HomeMy WebLinkAbout450906 MULLER ENGINEERING COMPANY - INSURANCE CERTIFICATE (2)-AC 0A ,. CERTIFICATE OF LIABILITY INSURANCE OP ID K DATE(MMIDD/YYYY)
MULLE-1 11 21 08
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
ACEC/MARSH HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
701 Market St., Ste. 1100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
St. Louis MO 63101
Phone: 800-338-1391 Fax:888-621-3173 INSURERS AFFORDING COVERAGE NAIC #
- INSURER A: Hartford Accident s
NSURER B:
Muller Engineering Co., Inc. INSURER0.
777 S.Wadsworth Blvd., Ste 100 INSURER D:
Lakewood CO 80226 - _.._
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 WMICH 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.
INS D'.__. .___ .._
MEFFECTIVE PZATE(M�RATI�N---"—'
LTR NSft TYPE OF INSURANCE POLICY NUMBER DATE
DATE MMIDDIVV DATE MM/DDII'1') LIMITS
GENERAL
—
LIABILITY
EACH OCCURRENCE
$ 1,000,000
X
-DAVAGETO-RENTED—__.._____..__.___
PREMISES( Eaoccurence)
$1,000,000
A
COMMERCIAL GENERAL LIABILITY
84SBWCT1553
11/01/08
11/01/09
]CLAIMSAnADE [X-1OCCUR
—_
MED EXP (Any one person)
$1Q,000
X
XCU
—
PERSONAL & AOV INJURY
$ 1 , OOO , 000
PROFESSIONAL LIAEL EXCL
GENERAL AGGREGATE
s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER
PRODUCTS - COMP/OP AGG
-
$2,000,000
POLICY X PRO-
ECT LOC
--
_
AUTOMOBILE
LIABILITY
A
ANY AUTO
84UEGNS8431
11/01/08
11/O1/09
COMBINED SINGLE LIMIT
(Ea accident)
$2 OOO ,000
X
ALL OWNED AUTOS
BODILY INJURY
SCHEDULED AUTOS
(Per
(Per person)
X
HIRED AUTOS
_ _-----
X
NON -OWNED AUTOS
BODILY INJURY
(Per aooidenl)
$
--"""----------------
PROPERTY DAMAGE
$
-
(Per atoident)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
ANY AUTO-------
--
----
OTHER THAN EAACC
$
AUTO ONLY: AGG
$
EXCESS/UMBRELLA LIABILITY
EACH OCCURRENCE
$
OCCUR J CLAIMS MADE
-,
AGGREGATE
$
--------------
DEDUCTIBLE
—
$
RETENTION $
$
WORKERS COMPENSATION AND
7 TT
X TORYLIMITS ER
A
EMPLOYERS'LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
84WEGPM0413
11/01/08
11/01/09
---.---_._....——.__________„__
E.LEACHACCIDENT
$1,000,000
OFfIC ER/MEMBEREXC UDED?
If yes, describe under
--"'---_ '---
ELDISEASE_EAEMPLOYEE
$ 1,O_00,000_
_ _
E.L. DISEASE - POLICY LIMIT $ 1 000 000
SPECIAL PROVISIONS below
OTHER
E7
-7-
, ,
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS
RE: P1147 SIGNAL TIMING PROGRAM, THE CITY, ITS OFFICERS AND EMPLOYEES IN
ACCORDANCE WITH COLORADO LAW ARE INCLUDED AS ADDITIONAL INSURED FOR ABOVE
COVERAGES EXCEPT W/C.
CTYFTCO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
CITY OF FT. COLLINS NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
ATTN: JAMES B. O'NEILL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
PO BOX 580 REPRESENTATIVES,
FT. COLLINS CO 80522-0580 AUTHORIZED RE ft ENT TIVE� 1
25 (2001/08)
198E