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HomeMy WebLinkAboutESS METRON PACKAGED PUMP SYSTEMS LLC - INSURANCE CERTIFICATEClient#: 35619 FERRFRA ACORD,. CERTIFICATE OF LIABILITY INSURANCE GATEYVYV) 1z/22/20z/zo11 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 endorsement(s). PRODUCER CONTACT (NAME: IMA,Inc.- Colorado Division I PHONE.No, 303-534-4567 IFAX 303-534-0600 N (AIDEX,): (AC o 1550 17th Street, Suite 600 EMAIL Denver, CO 80202 ADDRESS: -- 1NSURER(S AFFORDING COVERAGE NAIL# 303-534-4567 INSURER A: Wausau Underwriters Ins. Co. 26042 INSURED INSURER B: Federal Insurance Co (Chubb) 20281 Ferrier Franzmann Industries, LLC I NSURER C: Great Northern Ins Co(Chubb) GNhICCh 20303 ESS Matron Packaged Pump Systems, LLC 1505 W Third Ave INSURER D Denver, CO 80223 INSURERS: INSURER F COVERAGES CERTIFICATE 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 CONTRACTOR 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 ADDL INSR SUBR MO POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDIYYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERALLIABILITY _ CLAIMS -MADE OCCUR X Bl1PD Ded:10000 TBJZ91452868051 11/14/2011 10/01/2012 EACH OCCURRENCE $1 00O 000 PREMISETo aoccourance s3000OO MED EXP (Any one person) $10000 PERSONAL B ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GENT AGGREGATE 17 POLICY LIMITAPPLIES PER: X PRP 57 LOC PRODUCTS-COMPIOP AGO s2,000,000 $ C AUTOMOBILE LIABILITY ANY AUTO ALL OSCHEDULED AUUTOSS AUTOS HIRED AUTOS X NON -OWNED AUTOS 73571965 11/14/2011 10/01/2012 COMBINED SINGLE LIMIT Ea apcitlent BODILY INJURY (Par person) BODILY INJURY (Per accident) PROPERTY .rt) AGE Per asulitlent s X I S1,00g,ggg S1,000,000 X S S UMBRELLA LIAB EXCESS LIAB H OCCUR CLAIMS -MADE EACH OCCURRENCE S AGGREGATE $ OEO RETENTIONS S B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? � (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS bolo%. NIA 71739807 11/14/2011 10101/201 X T' STATU- OTH- E.L EACHACCIDENT $1 OOO OOO E.L. DISEASE - EA EMPLOYEE $1 OOO 000 E.L. DISEASE -POLICY LIMIT $1,ODo'000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHID LES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: RFP 7294 Irrigation Pump Station Maintenance & Repair. The City of Fort Collins, its officers, agents and employees are included as Additional Insureds on the General and Automobile Liability Policies if required by written contract or agreement subject to the policy terms and conditions. City of Fort Collins Director of Purchasing and Risk Management PO Box 580 Fort Collins, CO 80522 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 REPRESENTATIVE ACORD 25 (2010/05) 1 of 1 #S774786/M774620 (cJ 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SZM