The URL can be used to link to this page

Home My WebLink About256950 ALLIED TUBE & CONDUIT - INSURANCE CERTIFICATE��- 0 CERTIFICATE OF LIABILITY INSURANCE OATE(MMIDDIYYYY) 10/2/2010 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(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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 endorsements . PRODUCER NTA T. NAME: PHONE FAX A/C No Ext: 212 345-5000 AIC No: Marsh, Inc. 1166 Avenue of the Americas New York, NY 10036 -MAIL ADDRESS: PRODUCER INSURER AFFORDING COVERAGE NAIL# INSURED INSURER A: CHARTIS CASUALTY COMPANY Allied Tube & Conduit INSURER B: Commerce & Industry Ins Co. 16100 S. Lathrop Avenue INSURER C: Illinois National Insurance Co. Harvey, IL 60426 INSURER D: Nat'l Union Fire Ins Co. of Pittsburgh, PA United States INSURER E: New Hampshire Ins. Co. COVERAGES CERTIFICATE NUMBER: 765612 - A REVISION NUMBER: 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 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADOL SUER POLICY NUMBER POLICY EFF MIWDDIYYYY POLICY EXP D MM/IYYYY LIMITS E GENERALLIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 7 OCCUR OWNER'S & CONTRACTOR'S GL 4360884 (Primary GL) 10/1/2010 10/1/2011 EACH OCCURRENCE $1,000,000.00 DAMAToX PREMISES E oNc uaence $1,000,000.00 MED EXP (Any one person) $10,000,00 PERSONAL & ADV INJURY $1,000,000.00 GENERAL AGGREGATE $2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: PRO LOC X I POLICY JFCT PRODUCTS - COMPAOP AGG $2,000,000.00 D D D E AUTOMOBILE X FSCHEDULED X X LIABILITY ANY AUTO ALL OWNED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS CA 3976576 (VA) CA 3976575 (ADS) CA 3976577 (MA) CA 3976624 (NH) (Primary AL) 10/12010 10/1/2010 10/12010 10112010 10/1/2011 10/1/2011 10/1/2011 10/1/2011 COMBINED SINGLE LIMIT Each accident $1,000,000.00 BODILY INJURY (Per person) BODILY INJURY (Par a¢id enl PROPERTY DAMAGE (Per accident) NEW HAMPSHIRE(CSL) $250,000 UMBRELLA LWB EXCESS LUIB OCCUR CLAIMS -MADE EACH OCCURRENCE AGGREGATE DEDUCTIBLE RETENTION $ PRODUCTS -COMP/OP AGG NEW HAMPSHIRE (CSL) A B C D E WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory In and If yes, describe under DESCRIPTION OF OPERATIONS below N / A WC 026149514 (FL) WC 026149516 (MI) WC 026149513 CA WC 026149518 (MA, NO, NY, OH, WA, WI WY) 1 / 10M2010 10/12010 10I12010 10/12010 1 10112011 10/12011 10112011 10/l2011 X WC STATV• ITH- Y E.L. EACH ACCIDENT $2,000,000.00 E.L. DISEASE - EA EMPLOYE $2,000,000.00 E.L. DISEASE - POLICY LIMIT $2,000.000.00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Rarrlarks Schedule, if more space is required) Project: 5957 MAPO Traffic Sign Posts Please refer to attached ACORD 101 for further remarks. CERTIFICATE HOLDER CANCELLATION CITY OF FORT COLLINS 281 N. COLLEGE AVE P.O. BOX 580 FT.COLUNS, COLORADO8052Z-0580 United States SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATNE MARSH USA INC, BY' ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD Generated by EXIGIS LLC. For more information visit www.exigis.com. Franklin Hallock, Globel Marine All nntltC CPCPIVPrt AGENCY CUSTOMER ID: LOC #: Ate` ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMEDINSURED Marsh, Inc. Allied Tube & Conduit 16100 S. Lathrop Avenue POLICY NUMBER Harvey, IL 60426 United States CARRIER NAIC EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE REGARDING POLICIES OF INSURANCE: Insurer Policy Number(s) Effective Date(s) Expiration Date(s) E WC 026149548 (MN) 10/1/2010 10/1/2011 E WC 026149515 (TX) 10/1/2010 10/1/2011 E WC 026149519 (AOS) 10/1/2010 10/1/2011 REGARDING NOTICE OF CANCELLATION TO CERTIFICATE HOLDERS: This endorsement modifies the notice of cancellation of insurance provided hereunder: Should any of the above described policies be cancelled before the expiration date thereof, the producer will endeavor to mail 30 days written notice to the certificate holder named herein, but failure to do so shall impose no obligation or liability of any kind upon the producer, its agents or representatives. other terms and conditions of this policy remain unchanged. REGARDING ADDITIONAL INSURED STATUS: In accordance with the policy provisions, CITY OF FORT COLLINS is included as an additional insured under this policy, as a result of any contract or agreement entered into by the named insured and CITY OF FORT COLLINS. In accordance with the policy provisions, coverage afforded to an additional insured will apply as primary insurance where required by contract entered into by the named insured and the CITY OF FORT COLLINS. Any other insurance issued to such additional insured shall apply as excess and noncontributory insurance. EGARDING WAIVER OF SUBROGATION: n accordance with the policy provisions, the Waiver of Subrogation applies per contract or agreement entered nto by the named insured and CITY OF FORT COLLINS. ACORD O 2008 ACORD CORPORATION. All riahts reserved. The ACORD name and logo are registered marks of ACORD Generated by =GrS LLC. For more information visit www.exigis.com. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY ENDORSEMENT This endorsement, effective 12:01 A.M. 10/01/2010 forms a part of Policy No. GL 436-08-84 issued to Tyco International Management Company, LLC by New Hampshire Insurance Company ADDITIONAL INSURED - PRIMARY INSURANCE This endorsement modifies insurance provided under the following: COMMERCIAL LIABILITY COVERAGE FORM Section IV, Commercial General Liability Conditions, paragraph 4., Other Insurance, subparagraph a. Primary Insurance, is amended by the addition of the following: However, coverage under this policy afforded to an additional insured will apply as primary insurance where required by contract, and any other insurance issued to such additional insured shall apply as excess and noncontributory insurance. Authorized Representative 74434 (10/99)