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HomeMy WebLinkAbout494376 ATLAS INDUSTRIAL HOLDINGS LLC - INSURANCE CERTIFICATEA` oRo CERTIFICATE OF LIABILITY INSURANCE OATE(MMDDYYYY) 02/2712014 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(iss) 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 Franchise Insurance Agency, Inc. 4942 Reed Road Columbus, OH 43220-6105 CONTACT Teresa Vance-Haak ONE P11""" . 614 545.1538 FAX . 855 720.4940 '. teresa@ftnchise-ins.com INSURERISI AFFORDING COVERAGE IN R A. National Union Fire Insurance Company 19445 INSURED Atlas Industrial Holdings, LLC.; Atlas Industrial Contractors, I.I.C. 5275 Sinclair Road q/LUfb Columbus, OH 43229.5042 INSURER B New Hampshire Insurance Company 23941 INSURER C : St Paul Fire & Marine Insurance Company 24767 INSURER D Travelers Property CasualtyInsurance Company 36161 INSURER E Illinois National Insurance Company 23817 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. "M TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF M POLICY EXP IMWDDNYYYi LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE x0 OCCUR X X 7040382 0310112014 0310112015 DAMAGE TO RENTED 300 000 10000 MEDEXP (Am oneperson) PERSONAL & ADV INJURY 1000 000 x 30 Day Cancellation Notice GENERAL AGGREGATE ANON GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP,OP AGO s2,000,000 S POLICY 7 I PRO- LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMB 1000 000 $ E ANY AUTO BODILY INJURY(Per person) JX AUTOS SCHEDULED AUTOS AUTOS SCHEDHIRED AUTOS X NON -OWNED X x 2248229 03/0112014 03101/2015 BODILY INJURY(Per acedeM) $ PROPERTYDAMAGrAUTOS S S X UMBRELLA `AS X OCCUR EACH OCCURRENCE 5 000 000 X AGGREGATE 5000000 C EXCESeLUB CLAIMS -MADE X X ZIP-14T85493.14-NF 0310112014 0310112015 TENTI N B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ����yyyy ANY OFFICER/MEMBER EXCLUDFRECUTN�7 (Mandatory in NH) uu If as.diiibNOF underOPERATIONS TI N NIA X 049101932 03/0112014 03101/2015 X WCSTATU- x OTH- Slop GAP El. EACH ACCIDENT 10 00 000 E.L. DISEASE - EA EMPLOYE 1 000 000 E.L. DISEASE -POLICY LIMIT 166DD65 D Millwright Legal Liability OT 5AO46649-COF14 03/01/2014 03101/2015 $7,500,000 Limit D Installation Floater TXXX OT 5AO46649-COF14 0310112014 0310112015 $2,000,000 Limit Per Location DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Aeeeh ACORD 101, Addilonal Remarks Schedule, a more space Is required) D. Fidelity Policy# 105904773 0310112013 to 0310112014 $1,000,000 Limit, $10,000 Deductible Leased/Rented Equipment-$1,500,000; $5,000 Deductible subject to policy terms, conditions & exclusions. Coverage is provided for boom & jib overload. Millwright Legal Liability - $1,000,000 in Transit, 2% deductible subject to $10 000 minimum - Riggers Liability is included CERTIFICATE HOLDER CANCELLATION City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 215 N Mason St ACCORDANCE WITH THE POLICY PROVISIONS. 2nd Floor AUTHORIZED REPRESENTATIV , < Fort Collins, CO 80522 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD