OF LIABILITY INSURANCE 1 o'07/0a
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Lockton Companies ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Three City Place Drive Suite 900 HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR
St. Louis MO63141-7081
(314) 432-0500
INSURED
1041932 Insituform Technologies, Inc.
702 Spirit 40 Park Drive
Chesterfield MO 63005
COVERAGES INSTE02 13
INSURERS AFFORDING COVERAGE
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MWDDIM
POLICY EXPIRATION
DATE M D
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE FX OCCUR
X INDPNT CONTRACTOR
RG2-641-004218-034
BROAD FORM PD/CONTRACTU
07/01/2004
AL
07/01/2005
EACH OCCURRENCE
1,000,000
FIRE DAMAG E Anv
100,000
n oneDemon)
10,000
PERSONAL & ADV INJURY
1000 000
X
XCU
GENERAL AGGREGATE
2,000,000
GENL AGGREGATE
LICY X
LIMIT APPLIES
RO-
JECT F7
PER:
LOC
PRODUCTS-COMP/OPAGG
2000000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
AS2-641-004218-024
07/01/2004
,'`.
JUL 2 0 \
07/01/2005
y �'}
\vV il�li�(1//1
004
COMBINED SINGLE LIMIT
(Ea accident)
$ 2,000,000
X
BODILY INJURY
(Per person)
$ XXXXXXX
X
BODILY INJURY
(Per accident)
$ XXX){XXX
X
PROPERTY DAMAGE
(Per accident)
$ XXXXXXX
GARAGE LIABILITY
ANY AUTO
RISK
NOT APPLICABLE
MANAGEMENT
COTLINS
AUTO ONLY - EA ACCIDENT
$ XXXXXXX
OTHER THAN EA ACC
AUTO ONLY: AGG
XXXXXXX
XXXXXXX
EXCESS LIABILITY
OCCUR El CLAIMS MADE
❑ UMBRFl I e
DEDUCTIBLE FORK
RETENTION
NOT APPLICABLE
EACH OCCURRENCE
$ X)O XXXX
AGGREGATE
$ XXXXXXX
XXXXXXX
I., XXXXXXX
XXXXXXX
B
B
WORKERS COMPENSATION AND
EMPLOYERS'LIABILITY
WA7-64D-009004-444
WC7-641-004218-014(WI)
07/01/2004
07/01/2004
07/01/2005
07/01/2005
X 1WC STATU- OTH-
E.L. EACH ACCIDENT
$ 1000000
E.L. DISEASE - EA EMPLOYEE
1,000,000
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
RE: 2002 Insitufonn Projects, W.O.ii 503-1-02; City of Fort Collins is included as Additional Insured under General Liability and Auto Liability as respects
the operations of the Insured.
1685558 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
900 DATE THEREOF, THE ISSUING INSURER WILL ENBEAVOR—TO MAIL 30 DAYS WRITTEN
CITY OF FORT COLLINS
P. 0. BOX 580 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
FORT COLLINS CO 80522-0580 IMPOSE NO OBLIGATION OR I 'Am" 1TV OF ANY, KIND UPON:n 'E INSURER, ITS AGENTS 0
REPRESE►a;aaA%s
AUTHORIZED REPRESENTATIVE
APflOrl Or�Q l7/07% Fm euestions naniino this cartificats. contact the nunbr listed in the'Proaueee section above and nwnitr the dbrd code'INSM02'. aACnRn CnRPn ATIniM 1o8R