HomeMy WebLinkAboutTHE MILLER GROUP - INSURANCE CERTIFICATECERTIFICATE OF INSURANCE
This certifies that ® STATE FARM FIRE AND CASUALTY COMPANY, Bloomington, Illinois
❑ STATE FARM GENERAL INSURANCE COMPANY, Bloomington, Illinois
❑ STATE FARM FIRE AND CASUALTY COMPANY, Scarborough, Ontario
❑ STATE FARM FLORIDA INSURANCE COMPANY, Winter Haven, Florida
❑ STATE FARM LLOYDS, Dallas, Texas
insures the following policyholder for the coverages indicated below:
Name of policyholder THE MILLER GROUP WORLDWIDE LLC
Address of policyholder
Location of operations
Description of operations
303 W PROSPECT RD FORT COLLINS, CO 80526
The policies listed below have been issued to the policyholder for the policy periods shown. The insurance described in these policies is
subject to all the terms exclusions, and conditions of those policies. The limits of liability shown may have been reduced by any paid claims.
POLICY PERIOD
LIMITS OF LIABILITY
POLICY NUMBER
TYPE OF INSURANCE
Effective Data ; FxpirAw Dais
(at beginning of policy period)
Comprehensive
BODILY INJURY AND
96-GR-3840-0
Business Liability 09/10/2005 09/10/2006
PROPERTY DAMAGE
-----------------------------
This insurance indudes:
---------------------------- -------------------------------------
®Products - Completed Operations
® Contractual Liability
❑ Underground Hazard Coverage
Each Occurrence $ 1,000,000
® Personal Injury
❑ Advertising Injury
General Aggregate $ 2, 000, 000
❑ Explosion Hazard Coverage
❑ Collapse Hazard Coverage
Products - Completed $
❑
Operations Aggregate
EXCESS LIABILITY
POLICY PERIOD
Effective Data Expiration Date
BODILY INJURY AND PROPERTY DAMAGE
(Combined Single Limit)
❑ Umbrella
Each Occurrence $
❑ Other
Aggregate $
Part 1 STATUTORY
Part 2 BODILY INJURY
Workers' Compensation
and Employers Liability
Each Accident $
Disease Each Employee $
Disease - Policy Limit $
POLICY NUMBER
TYPE OF INSURANCE
POLICY PERIOD
Effective Date ;Expkirtim Date
LIMITS OF LIABILITY
(at beginning of policy period)
F"I: CERTIFICATE OF INSURANCE IS NOT A CONTRACT OF INSURANCE AND NEITHER AFFIRMATIVELY NOR NEGATIVELY
AMENDS, EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN.
If any of the described policies are canceled before
its expiration date, State Farm will try to mail a written
notice to the certificate holder 30 days before
Name and Address of Certificate Holder
cancellation. If however, we fail to mail such notice,
no obligation or ' bility will be imposed on State
CITY OF FORT COLLINS
ann r its agents r p e atives.
LINCOLN CENTER
52
417 W MAGNOLIA ST
FORT COLLINS, CO 80521
gnature of Authorized R presentative
COPY TO:
GENT
l v 6 A
City OF FORT COLLINS
Idle Date
PO BOX
FORT COLLINS,LI CO 80522
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Agent's Code Stamp � r (,L
`J(J
BRADLEY D. BISCHOFF
AFO Code State Farm Insurance
55e-994 a.3 04-IM Primed in U.S.A.
1300 Oakridge Drive, Suite 100
Fort Collins, Colorado 80525
(9701 223-9400