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HomeMy WebLinkAboutPB AMERICAS INC - INSURANCE CERTIFICATE (2)ACORD„ CERTIFICATE OF LIABILITTINSURANCE " DATE(MM/DD/VY 10/22/2008 PRODUCER Serial # 503377 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Ann Services Northeast, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR fka Aon Risk Services, Inc. of New York ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 199 Water Street COMPANIES AFFORDING COVERAGE New York, NY 10038 PHONE: 866-67 COMPANY FAX: 866.467-784847 A AMERICAN CASUALTY CO. OF READING PA (NAIC #20427) COMPANY PB AMERICAS, INC. B ONE PENN PLAZA COMPANY NEW YORK, NY 10119 TRANSPORTATION INSURANCE COMPANY NAIC #20494 C ( ) COMPANY -�— — D COVERAGES THIS IS TO CERTIFY THAT 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 B Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION LTR POLICY NUMBER DATE(MMIDD/YY) DATE(MM/DD/YY) LIMITS A GENERAL LIABILITY GL2095788109 11/01/2008 11/01/2009 GENERAL AGGREGATE $ 5,000,000 X COMMERCIAL GENERAL LIABILITY GENERAL LIABILITY (A/S) PRODUCTS COMP/OP AGG $ S,000 ODD C -- l CLAIMS MADE I r � OCCUR - GL 2095788093 PERSONAL & ADV INJURY _._... $ 2,000,000 OWNER'S &CONTRACTOR'S PROT 'GENERAL LIABILITY -STOP GAP _ --- -- EACH OCCURRENCE _--- -- $ 2,000,000 _ FIRE DAMAGE (Anyone fire) $ 300,000 MED EXP (Any one person) $ 5,000 A AUTOMOBILE LIABILITY BUA2095788112 11/01/2008 11/01/2009 X ANY AUTO COMMERCIAL AUTO COMBINED SINGLE LIMIT $ 2,000,000 ALL OWNED AUTOS B A2095788126 PD SCHEDULED AUTOS AUTO PHYSICAL DAMAGE BODILY INJURY (Per person) $ HIRED AUTOS $0 DIED COMP BODILY NON -OWNED AUTOS $1,000 DED COLL (p accident) $ PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE IS EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ A WORKER'S COMPENSATION AND WC2095788059 AOS 11/01/2008 11/01/2009 X ioevurnns en A EMPLOYEES' LIABILITY WC 2095788062 CA ONLY 11/01/2008 11/01/2009 EL EACH ACCIDENT s 1,000000 C THE PROPRIE'10w X INCL WC 2095788076 RETRO(OR,VA,WI) 11/01/2008 11/01/2009 ---- EL DISEASE - POLICY LIMIT -- -- $ 1,000,000 VARTNERyE%ECUTIVL OFFICERSAgs EXCL EL DISEASE - EA EMPLOYEE $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLESISPECIAL ITEMS (PB #A) CITY OF FORT COLLINS MIST - CITY OF FORT COLLINS, ITS OFFICERS, AGENTS AND EMPLOYEES INCLUDED AS ADDITIONAL INSUREDS, BUT ONLY WITH RESPECT TO WORK PERFORMED BY PB OPERATIONS, CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE CITY OF FORT COLLINS EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL RISK MANAGEMENT 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, P.O. BOX 580 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY FORT COLLINS, CO 80522 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZZEEy�yEPRESENTATIV i /� 10242936 ACORD 25-S (1/95) - © ACORD CORPORATION 1988', PAHSUN 100025'S.FP3PARSONSLIABILITY05-06.FP5