HomeMy WebLinkAboutTECHNICAL WIRE PRODUCTS - INSURANCE CERTIFICATE (2)Y+r
^ORD
DATE02/16/2006
ER
n Risk Services, Inc. of Colorado
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
r4100East Mississippi Avenue
AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS
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CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER TILE
nver W 80246 USA
OVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
NAIC N
PHoNE• 303 758-7688 FAx- 303 758-9458
INSURED
Technical wire Products, LLC
dba Matron, Inc.
1505 W. Third Avenue
Denver CO 80223 USA
CNSukERA Federal Insurance Company
20281
..
INSURERS: Pinnacol Assurance Company
41190
IaSURERC Argonaut Insurance Co
19801
INSURERD: New Jersey Manufacturers insurance Co.
12M
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INSURER E,
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAND ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMD47 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
LTR
INERE
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVI
DAT'E(ffiftDIRVY)
POLICY EXPIRATION
DA7E(MMIfD0.YY)
LIMITS
A
RALLIABIITY
35799356wuc
10/01/05
10/01/06
EACH OCCURRENCE
$1,000,000
X COMMERCIAL GENERAL LIABILITY
DAMAGETO RENTED
$1,000,0W
CLAIMS MADE ElOCCURPxEMISEs(Fs«e��e
Y one z+1un
PERSONAL A ADV INJURY
$1,000,000
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^
M
GENERAL AGGREGATE
$2,000,000
GENT. AGGREGATE LIMIT APPLIES PER:
POLICY ❑ PRO- ❑ LOC
^
PRODUCTS- COMP/OP AGO
IECT
^
N
A
AUTOMOBILE LIABILITY
ANY AUTO
(05)7499-21-84
10/01/05
10/01/06
COMBINED SINGLE LIMIT
(Fa ecadeN)
51,000,000
z
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Pc Pam)
HIRED AUTOS
NOW OWNED AUTOS
BODILY INfRY
(Puwcideat)
PROPERTY DAMAGE
(Per eccid®t)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
ANY AUTO
OTTIDtTI{AN EA ACC
AUTO ONLY:
AGO
EXCILSS /UMBRELLALIABILWY
EACH OCCURRENCE
❑ OCCUR ❑ CLAIMS MADE
AGGREGATE
BDEDUCTIBLE
RETENTION
B
D
WORKERS COMPENSATIONAND
EMPLOYERS'UABIIITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
If yea,d=nbeund"SPECIAL PROVISIONS
bd"
All Other States
4088098
Colorado
w21722
NeW Jersey
y
01/01/06
12/31/OS
10/01/08
12/31/06
X C ORYSTAiU-
OTH-
IER
�
EL. EACH ACCIDENT
51,000,000
E.L. DISEASE -FA EMPLOYEE
E.L. DISEASE -POLICY IBM
511000,000
OTHER
DE &TION OF OPERATIONS(LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTWECIAL 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 sub7'ect to the policy terms,
conditions and exclusions. Cancellation Provision shown herein is subject to shorter or longer time periods
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 MAIL
413 South Bryan 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
Fort Collins CO 80521 USA BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
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Y�
t�si
AUTHORIZED REPRESENTATIVE
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Attachment to ACORD Certificate forTeChniCai 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 Co 90223 USA
ADDITIONAL POLICIES
If a policy below does not include
certificate form for policy limits.
on
INSR
LTR
INSRD
TYPE OF INSURANCE
POLICY
PoLICYDESCRFrMN
POLICY
EFFECTIVE
DATE
POLICY
EXPIRATION
DATE
LIMS
DESCRIPTION OF OPERATIONS'LOCATIONSAIMCLES/EXCLUSIONS ADDED BY ENDORSDATNT,SPECIAl PROVISIONS
depending on the jurisdiction of, and reason for, the cancellation.
CertlBcate No: 570016732796