HomeMy WebLinkAboutTECHNICAL WIRE - INSURANCE CERTIFICATEACORD.
11rDATE 2/16/2OG6
02/16/2006
PRODUCER
Aon Risk services, Inc. of Colorado
4100 East Mississippi Avenue
Sui te1500
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS
CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE
Denver Co 80246 USA
COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
NAIC q
PHONE. 303 758-7688 FAx- 303 758-9458
INSURED
Technical wire Products, LLC
dba Metron, Inc.
1505 w. Third Avenue
Denver CO 80223 USA
nNsuRERA Federal insurance company
20281
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DISURERB: Pinnacol Assurance Company
41190
INSURERC: Argonaut Insurance Co
19801
INSURERD: New jersey Manufacturers Insurance Co.
12122
INSURER E;
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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 LJWTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFEC
DATE(MMODAVY)
POLICY EXPIRATION
DATE(MRHVPIAYV)
LIMITS
QF&ERALLIABILITY
35799356WUC
10/01/05
10/01/06
EACH OCCURRENCE
$1,000,000
DAMAGE TO RENTED
PREMISES FB auwmce
$1,000,000
rA
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE ® OCCUR
ooe person
Obi
P.
PERSONAL & ADV INJURY
$1.000, 000
GENERAL AGGREGATE
$2,000.000
M
CENT. AGGREGATE LBdR APPLIES PER
® POLICY ❑ PIE 7 ❑ LOC
n
,�-�
O
PRODUCTS - COMP/OP AGG
A
AUTOMOBILE LIABILITY
ANY AUTO
(05)7499-21-84
10/01/05
10/01/06
COMBINEDSINGLE LIMIT
(Eaeccided)
$1,DIX) ow
••
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z
BODILY INJURY
( Per pon oo)
ALL OWNED AUTOS
SCHEDULED AUTOS
A
yew,
MIRED AUTOS
NON OWNED AUTOS
BODILY INJURY
(Per accident)
V
PROPERTY DAMAGE
(Per accideol)
GARAGE LIABILITY
AUTO ONLY- EA ACCIDENT
ANY AUTO
OTHER THAN EA ACC
AUTO ONLY:
AGO
EXCESS /UMBRELLA LABILITY
EACH OCCURRENCE
❑ OCCUR ❑ CLAIMS MADE
AGGREGATE
BDEDUCTIBLE
RETENTION
e
D
WORKERS COMPENSATION AND
EMPLOYERS'LIABILITY
ANY PROPRIETOR/ PARTNER I EXECUTIVE
OFFICER/MEMBEREXCLUDED?
[fyes, deacnbe wdec SPECIAL PROVISIONS
below
All Other Stdt05
4088096
W27224 10
New Jersey
New Jersey
01/01/06
12/31/05
10/01/08
12/31/06
x ORYC LIMSArS
OT
ERH-
E.L. EACH ACCIDENT
$1, 000, 000
E.L. DISEASE -EA EMPLOYEE
f1,000,000
_
E.L. DISEASE -POLICY LIMIT
f1, 000,000
OTHER
Bit
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENLSPECIAL PROVISIONS
City Of Fort Collins is named as an Additional Insured as respects General Liability as required by written
contract but limited to the operations of the Insured under said contract, and always subject to the policy terms,
conditions and exclusions. cancellation Provision shown herein is subject to shorter or longer time periods
a
City Of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
Attn: John Stephen DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAR
413 South Bryan 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
Fort Collins CO $0521 USA OFFAILURE ANYT KIND UPON THE DITS SURER, T AGENTS O DO SO SHALL MOOSE NO TION OR LIABILITY
OREPRESENTATIVES.
—.
AUTHORIZED REPRESENTATIVE �--/ --.-- -
Wd
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E
Attachment to ACORD Certificate for Technical wire Products, LLC
The terms, conditions and provisions noted below are hereby attached to the captioned certificate as additional description of the
coverage afforded by the insurer(s). This attachment does not contain all terms, conditions, coverages or exclusions contained in the
policy.
INSURED
Technical wire Products, LLC
dba Metron, Inc.
1505 W. Third Avenue
Denver Cc 80223 USA
ADDITIONAL POLICIES
If a policy below does n
of
INSURER
INSURER
INSURER
INSURER
INSURER
include limit information, refer to the corresponding policy on the ACORD
certificate form for DolicY limits.
INSR
LTR
INS�RLD
TYPE OF INSURANCE
POLICY NUMBER
POLICY DESCRIPTION
POLICY
EFFECrIVE
DATE
POLICY
EXPIRATION
DATE
LIMITS
DESCRIPTIONOF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADD® BY ENDORSEMENTh7ECIAL PROVISIONS
depending on the jurisdiction of, and reason for, the cancellation.
Certificate No: 570016732796