HomeMy WebLinkAboutAMX INTERNATIONAL INC - INSURANCE CERTIFICATEDate: 1/31/2012 Time: 10:44 AM Tor City of Fort Collins 0 19702216707
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ACORD- CERTIFICATE OF LIABILITY INSURANCE
TATTIM2012YYY)
F
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 en dorsem ent(s).
PRODUCER
Moreton & Company - Idaho
P.O. BOX 191030
Boise, ID 83719
208 321-9300
CONTACT
NAME:
PHONE 208 321-9300 208-321-0101
AIC NA Eet: AD, N0:
E-MAIL
ADORESS:
INSURER(S)AFFORDING COVERAGE
I NAICe
INSURER A: Travelers Property Casualty Co.
INSURED
AMX International, Inc.
346 Grand Loop, Suite 100
Rexburg, ID 83440
INSURER B: Hartford Underwriters Insurance
Travelers Indemnit Company
INsuRERc: Y P Y
INSURER0:
INSURER E
INSURER F:
COVERAGES CERTIFICATE NUMBER_ REVISION hJUMRFR'
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY RE 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
DOL
NSR
UBR
Vo
POLICY NUMBER
POLICY EFF
MWDWYYYY
POLICY EXP
MMAOIYYYY
LIMITS
A
GENERAL LIABILITY
TT09407002
7/17/2011
07/17/201
EACH OCCURRENCE
$1000000
X COMMERCIAL GEN ERAL LIABILITY
CLAIMS -MADE 1OCCUR
DAMAGE TO RFNTEO
PRE M 028 Ea occurrenm
S500,000
NED EXP( Any one person)
S10,000
PERSCNALAADV INJURY
$1,000,000
GENERALAGGREGATE
s2,000,000
GEN' LAOGREGATE LIMIT APPLIES PER
PRODUCTS COMP/OPAGG
s2,000,000
POLICY PRO LOG
i
C
AUTOMOBILE
LIABILITY
BA5555R47810TEC
7/17/2011
0711712012
Edaccide0 SINGLE LIMIT
i1,000,000
BODILY INJURY(Perperson)
i
ANY AUTO
ALL OVIN ED SCHEDULED
AUTOS AUTOS
BODILY INJURY (Per occi0ent)
i
X
NO&OWNED
HIRED AUTOS X AUTOS
PiDPERTY DAMAGE
Perami0ent)
i
i
A
LIAR
OCCUR
7TO9406951
7/17/2011
07/17/201
EACH OCCURRENCE
A 000 000
AGGREGATE
s3 00D 000
dUMBRELLA
EXCESS LIAR
CLAMS -MADE
OED I X RETENTION 310000
i
B
WORKERS COMPENSATION
ANDEMPLOYERS' LIABILITY YIN
ANY PROPRJETOR/PARTNER/EYECUTIVEy
OFFICERLMEMSER EXGLUDEOP
Nf•
34WET07551
7/01/2011
07/01/201
WGSTAU-TorH-
IM
EL EACH ACCIDENT
$1 OOO ODD
EL.DISEASE-EAEMPLOYEE
$1 000,000
(Mandatory in NH)
If y8s. deSGlbe Un Eer
DESCRIPTION O FOPERATIONSbelo
EL. DISEASE - POLICY LIMIT
$1,000,000
A
Professional Liab
TT09407001
7117/2011
07/17/201
$2,000,000 Per Occ
$2,000,000 Aggregate
$100,000 Deductible
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AttaM ACORD 101, Additional Rammks Schodub, Ifinere span I required)
The City of Fort Collins, Colorado, Its Officers and Employees are Additional Insureds as respects liability
arising out of the work performed by the Named Insured for or on behalf of the Certificate Holder.
City of Fort Collins
215 North Mason P.O. Box 580
Fort Collins, CO 80522-0000
ACORD 25 (2010105) 1 of 1
AS393064/M347507
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
O 1988-2010 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
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