HomeMy WebLinkAboutINDUSTRIAL REPAIR SERVICE - INSURANCE CERTIFICATE (2)••
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MA S
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• �•�,� • -x CERTIFICATE NUMBER
PRODUCER
MARSH USA INC.
1000 LOUISIANA
SUITE 4000
HOUSTON, TX 77002
HOU-000440894-05
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POLICIES DESCRIBED HEREIN.
COMPANIES AFFORDING COVERAGE
COMPANY
Z
IRS
A ZURICH AMERICAN INS.CO 9
INSURED
COMPANY
Industrial Repair Service, Inc.
1113 Camina Entrada
B AMERICAN GUAR & LIAB
COMPANY
Farmington, NM 87401
C AMERICAN ZURICH INSURANCE CO.
COMPANY
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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.
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TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE jMM/DDNY)
POLICY EXPIRATION
DATE (MM/DDIYY)
LIMITS
A
GENERALLIABILITY
GLO9298347-04
01/15/04
01/31/05
GENERAL AGGREGATE
$ 2,000,000
X
PRODUCTS - COMP/OP AGG
$ 1,000,000
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE a OCCUR
PERSONAL & ADV INJURY
$ 1,000,000
EACH OCCURRENCE
$ 1,000,000
OWNER'S & CONTRACTOR'S PROT
FIRE DAMAGE (Any one Fire)
$ 1,000,000
MED EXP (Any one on
$ 5,000
B
B
AUTOMOBILE
LIABILITY
ANY AUTO
BAP 9298344-04
TAP 9298346-04
01/15/04
01/15/04
01/31/05
01/31/05
COMBINED SINGLE LIMIT
$ 1,000,000
X
BODILY INJURY
(Per person)
$
ALLOWNEDAUTOS
SCHEDULED AUTOS
HIREDAUTOS
NON -OWNED AUTOS
X
BODILY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
ANY AUTO
OTHER THAN AUTO ONLY
_ _„ -MEdE
1 i x ±
EACH ACCIDENT
$
AGGREGATE
$
EXCESS LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
$
C
.WORKERS COMPENSATION AND
EMPLOYER..'LIABILITY
WC 9298345-04
01115/04
01!31/05
X TORY LIMITS EH
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$ 1,000,000
EL EACH ACCIDENT
THE PROPRIETOR/ X INCL
PARTNERSIEXECUTIVE
EL DISEASE -POLICY LIMIT
$ 1,000,000
EL DISEASE -EACH EMPLOYEE
$ 1,000,000
OFFICERS ARE: EXCL
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
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SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
CITY OF FORT COLLINS
PO BOX 580
THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL _1Q DAYS WRITTEN NOTICE TO THE
CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
256 W. MELTON AVE.
FORT COLLINS, CO 80521
LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE
ISSUER OF THIS CERTIFICATE.
MARSH USA INC.
BY: Duncan T. Plaskett
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VALID AS OF: 01/21/04