HomeMy WebLinkAboutCARRIER CORPORATION - INSURANCE CERTIFICATE (2)MARSH
CERTIFICATE OF INSURANCE
ISSUE DATE
03/20/2008
PRODUCER
MARSH USA INC
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
ONE STATE STREET
coverage afforded by the policies below
HARTFORD CT 06103 3187
COMPANIES AFFORDING COVERAGE
Company Hartford Fire Insurance Cc
A
INSURED
CARRIER CORPORATION
Company Ins Cc of the State of PA
B
ONE CARRIER PLACE
FARMINGTON CT 06034-4015
Company
C Illinois National Ins Cc
Company National Union Fire Ins Cc Pa
D
Company New Hampshire Insurance Co
E
COVERAGES This certificate supersedes and replaces any previously issued certificate for the policy period noted below
This is to certify that the policies of insurance described herein have been issued to the Insured named herein for the policy period indicated Notwithstanding
any requirement term or condition of 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 Conditions and exclusions of such policies Limits shown may have been reduced by paid claims
CO
LT
TYPE OF INSURANCE
POLICY NUMBER
EFFECTIVE
EXPIRATION
LIMITS OF LIABILITY
A
GENERAL LIABILITY
® Commercial General Liability
❑ Claims Made ® Occumence
❑ Owners and Contractors Protection
02CSET10004
$2 000 000 general aggregate per
location/project
D4/01/2008
04/01/2009
EACH OCCURRENCE
Is 1000000
FIRE DAMAGE
$ 300 000
MEDICAL EXPENSE
$ 10 000
1,000,000
❑
GENERAL AGGREGATE
S 2 000 000
❑
$10 000 000 policy general
PRODUCTS COMPIOPAGG,
Is 2 000 000
General Aggregate Limit applies per
aggregate
❑ Policy ❑ Project ❑ Location
A
AUTOMOBILE LIABILITY
Any Automobile
❑ All Owned Automobiles
❑ Scheduled Automobiles
02CSET10000(A/0)
02CSET10019(1-1I)
Hartford Underwriters Ins
04/01/2008
04/01/2009
COMBINED SINGLE LIMIT
$ 1000000
BODILY INJURY Per erson
$
BODILY INJURY flier ident
$
$
❑ Hired Automobiles
COMPREHENSIVE
❑Non- ed Automobles
❑
COLLISION
B
C
D
WORKERS COMPENSATION
AND EMPLOYERS LIABILITY
1928748(MA) 1928751(CA)
1928750(FL)
1928752 (CT ex SIR $2 500 000)
04/01/2008
04/01/2009
WC Statutory Limd X Omer
EL EACH ACCIDENT
$ 1 000 000
EL DISEASE (Each employee)
$ 1 000 000
E
19287421928744 1928745(MN)
1928746(TX) 1928749(NJ)
(F) American Int I South Ins Co
EL DISEASE (Polity Limit)
$ 1 000 000
1928743 1928747 (OR)
EXCESS LIABILITY
❑ Occ mence [:]Claims Made
EACH OCCURRENCE
$
AGGREGATE
$
$
Contractors License
CERTIFICATE HOLDER
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATETHEREOF THE INSURER WILL ENDEAVORTO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT A FAILURE TO MAIL
SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
ISSUER COMPANY ITS AGENTS OR REPRESENTATIVES
City of Fort Collins
PO Box 580
USA INC
BY
Fort Collins CO 80522
Pa e i o£ 1 Certificate to# 1TJ613JV