HomeMy WebLinkAboutBRITTON-GALLAGHER AND ASSOCIATES INC - INSURANCE CERTIFICATE06/09/2010 12:28 FAX
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A � L' CERTIFICATE OF LIABILITY INSURANCE Si3i2010
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of tho policy, certain policies may require an endorsement. A statement on this certificate does not Confer rights to the
certificate holder In Ilou of such endorsement($).
PRODUCER NOKTA
AME; .
Britton -Gallagher and Associates, Inc. PHONE
AeNo:
6240 SOM Centex Rd. E?J(N-248-471.1_
-MAEt
Cleveland OH 44139 ADDRESS: .._PROOUCErt
„-
CUSTO
INSURED
Western Entervrisea, Inc.
13513 W. Carrier Road
Carrier OK 73727
INSURER A :
rnvcowr_cc r CCTICIr`ATFZ NIIMRP D- 07-Aoa91 fn RF_VISION NLIMR50-
THIS IS TO CERTIFY THAT 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 MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 15 SUBJECT
TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INTR POLICY NUMBER MMrOD MMrDD
YYPE OF INSURANCE MIODAEFF PMILNYYYLIMITS
A
GENERALLIAEILITY
1619930-02
2/15/2010
2/15/20}1
EACH OCCURRENCE
$1,000,000
X COMMERCIAL GENERAL UASILITY
CLAIMS -MADE u OCCUR
DifRENTED
A t c may, nra
�GfMIS
$50,000
MED EXP(Any one person)
S
PERSONAL &AOV INJURY
$1,000,000
GENERALAGGREGAT6
1$2,000,000
PRODUCT'S-COMPIOP AGO
$ 2, 000, 000
- GEIQL AGGREGATE LIMIT APPLIES PER;
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9
POLICY X PRO- LOC
AUTOMOBILELIA121UTY
CA93a39948
2/1$/2010
2/15/2011
COMEINEDSINGLE LIMIT
(Ea awldoM)
$1,000,000
X
—
ANY AUTO
BODILY INJURY (Perperoon)
S
—
ALL OWNED AUTOS
$
BODILY INJURY (Per accident)
X
SCHEDULEDAUTOS
HiR:D AUTOS
PROPERTY DAMAGE
(Perecddend
$
$
X
NON-OWN6D AUTOS
X
UMBRELLA LIAR
X
OCCUR
TILP0004577
2/15/2010
2/15/2011
EACH OCCURRENCE
S4,000,000
AGGREGATE
$4,000,000
EXCESSLIAB
CLAIMS -MACE
T
DEDUCTIBLE
$
$
X
RETENTION $10,000
WORKERS COMPENSATION
AND EMPLOYERS' UABILITY F-
ANY PROPRIETORIPARTNERIEXECUTIVE
AC STATU• I OT H-
E,4. EACH ACOI DENT
$
R EX OFMCERIMENE"WOED1
(Mandatory In NH)
NIA
-
E.L. DISEASE - EA EMPLOYE
$
i.L DISEASE- POLICY LIMIT
$
It Yee, deaalbe under
DESCRIPTION OF OPERATIONS belbw
DESCRIPTION OF OPERATIONS I I.00ATIONS I VEHICLES (Atmah ACORD 101, Addltlonal Remarks Schedule, If more space Is required)
Additional. Tnrauredg: City of Fort Calling & its Officers, Agents and Employees
Bid# 6093 - 4th of .7uly Fireworks
See Attached...
TE
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED
IN ACCORDANCE WITH THE POLICY PROVISIONS.
City of Fart Collins
P.O Box 580
Fart COl.linB CO 80522-0580 AUTHORIZED REPRESENTATIVE
ACORD 25 (2009I09)
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®1988-20DS ACORD C
The ACORD name and logo are registered marks of ACORD
TION. All rights reserved.