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HomeMy WebLinkAboutTWP - INSURANCE CERTIFICATEACORD. CERTIFICATE OF LIABILITY INSURANCE DATE iiji 0 ' PRODUCER (303)773-9999 FAX (303) 773-9776 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Arthur J. Gallagher & Co. - Denver ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 7900 E. Union Suite 200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Denver, CO 80237 Barbara Gum ext. 613 INSURERS AFFORDING COVERAGE NAIC # INSURED TWP, LLC (See attached Named Insured list) INSURERA: Federal Insurance Company 010040 1505 West Third Avenue INSURERB: National Union Fire Ins of Pa 020014 Denver, CO 80223-2811 INSURER C: f- v� � • � INSURER D: - INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTW ITHSTANDINI 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMIDDIYY) POLICY EXPIRATION DATE imurnnim LIMITS GENERAL LIABILITY 3579-93-56 10/01/2003 10/01/2004 EACH OCCURRENCE $ 1,000 00 X COMMERCIAL GENERAL LIABILITY DAMAGE TO REPREMISE IF, NTED $ 1,000,000 CLAIMS MADE I OCCUR MED EXP (Any one person) $ 10 , 0U PERSONAL & ADV INJURY $ 1,000,000 A GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY X JECT LOC AUTOMOBILE LIABILITY ANY AUTO 74992184 10/01/2003 10/01/2004 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 X BODILY INJURY (Per person) $ A ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ ANY AUTO $ EXCESSAIMBRELLA LIABILITY BE 3207169 10/01/2003 10/01/2004 EACH OCCURRENCE $ 10,000,000 X OCCUR 1-1 CLAIMS MADE AGGREGATE $ 10,000,000 B rod/Comp Oper $ 10 000,00 $ DEDUCTIBLE X RETENTION $ 10,00 $ WORKERS COMPENSATION AND ATU WC I IMIT; O R EMPLOYERS' LIABILITY ANY PROPRIETORlPARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ A OTHER Property Coverage: Special Form, pecial 3579-93-56 10/01/2003 10/01/2004 Bldgs & Pers Prop:$9,141,500 Business Income: $3,150,000 e lacement Cost L Blkt EDP: $507,000 DESCRIPTION OF PERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS he City o Fort Collins, its officers, agents and employees are shown to be Additional Insureds s their interests may appear with respect to the General Liability and Automobiles coverages shown above and any claims arising out of work performed by the Named Insured under the following agreement RE: Rolland Moore Pumping Plant Renovation. Coverage references: GL - 80-02-2000 (4/01); Auto - CA2048. PCOTICI `ATC U^1 MCO f A&1 •01 I ATIA&1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL City of Fort Collins 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Attn • James O'Neill BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY P.O. Box 580 OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Fort Collins, CO 80522 AUTHORUED REPRESENTATIVE Robert Barnes/BEG��*^•� ACORD 25 (2001108) ©ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001/08) TWP, LLC (See attached Named Insured list) Addendum to Liability Certificate 02/12/2004 Arthur 1. Gallagher & Co. - Denver 10/17/2003 Named Insureds DOMESTIC OPERATIONS: TWP, LLC Tecknit Shielding Systems, Inc. Tecknit Interconnection Products Tecknit, Inc. - New Jersey Tecknit EMI Shielding Products, Inc. Metron, Inc. INTERNATIONAL OPERATIONS: Tecknit De Mexico S.A. De C.V. Tecknit (Beijing) Electronic Technology Co., Ltd. Tecknit Europe Ltd. TWP Europe, Ltd. Tecknit Europe Espana, S.L. Tecknit (Suzhou) Electronics Co., Ltd. Young Electric Manufacturing