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HomeMy WebLinkAboutSHEET METAL PRODUCTS - INSURANCE CERTIFICATEACOADT. CERTIFICATE OF LIABILITY INSURANCE DATE (2MM 0/0 5 Y 4/6/YYY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Ed Murray & Sons ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P O Box 1388 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 123 East 17th Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Cheyenne WY 82003 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA: Employers Mutual Casualty Com Sheet Metal Products Inc INSURERS: Hartford Insurance Service Ce PO Box 1112 Cheyenne WY 82003 INSURER C: E: L. V V CKA1atJ 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 DD' POLICY NUMBER POLICYEFFECTIVE 4/1/2005 POLICY EXPIRATION LIMITS A GENERAL LIABILITY 2X4842006 4/l/2006 EACH OCCURRENCE $ 1000000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 1XI OCCUR PREMISES Eaoccurence $ 100000 MED EXP(Any one Penton) $ 5000 PERSONAL B ADV INJURY $ 1000000 GENERALAGGREGATE $ 2000000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OPAGG $ 2000000 POLICY PRO- JrCTLOC A AUTOMOBILE X LIABILITY ANY AUTO 2X4842006 4/1/2005 4/l/2006 COMBINED SINGLE LIMIT (Ea accident) $ 1 000000 ALLOWNEDAUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HIREDAUTOS NON-OWNEDAUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Peraccident) $ GARAGELIABILITY AUTO ONLY -EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTOONLY: AGG EXCESSIUMBRELLA LIABILITY OCCUR El CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITYER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? Ifyes, describe under SPECIAL PROVISIONS below 34WECGKO119 4/1/2005 4/l/2006 X I wcs _LIMT7 oTH- E.L. EACH ACCIDENT $ 1, 000,000 E.L. DISEASE -EA EMPLOYEE $ 1 000 000 E.L. DISEASE -POLICY LIMIT $ 1, 000, 000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT] SPECIAL PROVISIONS This certificate is issued as respects to the business operations of the insured. City of Fort Collins Po Box 580 Fort Collins CO 80522 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 DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25 (2001108)