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HomeMy WebLinkAboutTHE HARBOR GROUP, INC. - INSURANCE CERTIFICATE' ®® CERTIFICATE OF LIABILITY INSURANCE DATE11/DD/YYYY) r� 12//09 PRODUCER 1-800-247-7756 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Holmes Murphy & Assoc - WDM ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR PO Box 9207 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Des Moines, IA 50306-9207 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A:Employers Mutual Casualty Co. The Harbor Group, Inc. (See Attached Named Insured List) INSURERB:St. Paul Fire & Marine Attn: Scott Peterson INSURERC:Great American Insurance Company of New P.O. Box 260 Sioux Center, IA 51250-0260 INSURERD: 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 LTR ADDI POLICY NUMBER - POLICY EFFECTIVE DATE MM DD/WW POLICY EXPIRATION DATEMM DD LIMITS A GENERAL LIABILITY 31D1894910 09/01/09 09/01/10 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑X OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY X PROJECT - LOC A AUTOMOBILE X LIABILITY ANY AUTO 3E1894910 09/01/09 09/01/10 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ X X HIRED AUTOS NON -OWNED AUTOS - PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY - AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG B EXCESS/UMBRELLA LIABILITY QK05501527 09/01/09 09/01/10 EACH OCCURRENCE $ 15,000,000 X OCCUR CLAIMS MADE AGGREGATE $ 15,000,000 $ DEDUCTIBLE - - $ X RETENTION $ 10,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? 3Y1894910 09/01/09 09/01/10 TATUA X WCSLIMIT OER E.L. EACH ACCIDENT $500,000 E.L. DISEASE - EA EMPLOYE $ 500,000 (Mandatory in NH) If yes, describe under SPECIAL PROVISIONS below _ E.L. DISEASE - POLICY LIMIT $ 500,000 OTHER C Installation Floater IMP5924881 09/01/09 09/01/10 $2,500 Deductible 2,500,000 A Rented/Leased Equipment 3C1894910 09/01/09 09/01/10 $2,500 Deductible 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Cancellation Clause: 30 Days Notice Except for Non Payment of Premium CERTIFICATE HOLDER CANCELLATION SHOULDANY OFTHEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Fort Collins _ DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL PO Box 580 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Fort Collins, CO 80522-0580 AUTHORIZED REPRESENTATIVE . USA ACORD 25 (2009/01) mmillerwdsm © 1988-2009 ACORD CORPORATION. All rights reserved. 13815752 The ACORD name and logo are registered marks of ACORD