HomeMy WebLinkAbout130882 LABOR READY - INSURANCE CERTIFICATE05/08/2009 09:45 9704905992 LABOR READY PAGE 02/02
ACORD TM CERTIFICATE OF L.IABI.LITY INSURANCE
DATr_ (M/C)/YYY
1111RODI ICll,lt
THIS O:ERTtFICATr:1S ISSUrn AS A MnTTER OF INFORMATION
US/08/2009
LOckton Companies, Inc-
ONLY AND CONFERS -NO RIGHTS UPON THE (:FRTIPICATE
8110 East Union Avenue, Suite 700
HOLDER, THIS (:rRT1FICATE DOES NOT AMEND, EXTEND OR
1.
Denver, CO 802,37
ALTr••.R THE COVE AFPORDrD BY THF. POLICIES BELOW.
-.. ES ORD G CO RAGE
COMPANY
A National Union Fire Ins. Co.
iN$ZIRED
COMPANY
LABOR READY CENT, INC-
RAL
B AML•RICAN HOME ASSURANCE CO.
11060x 2910
'COMPANY
Tacoma, WA 98401
C
COMI'ANY
COV ERAGPs
1)
THIS IS TO C:ItRTIFY THAT THE POLICIES 01" INSURANCE LISTED
INDICATED,
BELOW HAVE BEEN IySUED TO rrlE 1NSURr.;D
NOTWITI•ISTANDING ANY REQUIREMRNT', TERM
CERTIFICATE MAY BE ISSIIFD OR MAY PERTAIN.
NAMED ABOVE FOR THE POLICY PERIOD
OR C ONIxTION OF ANY CONTRACTOR OTi-1r:R DOCUMr•.,NT WI1'rl RrSPEC'I r0 WHIC:1.11,141S
N I
THE INSURANC:F AFpORnrD BY T'f lr POLOCar;•.S DP.SC:RI[IED HEREIN S11 IiI RESP7TO AEI, THE'I'6RM5,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SFIOWN
MAY HAVE 8Fr,N REDIICLD BY I'Afr) CLAIMS,
CO
L'rR TYPE OF INSURANCE POLICY NUMBER
I'0%rcY MPIfKCTIVE ' POLICY EXPIRATION
DATE (MMInD/YV) i DATE (mm/oDryY) Lz1•lITS
(3ENERAI.1LIABILITY 9723107
A X COMMERCrnLGEN>:Rn1,L[ABlt.lry
07/01/200$ 07/01/2009 GCNERALAOURFGATE
5000000.00
CLAIMS MAD14 X OCCUR
PRODUCTS • COMP/OP AGG
1000000,00
OWNRR!S 3c CONTRACTOR'S PROT
PERSONnr., ADV INJURY
1000000100
EACH OCCURRENCE
1 500000.00
FIRE DAMAGr (Any one fire)
1000000,00
AI.ITOMUBIi.F, 1,1A1311.ITY
MED kixP (Any one perccn)
0100
ANY AUTO
COMnINED SINca,E LIMIT
ALL OWNED AUTOS
SC:I.1hr) ILED AU'roS
'TIODILY INDURY
(Per I mcm)
hI I IO i.3n A UTDS
NON -OWNED AUTOS
'BOnILY INDI,IRY
(Pcr A ccidmlk)
�(..ARACF,
rROPERTY DAMAGE
t.TARILI`I'Y
ANY AI)TO
AUTO ONLY • EA ACCIDENT
01'1MR THAN AUTO ONLY:
EACH ACCIDENT
EXCESS VIABILITY
nGGRI UATr;
UMkiItELt,A PORM
EACH OCCURRL;NCG
OTHER THAN UMBRrI,LA FORM
AGGRECIATE
WORKER'S COMPENSATION AND :5145557
B FATPLOVrR:SLIABILITv
07/O1/2008 ^1 07/� 1/ZOU9 X , WC STATUTORY OTHER
:LIMITS
THE PARTNERS/INC'I
PnRTNERSI FXI;CUTIVE
EL EACH ACCIDENT
1000000.00
PJ(CL
rL DISCA8F.POLICY LIMIT
1000000,00
C)THF,R
ELDISHAS1%EA L'MPLOYEE
1000000,00
NOT APPLICABLL
Di,SC'RIPTION or OPERA PIONS / LOC:A'r10NS / VFHICLLS / SPECIAL. ITEMS:
THE ABOVE COVERAGES APPLY TO LABOR READY TEMPORARY EMPLOYEES DISPATCHEI7 TO
WORK ON BEHALF OF THE CERTIFICATE HOLDER
CERTIFICATE FIOLDER CANCELLATION
CITY OF FORM COLLINS SHOULD ANY OF THE ABOVE DESCR1nrn POLIGre 13E CANCELLPD BEFURG THE.
P.O. BOX 580 NXPIRATION DATE TIMMEOF, TI•IF ISSUING COMPANY WILL ENDEAVOR TO MAIL
FORT COLLINS CO 80522 30 DAYS WRITTEN NOTICE TO THF. CERTIFICATE HOLL) R NAMEU'r0 THE LEE r,
BUT FAILI)RE TO MAII. SUCH NOTICE SHALL IMPOSE NO OBLIGATION OF LIAIIfI.ITY
OF ANY KIND UPON THE COMPANY, ITS A(IrNTS OR R17.PRESEN-1 XnVES.
ACORD 25S (1M. S)
'�,