Loading...
HomeMy WebLinkAbout392283 THE MILLER GROUP - INSURANCE CERTIFICATEJul-20-06 02:10pm From-Brown&Brown 9704844165 T-743 P.002/002 F-308 9C_4_RD CERTIFICATE 4F LIABILITY INSURANCE D07 o 06 MIOFI 3III 2MW PRODUCER Brown & Brown Inc 125 S Howes, Sth Floor P 0 Sox 2226 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 COVERAGE AFFORDED BY THE POLICIES BELOW. Fort Collins CO 80522-2226 Phone:970-482-7747 Fa(x:970-484-4165 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: Landmark American Ins Co INSURER & The Miller Group Worldwide LLC Attn. Doha milor 303 West Prospea8 Fort Collins CO0526 INSURERC: INSURERD: INSURERE: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE Pauay PERIOD INDICATED. NOTwrrHSTANDDIa ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOOUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICJES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAM, LTRINSRE TYPE OF INSURANCE POLICY NUMBER DATE MID 4A MMIO LIMITS GENERAL LIABILITY EACH OCCURRENCE a COMMERCIAL GENERAL LIABILITY CLAIMS MADE M OCCUR PREMISES Pa o¢ui:x a MED EXP (My on pmsm) S PERSONALSADVINJURY IS GENERAL AGGREGATE a GENL AGGREGATE WT APPLIES PER: PoucY Lac PRODUCTS - COUROP AGO a AUTOMODLE LIABILITY ANYAUTO (ES w4d rvQ SINGLE LIMIT S ALL OWNED AUTOS SCHEDULEDAUTOS BOOLY INJURY (Pv persm) a HakED AUTOS NON -OWNED AUTO$ (Per a PROPERTY DAMAGE (Prr gIxWCnI) a GARAGE LIAHLIY AUTO ONLY - EA ACGOENT a ANY AUTO GTHMTHAN EAACC AUTO ONLY: AGG a a EX011WUMBRELLA LIABILRY OCCUR CLAIMS MADE EACH OCCURRENCE a AGGREGATE a a DMUCTIDLE a RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LNB[7TY TORwu LIMITS EL EACH ACCIDENT $ ANYPROPRIETORJPARTNERIEXECUTIVE OFFICERlA,£M13ER EXGWOED7 Iye8� tlflefJI�1A1tlN EL DISEASE -EA EMPLOYEE S E.L DISEASE -POLICY LIMIT$ SPECAL PROVISIONS below OTHER A Professional LER710302 07/10/06 07/10/07 Each CL $1,0001000 Liability DEDa $2,500 SA CL Agg $1,000,000 DESCRIPTION OF OPERATIONS f LOCATIONS f VEHICLES / EXCLUSIONS AOOFJ) BY ENDORSEMENT 1 SPECIAL PROVISIONS Consulting Operations. City Of Fort Collins Purchasing Department Attar: James R. O'Neil 11 P.O. Box 580 Fort Collins CO 80522 FORTCOL I SHOULD ANY OF TEE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRAT101 DATETHEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAY¢W1d TEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Jul 21 06 11:46a CERTIFICATE 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 Address of policyholder Location of operations Description of operations THE MILLER GROUP WORLDWIDE LLC 303 W PROSPECT RD FORT COLLINS, CO 80526 P.1 The policies listed below have been issued to the policyholder for the policy periods shown. The insurance described in these policies is �..a 1- a -11 ,tie #-...._ e....L,.;n �. A ^nnA inne of thnee nniirieS The limits of I',abilitV shown may have been reduced by any paid claims. POLICY PERIOD LIMITS OF LIABILITY POLICY NUMBER TYPE OF INSURANCE Effective Data ;Expiration Date (at beginning of policy period) 96-GR-3840-0 Comprehensive Business Liability 09/10/2005 09/10/2006 ------------------ BODILY INJURY AND PROPERTY DAMAGE - _ - — - liusinsurance includes: ®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 POLICY PERIOD BODILY INJURY AND PROPERTY DAMAGE EXCESS LIABILITY Effective Date Expiration Date (Combined Single Limit) ❑ Umbrella ❑ Other Each Occurrence $ Aggregate $ Part t STATUTORY Part 2 BODILY INJURY Workers' Compensation and Employers Liability Each Accident $ Disease Each Employee $ Disease - Policy Limit $ POLICY PERIOD LIMITS OF LIABILITY POLICY NUMBER TYPE OF INSURANCE Effective Date j pate (at beginning of policy period) THE CERTIFICATE OF INSURANCE IS NOT A GUN FKAt: r uF it suKAnta Anu rrrr r ncrc H rinnv , v yr u....+.".w.+„ V 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 liability will be imposed on State CITY OF FORT COLLINS, a of its en s or re SeMatrves. PURCHASING / C �— PO BOX 580 G..J N+.>t FORT COLLINS, CO 80522 SignawreofAuthortzedRepresentative AGENT / b,(Lo Title 2Z: Agent's Quality Savice and P7S!nAFO Code6684Ma3 04-IM Printed in U.SA Brat) Bischoff AgenNorthern Colorado 07/21/2006 13:33 9703955660 PAGE 01/01 7G Policy No, 96-GR-3940-0 RFC' DATE JUL 21 2006 150e-F625 SECTION If ADDITIONAL INSURED ENDORSEMENT Policy No.: 96-OR-3840-0 Named Insured: THE MILLER GROUP WORLDWIDE LLC Additional Insured (include address): CITY OF FORT COLLINS PURCHASING Po Box 580 FORK' COLLINS CO 80521 FF-MOV A WHO IS AN INSURED, under SECTION II DESIGNATION OF INSURED, is amended to Include as an Insured the Additional Insured shown above, but only to the extent that liability to imposed on that Additional Insured solely because of your work performed for that Additional Insured shown above. Any insurance provided to the Additional Insured shall only apply with respect to a claim made or a suit brought for damages for which you are provided coverage. The Primary Insurance coverage below applies only when there is an "X" in the box. ❑ Primary Insurance. The insurance provided to the Additional Insured shown above Shall be primary insurance. Any insurance carried by the Additional Insured shall De noncontrioutory with respect to coverage provided to you. All other policy provisions apply. FF-5" Prtrrted In U,9,A. T00/T00'd 4L£0# 990HO9I9Qx9'IQHHS £6£££ZZOL6 9£:9T 900Z'TZ'rinP