HomeMy WebLinkAboutALLIED TUBE AND CONDUIT CORPORATION - INSURANCE CERTIFICATEDEC, 23. 2009 10.33AM ATC MECH DIV N0, 469 P. 3
R.
CERTIFfCATE NUMBER
711815
THIS CERTIFICATE 13 ISSUED A3 A MATTER OF INFORMATION ONLY AND CONFERS NO
PRODUCER
RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE POLICY.
THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
Marsh, Inn- l
1 f 6& Avgnu4
of the Americas
POLICIES DESCRIBED HEREIN.
COMPANIES AFFOWNG COVERAGE
COMPANY A: AI South Insurance Co.
New York, NI
p0035
Telephone (2
) 345-5000
COMPANY B.-Commerce & Industry Ins Co
C: Fireman's Fund Insurance Company
INSUREDCOMPANY
.COMPANY 0: Illinois National Insurance Co-
I
COMPANY E: Insurance Company of the State of PA
Allled Tuba &I
1610Harvey, .Lath,
16100 S. Lath,
dvR
op Auit
o
COMPANY F: Nat'l Union Fire Ins Cc of Pittsburgh, PA
COMPANY G: New Hampshire Ins. Co.
United'State
p
THIS is YO CET;jr�Y
ANY RZOUIRM
THAT THE POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING
,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WFrN RESPECT TO WHICH THE CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE
AFFORDEDBY
PAID CLAIMS
POLICIES LISTED HEREIN IS SURIECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES_ AGGREGATE LIMITS SHOWN MAY HAVE BEENREDUCED BY
CO
LT P
TYPE OF IN1p4L
i
MNCE
11
I
POLICY NUMBER
POLICY EFFECTIVE
DATE 'MMMO
I IYYj
POLICY
EI(PIRJITION
LIMITS
G
GENERAL
IJABItnY
GL 090-73-63 Prima GL
10/1/2009
10/1/2010
CENERAL AGGREGATE
X
on,
O {MEIRGAL
iC
GENERAL
1MS MADE I X I OCCU
PRODUCTS • COb7PlOPAGO
$2 OOO 000.00
PERSONAL &ADV INJURY
OWfJ�l,2'38,CODIfRACTOR'S
EACH OCCURRENCE
$1 000000.00
FIRE OAMAOE (Any one urn)
$1 000,OD0.00
1
p
I
Q
MED EXP Any one pamon)
$T 0 OOO.DO
17
F
AIITOMOSII61
X ANY AtfO
LIABILITY
1
CA091-93-98 MA
( )
CA 091-93-97 (VA)
10/1/2009
1011/2009
10/1/2010
10/1/2010
GOtr181NEDSINGLE LIMIT'
$1,000,000.00
F
X HIREDAIUTOS
X" NON-OWNEDAUTOS
CA 091.93-96 (AOS)
10/1/2009
10/1/2010
A
B
D
E
F
G"
WORKERS GOMPENSAMN AND
EMPLOYPFRS' I-MiLCfY
III'
THE PROP,RIETORr
PARTNER&EXECUTIVE
OFFICE .E
WC 060.16-8747 (CT,GA, PA,SC)
WC 060-16-87a1 (FL)
WC 060.16.8744 (MI)
WC 050-16-8745 (AR,MA.VA)
WC 060-16-8742 (OR)
WC 060-16-6740 (CA)
WC 060-16-8748 (AOS)
WC 060-1b-6743 (TX)
WC 050158746 (ND,NY,OH WA,WI,WY)
10l1/2009
10/7l2009
70/7t2004
1W112009
10/1/2009
10l112009
10/1/2009
70/112009
10/1/2009
1/1112/10
7p/1/Z010
10�112010
10/1f2010
lf2010
Ioi101112010
10111201D
10/1f2010
10/112010
}( wo arA Vroa o x
�
EL EACH ACCIDENT
$2,000,000,00
EL DISEASE -POLICY LIMIT
$2.000,000.00
EL DISEASE -EACH
$2,000,000.00
tXCESS LIIIA
ILITY
GENERAL AGGREGATE
PRODUCTS - COMPfOP AGG
OTHER
N UMBRELLA FORM
EACH OCCURRENCE
UMS
FORM
I
OTHER
C
C
C
_I,dcl; REk' siRllallonrConvact WMce
RonL-J EqulLinWnL'CanVBCCprg Equipment
Rlankot TrB sl�l
OC 9112d60
OC 9S126160
009112860
SM=09
511112009
51172009
511/2010
wrkol0
511/2010
USD S1,000.U00.00 Derlobeire
VSD $1.000,000.00 par lolww
USO$1.000.000.00 per conveyance
DESCRIPTION OM WERATIONSILOCAT(ONSNEHICLESISPECIAL ITEMS
CITY OF FORT comL111- it named ¢a A641ti0nal Ia—ed G bj— Ca the conditions C -ho vrittaa GGftracL betwccn N-6 /Osursd and CITY OF FORT
OOuLIPIE. Cfxera;T yindiCdCCd ah`..— 0hs11 J/. 'd.-i•.ry .and non-Goncril—ory co aeh� sLeilan Li%&—nca 'Jar the condltieaa OE the -Bitten GJntract bezvem
Named Insured ail'iIl 71.7 OF FORT COLL7.K .-Wai+ror of suhrog.tion apPli" per e7s :Obdi.i0ns 0! the written coacraer >k'Cw¢W xamed Inaured and CITY OF
FORT COLLI:13. Y
2rojcec: E957 7Yafii: $i3a Poets
CITY OF FORT �' OLLINS INSURER
281 N. COLLEGE AVE
q THE
P; o. sox sso h
3HOULO ANY OR THC POLIV85 OEBCRIBED HEREIN BE CANOELLEO SW*01 TNG GXPIPATIO*I DATE THEREOF, THE
AFFORDING COVeAAGL WILL ENDEAVOR TO MAIL 30 DAY$ WArI TEN NOTICE TO THE CERTIFICATE HOLDER
HAMEO HEREIN, BUT FAILURE TO MAIL UCM NOTCE SHALL IHPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON
Ir+3URER APIIOROINO cOVEFADE T ADENic' 09 REPRE$ENTn%MtS. OR THE izzuER OF THIS CERTIFICATE.
M'c6L,LIN5, C^OLORADO 60522-0580
Unik¢d States II ktARSH
__.. ..._. ".. 6� Dwkf
USA INO, BY,FranKlln HAIIEtk, Global M9 �s
Kcrva, Cawaky Pliyrpn Tmnsil Program
"Pot Qae7ei0a9 ghrBl159 L:116 Ce: ificate Contact: .Laren —Z (Cftill LSGOttStyco-amp.con Phone: 800-86:-0:40 M74101