HomeMy WebLinkAbout362159 CORROSION SPECIALISTS LTD - INSURANCE CERTIFICATE (2)CORRSPE-03 EPPARRIS
ACORO CERTIFICATE OF LIABILITY INSURANCE
L.../
D TE 12/2712 Y012
12/27/22
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
Arthur J. Gallagher Risk Management Services, Inc.
340 Jesse Jewell Parkway SE, Suite 510
Gainesville, GA 30501
CONTACT NAMElaine Parris
E:
_
PHONE (g00) 214-8126 Fac No: (877) 868-0028
we No Est
ADDRP.Ss: Elaine Parris ajg.com
INSURERS AFFORDING COVERAGE
NAIC#
INSURERA: Employers Insurance Company of Wausau
21458
INSURED
Corrosion Specialists LTD
2860 South Vallejo Unit C
Englewood, CO 80110
INSURER B:
INSURER C :
INSURER D:
INSURER E :
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 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
OF INSURANCE
ADDLSUTYPE
BR
POLICYNUMBER
EFF
MM)DDY)YYYY
Y EXP
MM/DD/YYYY
LIMITS
A
GENERAL LIABILITY
X COMMERCIALGENERALLIABILITY
CI -AIMS -MADE FxI OCCUR
YYCZ91062096102
12/31/2012
12/31/2013
EACH OCCURRENCE
$ 1,000,000
PREMISES Ea occurrence
$ 300,000
MED EXP(Any one person)
$ 10,000
PERSONAL B ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
$ 2,000,000
GENT AGGREGATE LIMITAPPLIES PER:
PRO LOC
X POLICY JECT
PRODUCTS - COMP/OP AGO
$
$
A
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS X AUTOS
NON OWNED
X HIREDAUTOS X AUTOS
ASCZ91062096042
12/31/2012
12/31/2013
COMBINED
t SINGLE LIMIT
$ 1,000,000
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAM AGE
PER ACCIDENT)
$
$
A
X
UMBRELLA DAB
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
THCZ91062096051
12/31/2011
12/31/2012
EACH OCCURRENCE
$ 2,000,000
AGGREGATE
$
DED I X I RETENTION$ 10,000
$
A
WORKERS COMPENSATION
AND EMPLOYER$' LIABILITY
ANY PROPRIETORIPARTNER/EXECUTIVE YIN
' I
OFFICER/MEMBER EXCLUDED? INI
(Mandatory In NH)
scribe under
DESyesCRIPTION OF OPERATIONS below
N I A
WCCZ91062096012
12131/2012
12I31I2013
WC STATU- OTH-
IM TS
E.L. EACH ACCIDENT
$ 1,000r000
E.L. DISCASE - EA EMPLOYE
$ 1,DDD.00o
E.L. DISEASE -POLICY LIMIT
$ 1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required)
Exclusion - Products -Completed Operations Hazard
CERTIFICATE HOLDER CANCELLATION
City of Fort Collins
PO Box 580
Fort Collins, CO 80522-0580
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
01988-2010 ACORD CORPORATION. All rights reserved.
ACORD 26 (2010/05) The ACORD name and logo are registered marks of ACORD