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Home My WebLink AboutAMX INTERNATIONAL - INSURANCE CERTIFICATE (4)Date: 7/14/2009 Time: 12:43 PM To: City of Fort Collins, Colorado Q 19702216707 rii..#:N- iQO AMYIAIT Page: 002 ACORDrd CERTIFICATE OF LIABILITY INSURANCE DATE09 DDIYYYY) 7/14120 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Moreton 8r 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 INSURERB: Hartford Underwriters Insurance Idaho Falls, ID 83405 INSURER C: INSURER D: 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. INS LTR DD' NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDD/YY POLICY EXPIRATION DATE MMIDDIYY LIMITS A GENERAL LIABILITY TT09402355 07117/09 07/17/10 EACH OCCURRENCE $1 00O 000 COM MERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR - A ToX PRMAS ES(E. omurrrence $500RENTED OOO MED EXP (Any one person) $1 O 000 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 j LOG A AUTOMOBILE LIABILITY X ANY AUTO TT09402355 07/17109 07/17/10 COMBINED SINGLELIMIT (Ea accident) $1,000,000 BODILY INJURY (Per person) $ ALL OWN ED AUTOS SCHEDULED AUTOS X HIRED AUTOS X NON -OWN ED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accdent) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHERTHAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG A EXCESSIUMBRELLA LIABILITY TT09402355 07/17/09 07/17/10 EACH OCCURRENCE $3 000 000 AGGREGATE s3,000,000 OCCUR X❑ CLAIMS MADE $ DEDUCTIBLE $ X RETENTION $ 10000 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOP/PARTNER/EXECUTIVE 34WETD7551 07/01/09 07/01/10 TH- X WC LIMIT OER TORV I ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE- EA EMPLOYEEI $1,000,000 O FFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 OTHER DESCRIPTION OF OPERATIONS LOCATIONS 1 VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS The City of Fort Collins, Colorado, Its Officers and Employees are Additional Insureds as respects liability arising out of the work performed by the Named Insured for or on behalf of the Certificate Holder. City of Fort Collins, Colorado P.O. Box 580 Fort Collins, CO 80522-0000 ent LO ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 'An DAYS WRITTEN 'E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL >E NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AL:UKU L, (LUUI/Ui$) 1 of 2 #5184416/M184403 SALST 0 ACORD CORPORATION 1988 Date: 7/14/2009 Time: 12:43 PM To: City of Fort Collins, Colorado @ 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. AGOHU Z5S (2001108) 2 of2 #S184416/M1844030