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HomeMy WebLinkAbout278986 AMX INTERNATIONAL - INSURANCE CERTIFICATE (3)ACORD- CERTIFICATE OF LIABILITY INSURANCE 0DATE 8127/8/27/M/DD/YYYY) 08 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 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Boise, ID 83719 208 321-9300 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: St. Paul Fire & Marine Insurance Co. AMX International, Inc. INSURER B: Hartford Underwriters Insurance Comp P.O. Box 50308 INSURER C: Idaho Falls, ID 83405 INSURER D: INSURER E: COVEH:AGES 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 LTR ADD1 INSRE TYPEoF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM DD POLICY EXPIRATION DATE (MMIDDIYYI LIMITS A X GENERAL LIABILITY TT09402355 07/17/08 07/17/09 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED M Sr PRE zSCLAIMS $500000 MED EXP (Any one person) $10 000 MADE FX-I OCCUR PERSONAL & ADV INJURY $1 000 000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s2,000,000 POLICY F1 PRO- _ LOC JECT- - AUTOMOBILE LUABILnY° -� �__ # ANY AUTO -. __ _____._.____ _ i COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS .ho SCHEDULED AUTOS BODILY INJURY (Per person) • . $ HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) - • $ • GARAGE LIABILITY J _ AUTO ONLY- EA ACCIDENT $ OTHER THAN EA ACC $ ANY, AUTO ., �.iilz•, iD c•.u4bL;- $ • I I AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY— - _ EACH OCCURRENCE $ AGGREGATE $ OCCUR -._ CLAIMS MADE $ DEDUCTIBLE" S1 RETENTION B WORKERS COMPENSATION AND "=---- - 34WETD7551 07/01/08 07/01 /09 X OR LIMIT EI EMPLOYERS' LIABILITY , ANY PROPRIETOR/PARTNER/EXECUTIVE ` E.L. EACH ACCIDENT $1 000,000 E.L. DISEASE - EA EMPLOYEE $1 000,000 OFFICER/MEMBER EXCLUDED?,--' If yes, describe under SPECIAL PROVISIONS below " =�"`'" E.L. DISEASE -POLICY LIMIT $1 000,000 OTHER .._._._.. _.. ... DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / 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.' - ' t. t,lt - - -'--- ---------- - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Fort. Collins; Colorado DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL R0_ DAYS WRITTEN P.O. BOX 580 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Fort Collins, CO 80522 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR �- "' - -- -'- --- -- - - REPRESENTATIVES. AUTHORIZED R RESENTATIVE M%,Umu c� tAvuuulsl 1 of 2 #S136843/M136840 WENRA -•- © 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. '%%'VMu tZ)-a tcuuuua) 2 of 2 #S136843/M136840