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Home My WebLink AboutAMX INTERNATIONAL - INSURANCE CERTIFICATE (3)Date: 7/14/2009 Time: 12:43 PM To: City of Fort Collins, Colorado (0 19702216707 rrar,+te1ZQ AMYINIT Page: 002 ACORD,,, CERTIFICATE OF LIABILITY INSURANCE DATE (MMiDD11 7/1412009YYYv PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Moreton & Company - Idaho P.O. Box 191030 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 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 INSURERA Travelers Indemnity Company AMX International, Inc. P.O. Box 50308 INSURER Hartford Underwriters Insurance Idaho Falls, ID 83405 INSURER C INSURER INSURER E CDVFRAGFS 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 4001 POLICY EFFECTIVE POLICY EXPIRATION LTR NSRC TYPE OF INSURANCE POLICY NUMBER DATE MM!DD/YV DATE WM1DOPYY LIMITS A GENERAL LIABILITY TT09402355 07/17/09 07117/10 EACH OCCURRENCE t1,000,000 X J::PAMERGIALGENERAL LIAB!LIIY PREDAMAE MGESOEaocP`rren e1 -500 000 CLAIMS MADE OCCUR MED EXP (Any one person) S1 0,000 PERSONAL B ADV INJURY $1,000,000 GENERAL AGGREGATE $2, 000 000 3EN'L AGGREGATE LIMIT APPLIES PER PRODUCTS COMP/OP AGG $2,000 000 P RO- -OI_ICY JECT A AUTOMOBILE LIABILITY TT09402355 07117/09 07117/10 COMBINED SINGLE uMIT (Ea accident) =1,000,000 X ANY AUTU BODILY INJURY ALL OWN ED AUTOS SCHEDULED AUTOS (Per person) $ BODILY INJURY $ X HIRED AUTOS X NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EAACCIDENT $ OTHER THAN EAACC $ $ AUTO ONLY. AGG A EXCESS!UMBRELLA LIABILITY TT09402355 07/17/09 07/17/10 EACH OCCURRENCE s31000,000 AGGREGATE s3,000,000 ::;;;CUR a CLAIMS MADE $ $ EDUCTIBLE RETENTION $ $ 10000 B WORKERS COMPENSATION AND 34WETD7551 07101/09 07/01110 X I WC LIMIT OTH- T IT TH EMPLOYERS' LIABILITY EL EACH ACCIDENT 0,000,000 ANY PROPRIETORIPARTNERIEXECUTIVE EL DISEASE - EA EMPLOYEE $1,000,000 OFFIGERIVEMBER EXCLUDED' If yes, de scnbe under SPECIAL PROVISIONS below EL DISEASE-POLICYL IT $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. r- City of Fort Collins, Colorado P.O. Box 580 Fort Collins, CO 80522-0000 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL -10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. ACORD 25 (2001108) 1 of 2 #S1 844161M1 84403 SALST 0 ACORD CORPORATION 1988 Date: 7/14/2009 Time: 12:43 PM To: City of Fort Collins, Colorado (0 19702216707 Page: 003 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. AL,UKU zo-a (zuuuua) 2 of Z #S184416(M1844030