HomeMy WebLinkAboutAUI - INSURANCE CERTIFICATE (3)A OR..,a,
DATE MM DD YY
03/27/06
PRODUCER
Aon Risk Services, Inc. of New Mexico
6000 Uptown Blvd NE
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
Suite 400
Albuquerque NM 87110 USA
CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE
COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
PHONE 505 889-6700 FAX 505 884-7831
INSURED INSURER A: Transportation Insurance Co.
AUI Inc. INSURERB: American Casualty Co. of Reading PA
P 0 Box 9825
Albuquerque NM 87119-9825 USA INSURERC
INSURER D:
INSURER E:
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.
MR
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE(MMUIMYY)
POLICY EXPIRATION
DATE(MM)DD)YY)
LIMITS
B
GENERAL LIABILITY
c2076725143
04/01/06
04/01/07
EACH OCCURRENCE
$1,000,000
FIRE DAMAGE(Anv one fire)
$ 300 , 000IM
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE � OCCUR
I
MED EXP (Any one person)
$ 5 , 000
PERSONAL &ADV INJURY
S2,000,000
GENERAL AGGREGATE
$2,000,000
GENL AGGREGATE LIMIT APPLIES PER:
PRO-
POLICY a JET LOC
PRODUCTS - COMPlOPAGG
$2,000,000
A
AUTOMOBD,ELIABILITY
c2076725093
04/01/06
04/01/07
COMBINED SINGLE LIMIT
X ANY AUTO
(Ea accident)
$1,000,000
BODILY INJURY
ALL OWNED AUTOS
SCHEDULED AUTOS
( Per person)
BODILY INJURY
X HIRED AUTOS
X NON OWNED AUTOS
(Per cidm)
ac
PROPERTY DAMAGE
(Per accident)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
ANY AUTO
OTHER THAN EA ACC
AUTO ONLY
AGO
EXCESS LIABILITY
EACH OCCURRENCE
OCCUR ❑ CLAIMS MADE
AGGREGATE
DEDUCTIBLE
RETENTION
WORKERS COMPENSATION AND
EMPLOYERS'LIABILITY
WC STATU-
TORY LIMITS
OTH-
ER
E.L. EACH ACCIDENT
E.L. DISEASEPOLICYLIMIT
aft
E.L. DISEASE EA EMPLOYEE
C
OTHER
SL
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
RE: Pipe Bursting Project
V
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taa
City Of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
Purchasing Division DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
215 N. Mason Street 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
Fort Collins CO $OS22 USA BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES,
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t
AUTHORIZED REPRESENTATIVE Cx&4"P.—
DATE (M4/DD/YY)
03/27/06
PRODUCER 17HIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
Aon Risk Services, inc. of New Mexico ONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
6000 Uptown Blvd NE DES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
Suite 400 IOLICIESBELOW.
Albuquerque NM 87110 USA
COMPANIES AFFORDING COVERAGE
COMPANY Transportation Insurance Co.
PHONE- 505 889-6700 FAx• 505 884-7831 A
INSURED
COMPANY
�
AUI Inc.
B
w^
P 0 BOX 9825
Albuquerque NM 87119-9825 USA
COMPCANY
4
v
O
COMPANY
D
p
THIS IS TO CERTIFY THAT THE POLICES 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
POLICY EXPIRATIO
COVERED PROPERTY
LIMITS
DATE (MM/DD/YY)
DATE (MM/DDIVY)
PROPERTY
BUILDING
CAUSES OF LOSS
PERSONAL PROPERTY
BASIC
BUSINESS INCOME
wlo Exve E�x
BROAD
EXTRA EXPENSE
SPECIAL
BLANKET BUILDING
EARTHQUAKE
BLANKET PERS PROP
M
FLOOD
BLANKET BLDG & PP
01
rA
O
O
n
A
INLAND MARINE
C20Z564Z509
04/01/06
04/01/07
X
Deductible
$2,50
Builders Risk
TYPE
OF POLICY
Builders
Risk
CAUSES
OF LOSS
�+
7
NAMED PERILS
z
d
OTHER
4:
CRIME
L
TYPE OF POLICY
W
U
BOILER & MACHINERY
OTHER
LOCATION OF PREMISES \ DESCRIPTION OF PROPERTY
=
RE: AUI No. 204013- Pipe Bursting Project
SPECIAL CONDITIONS/OTHER COVERAGES
N
09
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
City of Fort Collins EXPIRATION DATE THEREOF THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
Purchasing Division 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
215 N. Mason Street BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
Fort Collins CO 80522 USA OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE C• /7- t 1
Qd
DATE M14 DD YY
OPMOw
02/22/06
PRODUCER
Aon Risk Services, inc. of New Mexico
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
6000 Uptown Blvd NE
AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
Suite 400
Albuquerque NM 87110 USA
CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE
COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
PHONE SOS 889-6700 FAx• SOS 884-7831
INSURED
INSURER A: Midwest Employers Cas. Co.
ABC NM Chapter Merit Shop -WC Group
AUI Inc.
INSURER B:
INSURER C:
P.O. Box 9825
Albuquerque NM 87119-9825 USA
y
,may-:
INSURER D:
G
'O
INSURER E:
Hr
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.
i+
tY
AGGREGATE LIMTfS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
BdSR
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE(MM)DD\YY)
POLICY EXPIRATION
DATE(MM\DD\YY)
LIMITS
O
r`
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE ❑ OCCUR
EACH OCCURRENCE
m
Ol
n
t0
p
r\
FIRE DAMAGE(AvV ova fire)
MED EXP (Any one person)
PERSONAL&. ADV INJURY
t^
GENERAL AGGREGATE
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
PRO
POLICY1:1 JECT LOC
C
z
4A
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
V
ANY AUTO
(Ea accident)
"t
ALL OWNED AUTOS
d
V
BODILY INJURY
SCHEDULED AUTOS
( Per person)
HIRED AUTOS
BODILY INJURY
NON OWNED AUTOS
(Per accidem)
PROPERTY DAMAGE
(Per accident)
GARAGELIABILITY
AUTO ONLY - EA ACCIDENT
ANY AUTO
OTHER THAN EA ACC
AUTO ONLY:
AGO
EXCESSLIABH.ITY
EACH OCCURRENCE
OCCUR ❑ CLAIMS MADE
AGGREGATE
DEDUCTIBLE
RETENTION
A
WORKERS COMPENSATION AND
EMPLOYERS'LIABILITY
EWC007548
SIR Deductible $350,000
03/01/06
03/01/07
X
WC STATU-
TORY LIMITS
OTH-
ER
E-L. EACH ACCIDENT
$1,000,000
E.L. DISEASE -POLICY LIMIT
$1,000,000
_
E.I_ DISEASE�EA EMPLOYEE S1,000,000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
RE: Pipe Bursting Project
City Of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
Purchasing Division DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
215 N. Mason Street 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY
Fort Collins CO BOS2Z USA OF ANY, KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
54
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AUTHORIZED REPRESENTATIVE G!' /���a�� tLt�bid