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HomeMy WebLinkAbout362159 CORROSION SPECIALISTS LTD - INSURANCE CERTIFICATERv® CERTIFICATE OF LIABILITY INSURANCE opm KK - DATE(MMIDD/YYYY) 12/23/10 " 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 holderin lieu of such endorsement(s). PRODUCER - LUNIALI NAME: '-Risk--Planners, inch (Cd) FAX n/c,No Ext: (A/C, No):= - MAIL ADDRESS: 340 Jesse Jewell. Parkway #510 CUSTOMER IDM XCORROI Gainesville GA 30501 INSURER(S) AFFORDING COVERAGE - NAIC # INSURED - - INSURERA: employers insurance of Wausau 21458 Corrosion Sppe ialists LTD - 2860 South Vallejo C INSURERB: INSURERC: -Unit Englewood CO 80110 INSURER D : INSURER E : - INSURER F : " COVERAGES ICERTIFICATE NUMBER: 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. - LTR I TYPE OF INSURANCE INSR WVD - POLICY NUMBER (MM/DD/YYYY) (MMIDD/YYYY) I LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR - YYCZ91062096100 - - 12/31/10 - - - 12/31/11 - EACH OCCURRENCE $1,000,000 - PREMISES(Ea occurrence) s300,000 " MED EXP (Any one person) $ 10 r 000 PERSONAL 8 ADV INJURY $ 1 r 000 i 000 GENERAL AGGREGATE - s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: ' POLICY PRO- LOC JECT PRODUCTS - COMP/OPAGG'- $Excluded, , $ A AUTOMOBILE X X X LIABILITY ANY AUTO - ALL OWNED AUTOS SCHEDULED AUTOS . HIREDAUTOS NON -OWNED AUTOS ASCZ9106209604O -. - 12/31/10 - - 12/31/11 - - - COMBINED SINGLE LIMIT . (Ea accident) $ 1 r000 r 000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ $ A X UMBRELLA LIAB - EXCESS LIAB HXOCCUR CLAIMS -MADE THCZ91062096050 - 12/31/10 12/31/11 EACH OCCURRENCE $2r000,000 AGGREGATE. $ HDEDUCTIBLE X - RETENTION $ 10,000 ' $ - $ -A WORKERS COMPENSATION .AND EMPLOYERSLIABILITY ANY PROPRIETOR/PARTNER/EXECUTIV� OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If YYes, describe under DESCRIPTION OF OPERATIONS below NIA WCCZ9,10620 .6 10 - 12/31/10 12/31/11 TORvtitiT S ER E.L. EACH ACCIDENT '. $ 1 , 000 r OOO E.L. DISEASE -EA EMPLOYEE1 $ 1,000,0W - E.L. DISEASE - POLICY LIMIT $ 1 , 000 r 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) , Exclusion - products - completed operations hazard CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CTYOFFT THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Colins Utilities AUTHORIZED REPRESENTATIVE P O Box 580 Fort Colins CO 80522-0580 Elaine Parris © 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD It e 1