HomeMy WebLinkAboutUNILEVER UNITED STATES CONOPCO GOOD HUMOR BREYERS - INSURANCE CERTIFICATE�a�^ /� /� (�F [ , /� j� CERTIFICATE NUMBER
M A R S H ERTIFICA " CiF INSURANCE NYC-001761239-09
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OFINFORMATION ONLY AND CONFERS
Marsh USA Inc. NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
1166 Avenue of Americas POLICY, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
New York, NY 10036 AFFORDED BY THE POLICIES DESCRIBED HEREIN.
COMPANIES AFFORDING COVERAGE
COMPANY
107448--All-03-04 A ZURICH AMERICAN INSURANCE COMPANY
INSURED
Unilever United States, Inc. &
Its Subsidiary CONOPCO, Inc. &its division of Unilever
COMPANY
B AMERICAN HOME ASSURANCE COMPANY
North American Foods & Good Humor-Breyers Ice Cream
909 Packerland Drive
Green Bay, WI 54303
COMPANY
C ILLINOIS NATIONAL INSURANCE COMPANY
COMPANY
D INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA
COVERAGES Tbls1eT,Nlcatesop ersQdesarielr2piaccsanypreviously:issuedselikateforlhepaticyper3otl:noledbelow. 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 13 SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES.
AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MM/DD/YY)
POLICY EXPIRATION
DATE (MM/DDNY)
LIMITS
A
I
X
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
_�CLAIMSMADEnX OCCUR
GL03373586-04
05/01/05
05/01/06
GENERAL AGGREGRATE
S 5,000,000
PRODUCTS-COMP/OP AGG
$ 5,000,000
PERSONAL & ADV INJURY
$ 5,000,000
EACH OCCURRENCE
$ 5,000,000
OWNER'S & CONTRACTOR'S PROT
FIRE DAMAGE (Any one fire)
$ 25,000
MED EXP (Any one person)
$ 5,000
B
AUTOMOBILE LIABILITY
RMCA 242-3232 (AOS)
05/01/05
05/01/06
B
X
ANYAUTO
RMCA 242-3234 (TX)
05/01 N5
05/01 /O6
COMBINED SINGLE LIMIT
S 5,000,000
B
B
ALL OWNED AUTOS
SCHEDULED AUTOS
RMCA 242-3231 (VA)
RMCA 242-3233 (MA)
05/01/05
05/01/05
05/01/06
05/01/06
BODILY INJURY
(Per person)
$
HI RED AUTOS
NON -OWNED AUTOS
BODILY (per
accr ent)
(per accident)
$
PROPERTY DAMAGE
$
GARAGE LIABILITY
AUTO ONLY- EA ACCIDENT
$
ANY AUTO
OTHER THAN AUTO ONLY:
EACH ACCIDENT
$
AGGREGATE
S
A
EXCESS LIABILITY
UB3373587.04
05/01/05
05/01/06
EACH OCCURRENCE
S 5,000,000
X UMBRELLA FORM
AGGREGATE
$ 5,000,000
OTHER THAN UMBRELLA FORM
S
C
B
D
E
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
THE PROPRIETOR/ INCL
PARTNERS/EXECUTIVE
OFFICERS ARE: X EXCL
WC 660-9408 (WI)
WC 660-9411 (AOS)
WC 660-9410 (AR,VA,FL,MA TN)
WC 660-9409 (OR)
05/01/05
05/01/05
05/01/05
05/01/05
05/01/06
05/01/06
OS/01/06
05/01/06
X
WC STA7U-
TORV OMITS
OTH
ER
EL EACH ACCIDENT
$ 2,000,000
EL DISEASE -POLICY LIMIT
S 2,000,000
EL DISEASE -EACH EMPLOYEE
S 2,000,000
B
B
C
OTHER EXCESS WC
XWC 660-9405 (CA)
XIWC 660-9407 (GA,MO,NJ)
XWC 660-9406 (MI)
05/01/05
05/01/05
05/01/05
05/01/06
05/01/06
05/01/06
COV A-STAT XS $1,000,000
GOV B-$1,500,000 XS $500,000
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
CERTIFICATE HOLDER IS INCLUDED AS AN ADDITIONAL INSURED.
CERTfFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION
CITY OF FORT COLLINS
DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL 30 DAYS
211 N. MASON STREET
PO BOX 580
FORT COLLINS, CO 80522
WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH
NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER
AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE ISSUER OF THIS
CERTIFICATE.
MARSH USA INC
By Robert A. MazzaroLLLyy.....-
.,
VALIDASOF: N/27/C6.
DATE (MM/DD/YY)
04/27/05
PRODUCER
Marsh USA Inc.
1166 Avenue of Americas
New York, NY 10036
107448--All-03-04
INSURED
Unilever United States, Inc. &
Its Subsidiary CONOPCO, Inc. & its division of Unilever
North American Foods & Good Humor-Breyers Ice Cream
909 Packerland Drive
Green Bay, WI 54303
CITY OF FORT COLLINS
211 N. MASON STREET
PO BOX 580
FORT COLLINS, CO 80522
I COMPANIES AFFORDING COVERAGE I
COMPANY
E
COMPANY
F
COMPANY
G
COMPANY
NATIONAL UNION FIRE INSURANCE COMPANY
MARSH USA INC.
BY. Robert A. Mazzaro