HomeMy WebLinkAbout278986 AMX INTERNATIONAL - INSURANCE CERTIFICATEClient#: 139
AMXINT
ACORU, CERTIFICATE OF LIABILITY
INSURANCE
(MMUD
oDATE
s/z7/8/27/o8DIYYYY)
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Moreton & Company - Idaho
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
P.O. Box 191030
Boise, ID 83719
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
208 321-9300
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
AMX International, Inc.
P.O. Box 50308
INSURER A: St. Paul Fire & Marine Insurance Co.
INSURER B: Hartford Underwriters Insurance Comp
-
INSURER C:
---
Idaho Falls, ID 83405
INSURD
NSURERER:_
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.
LTR
NSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE IMMIDDNYI
POLICY EXPIRATION
DATE MM DOIYY
LIMITS
A
X
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE FxI OCCUR
TT09402355
07/17/08
07/17/09
EACH OCCURRENCE
S1.000.000
DAMAGE TO RENTED S(
Easfs
$500Q00
$10 000
MED EXP (Any one person)
PERSONAL &ACV INJURY
S1000000
GENERAL AGGREGATE
S2 000 000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO-
ECTLOG
PRODUCTS - COMP/OP AGO
s2,000,000
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
(CE.OMBINED El)INGLE LIMIT
S
BODILY INJURY
(Per person)
S
BODILY INJURY
(Per accident)
S
PROPERTY DAMAGE
(Permoiaen)
S
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
S
OEA ACC
AUUTOTO OONLNLY: AN AGO
S
5
EXCESSAIMBRELLA LIABILITY
OCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION S
EACH OCCURRENCE
S
AGGREGATE
$
S
S
S
B
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOWPARTNEWEXECUTIVE
OFFICENMEMBER EXCLUDED?
If yes, ibe under
SPECIAL PrROVISIONS below
34WETD7551
07/01/08
07/01/09
X I WC STATUSOTH-
MIT
E.L. EACH ACCIDENT
$1,000,000
E.L. DISEASE - EA EMPLOYEE
$1,000,000
EL.DISEASE - POLICY LIMIT
$1,000,000
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
The City of Fort Collins, Colorado, Its Officers and Employees are Additional Insureds as
respects liability arising out of the work performed by the Named Insured for or on behalf
of the Certificate Holder. -
City of Fort Collins, Colorado
P.O. Box 580
Fort Collins, CO 80522
ACORD 25 (2001/08) 1 of 2 #S13RRd1/M1.gRRAn
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 00 SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
U119KIDA Z ACORD CORPORATION 1QRR
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.
NVVRV LJ•J �LVV I/VO/ z Otz 05136843/M136840