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)