HomeMy WebLinkAbout103910 ARAGON IRON & METAL INC - INSURANCE CERTIFICATE (6)ACORD CERTIFICATE OF LIABILITY INSURANCE DATE
�02-19-2009
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
LBN INSURANCE AGENCY/PHS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
342715 P: (8 6 6) 4 6 7- 8 7 3 0 F: (8 7 7) 9 0 5- 04 5 7 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
PO BOX 33015
SAN .ANTONIO TX 78265 INSURERS AFFORDING COVERAGE
INSURED INSURER A: Hartford Casualty Ins Co
INSURER B:
NORTHSTAR DESIGN INSURERC:
7785 HIGHLAND MEDOS PARK WAY STE203 INSURERD:
W INDSOR CO 80528 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 TYPE OF INSURANCE
LTR
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION LIMITS
DATE MM/DD/VY DATE MMIDDIYY
GENERAL LIABILITY
EACH OCCURRENCE $1, 0 0 0, 000
A
COMMERCIAL GENERAL LIABILITY
34 SBA NF84 34
04 / 13 / 0 9
04 / 13 / 10 FIRE DAMAGE (Any one fire) $3 0 0 , 0 0 0
CLAIMS MADE Ili OCCUR
MED EXP (Any one person) $1 0 , 000
X General Llab
PERSONAL & ADV INJURY $1 , 0 0 0 , 0 0 0
GENERAL AGGREGATE s2,000,000
PRODUCTS - COMP/OP AGG $2 , 000, 000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY jE' I X LOC
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT $l, 000, 000
A
ANY AUTO
34 SBA NF8434
04/13/09
04/13/10 IEa accident)
ALL OWNED AUTOS
BODILY INJURY $
SCHEDULED AUTOS
(Per person)
X
HIRED AUTOS
BODILY INJURY $
X
NON -OWNED AUTOS
(Per accident)
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT $
ANY AUTO
OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABILITY
EACH OCCURRENCE $
OCCUR u CLAIMS MADE
AGGREGATE $
$
DEDUCTIBLE
$
RETENTION $
$
WORKERS COMPENSATION AND
WC STATU- OTH-
TORY LIMITS ER
EMPLOYERS' LIABILITY
- -
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
$
E.L. DISEASE - POLICY LIMIT
$
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Those usual to the Insured's Operations.
t,LK I IrIL A I t MULUtK I I ADDITIONAL INSURED; INSURER LETTER: L AIVL.tLLA I IUIV
City of Fort Collins
Attn: Purchasing Division
PO Box 580
Fort Collins CO 80522
HOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
XPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
D DAYS WRITTEN NOTICE 00 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE
OLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO
BLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
EPRESENTATIVES.
ACORD 25-S (7/97) '� ACORD CORPORATION 1988