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HomeMy WebLinkAboutEXCEL SHEET METAL EXCEL BRIDGE MANUFACTURIG - INSURANCE CERTIFICATEACORP, CERTIFICATE OF LIABILITY INSURANCE io�zziW08 PRODUCER (714) 569-2700 FAX (714) 569-3099 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Pridemark-Everest Insurance Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE A Leavitt Group CO #OF13098 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1820E. First Street, Ste 500 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Santa Ana, CA 92705 INSURERS AFFORDING COVERAGE NAIC # INSURED Excel Sheet Metal Inc. INSURERA. Hartford Ins Co of Midwest 037478 DBA: Excel Bridge Manufacturing Co INSURER e: 12001 Shoemaker Avenue INSURER C: Santa Fe Springs, CA 90670 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. INSR ADD-1 TYPE OFINSURANCE POLICYNUMBER POLICY EFFECTIVE DATE MMIDONY$ POLICY EXPIRATION DATE MMIQDNYI LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑OCCUR EACH OCCURRENCE $ DAMAGE TO RENTED $ MED EXP(Any one person) $ PERSONAL &ADV INJURY S GENERAL AGGREGATE $ GEML AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT OC PRODUCTS - COMP/OP AGG $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NONOWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Perperson) S BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Peraccident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT S OTHER THAN EAACC AUTO ONLY: AGG S $ EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION S EACH OCCURRENCE $ AGGREGATE $ $ $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? U yes, describePRO SPECIAL PROVISIONS below 34WEOB2569 08/01/2008 08/01/2009 XI WC STATU- oTH- TORY IMIT PR_ E.L. EACH ACCIDENT S 1,000,000 E.L. DISEASE -EA EMPLOYEE $ 1,000,00 E.L. DISEASE -POLICY LIMIT $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS e: Pleasant Valley Trails *Except 10 days notice of cancellation due to non-payment of premium. City of Fort Collins P.O. Box 580 215 Madison St. Fort 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 MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES, AUTHORIZED REPRESENTATIVE Gary Wells/SS % r W.6 ACORD 25 (2001108) ©ACORD 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 (2001108)