HomeMy WebLinkAbout131436 METRON INC - INSURANCE CERTIFICATE (2).his certificate is executed by Liberty Mutual Imunance Group as respects such insurance as is afforded by those companies. BM0068
Certificate of Insurance
This certificate is issued as a matter of information only and confers no rights upon you the certificate holder. This certificate is act an insurance policy and does not amend, extend, or after the coverage
afforded by the policies listed below.
This is to certify that (Name and address of Insured)
METRONINC
1505 W 3RD AVENUE
DENVER, CO 80223-1440
is not altered by any requirement, term
Expiration Type
Continuous*
JX
Extended
Policy Term
Workers Compensation
General Liability
Claims Made
Occurrence
Retro Date
Automobile Liability
Owned
Non -Owned
Hired
12/31/2004
raw
is subject to all their terms, exclusions and conditions and
to which this certificate may be issued.
WC2-191422742-023 Coverage afforded under WC law of Employers Liability
the following states: Bodily Injury By Accident
CA, CO, ll NC, SC, Tx $1,000,000 Each Accident
Bodily Injury By Disease
$1,000,000 Policy Limit
Bodily Injury By Disease
$1,000,000 Each Person
General Aggregate -Other than Prod/Completed Operations
C RE: ROLLAND MOORE PUMPING PLANT RENOVATION
O
M
M
E
N
T
S
Products/Completed Operations Aggregate
Bodily Injury and Property Damage Liability I Per
Personal and Advertising Injury I Per Person /
Other Liability
Other Liability
Each Accident - Single Limit - B. I. and P. D. Combined
Each Person
Each Accident or Occurrence
Each Accident or Occurrence
-If the certificate expiration date is continuous or extended tern, you will be notified if coverage is terminated or reduced before the certificate expiration date. However, you will not be notified annually of
the continuation of coverage.
Special Notice - Ohio: Any person who, with intent to defraud or knowing that he / she is facilitating a fraud against an insurer, submits an application or files a claim containing a false or
deceptive statement is guilty of insurance fraud.
Important information to Florida policyholders and certificate holders: in the event you have any questions or need information about this certificate for any reason, please contact your local sales producer,
whose name and telephone number appears in the lower left comer of this certificate. The appropriate local sales office mailing address may also be obtained by calling this number.
Notice of cancellation: (not applicable unless a number ofdays is entered below) . Before the stated expiration date the company will not cancel or reduce the insurance afforded under the above
policies until at least 30 days notice of such cancellation has been mailed to:
Office: ENGLEWOOD,CO Phone: 303-799-0818
Certificate Holder:
ATTN JAMES O'NEILL
CITY OF FORT COLLINS
PO BOX 580
FORT COLLINS, CO 80522
Sandra J. Fox
Date Issued: 03/12/2004 Prepared By: PK