HomeMy WebLinkAbout102876 MOUNTAIN STATES PIPE & SUPPLY CO - INSURANCE CERTIFICATECERTIFICATE NUMBER CN.] �,.vSEA-000739702-02
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
PRODUCER
MARSH USA INC.
NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
1225 17TH STREET, SUITE 2100
POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
DENVER, CO 80202-5534
AFFORDED BY THE POLICIES DESCRIBED HEREIN.
COMPANIES AFFORDING COVERAGE
COMPANY
02369-12345-ALL-ALL
A TRANSCONTINENTAL INSURANCE COMPANY (CNA)
INSURED
COMPANY
MOUNTAIN STATES PIPE & SUPPLY COMPANY
B N/A
111 WEST LAS VEGAS
COMPANY
COLORADO SPRINGS, CO 80903
C N/A
COMPANY
D N/A
3
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.
CO
IDATE
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
(MMIDD/YY)
POLICY EXPIRATION
DATE (MI
LIMITS
GENERAL
LIABILITY
GENERAL AGGREGATE
$ 2,000,000
X
PRODUCTS-COMP/OP AGG
$ 1,000,000
A
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE Fx_] OCCUR
1098386398
04/01/04
04/01/05
PERSONAL &ADV INJURY
$ 1,000,000
EACH OCCURRENCE
$ 1,000,000
OWNER'S & CONTRACTOR'S PROT
x
FIRE DAMAGE Any one fire)
$ 100,000
Arr PER PROAFI
MED EXP (Any we n
$ 10,000
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
$
ANY AUTO
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY DAMAGE
$
GARAGE LIABILITY
AUTO ONLY -EA ACCIDENT
$
OTHER THAN AUTO ONLY
r' ;};}Iq®7. a�;€
ANY AUTO
EACH ACCIDENT
$
AGGREGATE
$
EXCESS LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
UMBRELLA FORM
$
OTHER THAN UMBRELLA FORM
'
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
A - UIH
TORY LIMITS EH
-
EL EACH ACCIDENT
$
THE PROPRIETOR/ INCL
PARTNERSIEXECUTIVE
EL DISEASE -POLICY LIMIT
$
EL DISEASE -EACH EMPLOYEE
$
OFFICERS ARE: EXCL
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESISPECIAL ITEMS
_
1111,11211,11111111 :.i -:::?, e,..#
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL I DAYS WRITTEN NOTICE TO THE
CITY OF FORT COLLINS, LIGHT & POWER
ATTN: DIRECTOR OF PURCHASING
CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
256 WEST MOUNTAIN AVENUE
LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE
FORT COLLINS, CiO 80521
ISSUER OF THIS CERTIFICATE.
MARSH USA INC.
BY: Kearin Kasper
y9'-) �3 VALID AS OF 03/31/04
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