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HomeMy WebLinkAbout362159 CORROSION SPECIALISTS LTD - INSURANCE CERTIFICATE (3)CORRSPE-03 EPPARRIS .44c"AT 15. CERTIFICATE OF LIABILITY INSURANCE DAT116/2 o1DI4 /s/2a 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: H the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terns 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 Ileu of such endorsements . PRODUCER Arthur J. Gallagher Risk Management Services, Inc. 340 Jesse Jewell Parkway SE, Suite 510 Gainesville, GA 30501 NAME: Elaine Parris PnoNE g00) 214-8128 A/C No: 877 868-0028 aooRLFss: Elaine Parris@ajg.eom INSURER(S)AFFORDING COVERAGE NAIC0 INSURER A: Liberty Mutual Fire Insurance Company 23036 INSURED Corrosion Specialists LTD 3621s� 2860 South Vallejo Unit C Englewood, CO 80110 INSURER B:Employers Insurance Company of Wausau 21468 INSURERC: INSURERD: 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 TYPE OF INSURANCE POLICY NUMBER MMMD1YYTYI IMMMDrrrrn LIMns A GENERAL LJABIUTY X COMMERCIAL GENERAL UABILTTY DLAIMSMADE X❑OCCUR TBM1062096113 12/31/2013 12/31/2014 EACH OCCURRENCE $ 1,000,0 im— MR MIS ocarence s 300,000 MEDEXP(Any one psron) $ 10,000 PERSONAL& ADVINJURY s 1,000,000 GENERALAGGREGATE a 2,000,000 GEN'L AGGREGATE X PoUCY UNIT APPLIES PER: PR LOC PRODUCTS-COMP/OP AGO a a B AUTOMOBILE LIA&LnY ANY AUTO ALL GAMED SCFIEDIILED X AUTO AUr05 S X HIREDAUros X NON-01ED AUTOSACCIDENT) rCZ91062096043 IV3112013 12131/2014 E �NSINGLE 1000000 BODILY INJURY(Perpeman) $ BODILY INJURY Peraoddenp s PROPERTY DAMAGE a a B X UMBRELULIAB EXCESSUAS X OCCUR cwus.MADE CZ91062096053 12131/2013 E11213112014 EACH OCCURRENCE a $000A AGGREGATE $ OED JXIRETEMIONS 10,00 is B WORKERS COMPENSATION AND EMPLOYERS' LNBIUTY ANY PROPMETOR/PARTNER/EXECUnVEYIN OFFICERIMEMBER EXCLUDED? (Mandatory In NH) rcy de. Imander DESCRIPTION OF OPERATIONS 1X1Iox NIA WCCZ91062D96013 1=112013 12/3V2014 VICTORYSTATU- OTM- EA_ EACH ACGDENT s 1,000,00 EA_ DISEASE - EA EMPLOYE4 a 1,000,000 E.L DISEASE -POLICY LIMIT S 1, 000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AtW& ACORD 101, Additional Romania; Schedule, H man apace is mgdmd) Exclusion - Products -Completed Operations Hazard 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 VL ra�� ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD