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HomeMy WebLinkAbout131436 METRON INC - INSURANCE CERTIFICATEACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE11 21/ o 8 PRODUCER Aon Risk Insurance Services West, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY Denver CO Office AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 4100 East Mississippi Avenue CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE Suite 1500 COVERAGE AFFORDED BY THE POLICIES BELOW. Denver c0 80246 USA INSURERS AFFORDING COVERAGE NAIC# PHoNE- 303 758-7688 FAX- 303 758-9458 INSURED INSURERA: Twin City Fire insurance Company 29459 Ferrie, Franzmann &Carter, LLC dba Metron, Inc. 1 INSURER B: valley Forge Insurance Co 20508 1505 W. Third Avenue Denver Co 80223 USA INSURERC: Continental Insurance Company 35289 INSURER D: c INSURER E: < I 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. LIMITS SHOWN ARE AS REQUESTED INSR LTR ADD1 INS TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE(MM\DD\YY) DATE(MWDD\YY) LIMITS A GENE LIABILITY 34CESOF1466 10/01/08 10/01/09 EACH OCCURRENCE $1,000,000 X GL and Products DAMAGE TO RENTED $300,000 COMIvIERCL4L GENERAL LIABILITY CLAIMS MADE © OCCUR PREMISES (Ea occurence) =57377n­yorie person ❑ PERSONAL & ADV INJURY S1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG S2,000,000 ❑X POLICY ❑ PRO- ❑ LOC CD JECT C AUTOMOBILE LIABH.ITY 2093731086 10/01/08 10/01/09 COMBINED SINGLE LIMIT X ANY AUTO (Ea accident) $1, 000 , 000 Z ALL OWNED AUTOS a BODILY INJURY a SCHEDULED AUTOS Per person) u 4. HIRED AUTOS t BODILY INJURY (Per accident) NON OWNED AUTOS ry V PROPERTY DAMAGE (Per accident) GARAGE LIABaXrY AUTO ONLY - EA ACCIDENT ANY AUTO OTHER THAN EA ACC H AUTO ONLY AGG EXCESS /UMBRELLA LIABILITY EACH OCCURRENCE ❑ OCCUR ❑ CLAIMS MADE AGGREGATE HDEDUCTIBLE RETENTION B WORICERSCOMPENSATIONAND workers' Compensation X WC STATU- OTH- FF _ EMPLOYERS' LIABILITY E.L. EACH ACCIDENT S1,000,000 - ANY PROPRIETOR / PARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE -EA EMPLOYEE $1 , 000 , 000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $1 , 000 , 000 �- OTHER 4� DESCRIPTION OF OPERATIONS/LOCATIONS/VEHJCLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: Project No. 5325 The City of Fort Collins, its officers, agents and employees are added as Additional Insureds excluding workers' Compensation and Employers' Liability as required by written contract but limited to the operations of the Insured CERTIFI ATE H LDER 1ANCTLIATION City of Fort Collins Attention: Purchasing SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL P.O. BOX 580 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, C_ Fort Collins CO 80522 USA BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25 2 1! ACORD CORPORATION 19-8-8 Attachment to ACO" Certificate for Ferrie, Franzmann & Carter, LLC The terms, conditions and provisions noted below are hereby attached to the captioned certificate as additional description of the coverage afforded by the insurer(s). This attachment does not contain all terms, conditions, coverages or exclusions contained in the policy. INSURED Ferrie, Franzmann & Carter, LLC dba Metron, Inc. 1505 W. Third Avenue Denver CO 80223 USA ADDITIONAL POLICIES INSURER INSURER INSURER INSURER INSURER If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. INSR LTR ADD'L INSRD TYPE OF INSURANCE POLICY NUMBER POLICY DESCRIPTION POLICY EFFECTIVE DATE POLICY EXPIRATION DATE LIMITS DESCRIPTION OF OPERATIONS/LOCATIONS/VEIECLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS under said contract, and always subject to the policy terms, conditions and exclusions. Certificate No : 570031748151