HomeMy WebLinkAboutUNTILX CORPORATION - INSURANCE CERTIFICATEACORD ,N CERTIFICATE OF LIABILITY INSURANCE page 1 Of 2
TE
12/16/2005
PRODUCER 877-945-7378
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Willis North America, Inc. - Regional Cert Center
26 Century Blvd.
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P. 0. Sox 305191
Nashville, TN 3723DB191
INSURERS AFFORDING COVERAGE
NAIC#
INSURED UtilX Corporation
INSURERA: Arch Insurance Company
11150-001
INSURER B:
22820 Russell Road
P.O. Box 97009
INSURERC:
Rent, WA 98064
INSURER D:
INSURER E:
COVERAGES
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
DO' TYPEOFINSURANCE
POLICYNUMBER
POLICYEFFECTIVE
POLICY EXPIRATION
LIMITS
A
GENERAL LIABILITY
71PKG2066202
l/l/2006
1/1/2007
EACHOCCURRENCE
$ 1,000,000
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE a OCCUR
ONMISES EeEoNccurenca
$ 10(),000
MED EXP(Any one person)
$ 10,000
PERSONAL B ADV INJURY
$ 1 00O 000
GENERAL AGGREGATE
$ 5 QQQ 000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS-COMP/OP AGG
$ 2,000,000
17 POLICY FX7 PRO 7 LOC
A
AUTOMOBILE LIABILITY
X ANY AUTO
71PXG2066202ALLSTATE
1/1/2006
1/1/2007
COMBINED SINGLE LIMIT
(Ea accident)
$ 1,000,000
BODILY INJURY
(Per person)
$
ALLOWNEDAUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per accident)
$
X HIRED AUTOS
X NON -OWNED AUTOS
PROPERTYDAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY -EA ACCIDENT
$
OTHERTHAN EAACC
$
ANYAUTO
$
AUTO ONLY: AGG
EXCESS LIABILITY
EACHOCCURRENCE
$
OCCUR CLAIMS MADE
AGGREGATE
$
$
DEDUCTIBLE
$
RETENTION $
A
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
71WC.,I2066102
1/1/2006
l/l/2007
X WC TATU- O R
E.L. EACH ACCIDENT
$ 1,000,000
ANY PROPRIETOR/PARTNER/EXECUTIVE
-
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
OFFICER/MEMBER EXCLUDED?
-
If yes, describe under
SPECIAL PROVISIONS below
E.L. DISEASE. POLICY LIMIT
1 $ 1,000,000
OTHER
DESCRIPTION OF OPERATONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
Re: Any and all locations
General Liability Coverage: STOP GAP INCLUDED
City of Fort Collins is an additional insured as respects their interest in the operations of the
named insured as required by written contract regarding general liability.
City of Fort Collins
James B. O'Neill, 11 CPPO
256 N. Mountain Ave.
Fort Collins, CO 80522-0580
ti,u��s-_■u�u
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 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
ACORD 25 (2001108)
1:1489068 Tpl:44
Cert:6606198
0 ACORD CORPORATION 1988