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Home My WebLink AboutMUSCO SPORT LIGHTING - INSURANCE CERTIFICATEACORDCERTIFICATE OF LIABILITY INSURANCE DATE0/08DNY) 06/3/08M PRODUCER 1-800-247-7756 Holmes Murphy & Assoc - WDM PO Box 9207 Des Moines, IA 50306-9207 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. INSURERS AFFORDING COVERAGE INSURED MUSCO Sports Lighting, LLC Attn: Karyl Thomas P O Box 808 Oskaloosa, IA 52577 INSURER A: Employers Mutual Casualty Co. A- XII INSURERB:St. Paul Fire & Marine Insurance Company A XV INSURER C: Employers Mutual Casualty Co. A- XII INSURER D: INSURER E: COVERAGES 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. INSfl TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A GENERAL LIABILITY 2D5362509 07/01/08 07/01/09 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any one fire) $300o OOO % COMMERCIAL GENERAL LIABILITY CLAIMS MADE a OCCUR MED EXP (An one person) $ 15,000 PERSONAL &ADV INJURY $ 1,000,000 X Contractual Liab GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000 POLICY X PRO X LOC A AUTOMOBILE LIABILITY AUTO 2E5362509 07/O1/08 07/O1/09 COMBINED SINGLE LIMIT (Ea accident)ANY $ 11000,000 g BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGO B EXCESS LIABILITY QK05501368 07/01/08 07/01/09 EACH OCCURRENCE $ 1,000,000 % OCCUR CLAIMS MADE AGGREGATE $ 1,000,000 $ DEDUCTIBLE $ RETENTION $ A WORKERS COMPENSATION AND 255362509 07/01/08 07/01/09 X I WCSTA^T- DTH- E.L. EACH ACCIDENT $500,000 C EMPLOYERS'LIABILITY 225362509 07/01/08 07/01/09 E.L. DISEASE - EA EMPLOYEE $500,000 A 2P5362509 07/01/08 07/01/09 E.L. DISEASE -POLICY LIMIT $500, 000 A 2M5362509 07/01/08 07/01/09 A OTHER Leased/Rented Equipment 2C5362509 07/01/08 07/01/09 Limit 300,000 Deductible 10,000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: City Park Baseball, Project No. 130088 The City of Fort Collins, its officers, agents and employees are included as Additional Insureds on the GL policy as their interests may appear. ty of Fort Collins BOX 580 rt Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESENTATIVE USA '0RD25-S(7/97) asteinb 9222644 CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-S (7/97)