Loading...
HomeMy WebLinkAbout384515 WILDCAT CIVIL SERVICES INC - INSURANCE CERTIFICATE (2)ACORO® `� CERTIFICATE OF LIABILITY INSURANCE 1i1i2012 DATE (MM/DD/YYYY) 12/8/2010 PRODUCER Lockton Companies, LLC-1 Kansas City #44 W. 47th Street, Suite 900 Kansas City MO 64112-1906 (816) 960-9000 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED WILDCAT CIVIL SERVICES 1312696 ATTN: TIMOTHY L. CARROLL 7915 CHERRYWOOD LOOP KIOWA CO 80117 INSURER A: Hartford Fire Insurance Company 19682 INSURER B : Twin City Fire Insurance Company 29459 INSURER C : Hartford Insurance Co of the Midwest 37478 INSURER D : INSURER E : COVERAGES SHECOO 1 SA THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING HIS AUTHORIZED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER. 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 ADD'L - POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 A X COMMERCIAL GENERAL LIABILITY 37CSE U1081 Q 1/1/2011 1/1/2012 DAMAGE TO RENTED PREMISES Ea occurence $ 300 000 CLAIMS MADE FKOCCUR MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 21000,000 GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 41000,000 POLICY X JECT PRO- LOC A AUTOMOBILE LIABILITY ANY AUTO 37UENQUI082 1/l/2011 1/1/2012 COMBINED SINGLE LIMIT (Ea accident) $ 2000000 > > X BODILY INJURY (Per person) $ XXXXXXX ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ XXXXXXX HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ XXXXXXX GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ XXXXXXX ANY AUTO NOT APPLICABLE OTHER THAN EA ACC $ XXXXXXX AUTO ONLY: AGG $ XXXXXXX EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ XXXXXXX OCCUR ❑ CLAIMS MADE AGGREGATE $ XXXXXXX UMBRELLA NOT APPLICABLE $ XXXXXXX $ XXXXXXX DEDUCTIBLE FORM $ XXXXXXX RETENTION $ B C WORKERS COMPENSATION AND LIABILITY y / ry ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) . 37WNQU1080 37WN UI083 Q 1/1/2011 I/l/2011 1/1/2012 I/l/2012 X I WC STATU- TORY LIMITSER TORY E. L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: 7106 CURED -IN -PLACE PIPE SANITARY SEWER STORMWATER MAINS REHABILITATION. THE CITY, ITS OFFICERS, AGENTS AND EMPLOYEES ARE NAMED AS ADDITIONAL INSURED ON GENERAL AND AUTOMOBILE LIABILITY AS PER WRITTEN CONTRACT. 10900651 CITY OF FORT COLLINS FINANCIAL SERVICES PURCHASING DIVISION 215 NORTH MASON STREET 2ND FLOOR, PO BOX 580 FORT COLLINS CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL WXi i(1 }qX MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, AUTHORIZED ACORD 25 (2009/01) 988-2009 4ICCFD CORPORATION. All rights reserved The ACORD name and logo are registered marks Of ACORD For questions reaardinq this certificate, contact the number listed in the 'Producer' section above and soecifv the client code'SHECO01'.