HomeMy WebLinkAbout278986 AMX INTERNATIONAL - INSURANCE CERTIFICATE (2)Client#• 11Q
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ACORU. CERTIFICATE OF LIABILITY INSURANCE
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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
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Boise, ID 83719
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
208 321-9300
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
AMX International, Inc.
INSURER A: St. Paul Fire & Marine Insurance Co.
INSURERS: Hartford Underwriters Insurance Comp
P.O. Box 50308
NSURER C:
Idaho Falls, ID 83405
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,
NSR
LTR
ADD.
N R
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MM DD VI
POLICY EXPIRATION
DATE (MMBDrYyILIMITS
A
X
GENERAL LIABILITY
TT09402355
07/17/08
..
07/17/09
EACH OCCURRENCE
$1000000
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE a OCCUR
DAMAGE TO RENTED
PREMISES fEa occurrence)
$500000
$1 O 000
LED EXP (Any one person)
PERSONAL&ADV INJURY
S11,000.000
GENERAL AGGREGATE
22,000,000
GEN'L AGGREGATE
LIMIT APPLIES PER:
PRODUCTS -COMP/OP AGG
$2 OOO OOO
POLICY
PRO
J C OC
AUTOMOBILE
LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT
(Ea accident)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per parson)
$
HIRED AUTOS
NONOWNED AUTOS
BODILY$
(Per accident)
PROPERTY DAMAGE
(Pereccident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OEA ACC
$
ANY AUTO
$
AUTOONLY: AGO
LIABILITY
EACH OCCURRENCE
$
AGGREGATE
5
OCCUR CLAIMS MADE
RESSAIMBRELLA
_
S
DEDUCTIBLE
S
RETENTION $
B
WORKERS COMPENSATION AND
34WETD7551
07/01/08
07/01/09
X WCSTATU- DTH
Lill.
EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT
ANY PROPRIETORIPARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
0yos.e
E.L. DISEASE- EA EMPLOYEE
,$1,00_0000.
$1 OOO OOO
E.L. DISEASE - POLICY LIMIT
$1,000000
SPECIAALLPROVISIONS below
SIO
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I 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
ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
IEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30_ DAYS WRITTEN
TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 50 SHALL
NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
ACORD 25 (2001/08) 1 of 2 #S136843/M136840
WFMCA O 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.
ACORD 25-S (2001/08) 2 of 2 S913AAd3/M13AAAn