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HomeMy WebLinkAboutSHEET METAL PRODUCTS INC - INSURANCE CERTIFICATESHEEMET-01 TAYLOR '`'TE 14 MCERTIFICATE OF LIABILITY INSURANCE DA312512014 Y) 3/25/2014 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 endorsementls). PRODUCER lViIlis of Wyoming, Inc. Go 26 Century Blvd P.O. Box 305191 Nashville, TN 37230-5191 INSURED Sheet Metal Products, Inc PO Box 1112 Cheyenne, WY 82003 945-7378 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 POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP M LIMITS A GENERAL LIABILITY rX COMMERCIAL GENERAL LIABILITY CLAIMSMADE Fx—I OCCUR CBP8631329 4/1/2014 4M/2015 EACH OCCURRENCE S 1,000,00 PREMISES (Es occurrence) $ 100,00 MEDEXP one person) s 6,00 PERSONAL S ADV INJURY s 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEITL AGGREGATE LIMIT APPLIES PER: POLICY FT PRO- LOC PRODUCTS-COMP/OP AGG S 2,000,00 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON-O MED AUTOS BA 8630529 4/112014 4/112015 C 6MSINED SINGLE LIMIT a acc tlaM 1,000,00 X BODILY INJURY (Per person) S BODILY INJURY (Par accident) $ PROPERWDAMAG Per accident s S A X UMBREL=AB IXCESS LIAB X OCCUR C(AI„g411ADE 1 CU8631929 4MT2014 4/1/2015 EACH OCCURRENCE s 2,000,00 AGGREGATE S 2,000,0040 DELI I X I RETENTIONS 10,000 $ WORKERS COMPENSATION AND EMPLOYERS LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE ❑ AI OFFICEREMBER EXCLUDED? (Mandatory In NH) If ee, describe under--- DESCRIPTION OF OPERATIONS W. NIA VA: STATU. OTH- E.L. EACH ACCIDENT s E.L. DISEASE - PA EMPLOYE s E.L. DISEASE -POLICY LIMIT $ A Employers Liability CBP 8631329 4/1/2014 4/1/2016 See Attached DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, K more space is required) This Certificate is issued as respects to the business operations of the insured. City of Fort Collins Po Box 580 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 i:-at� ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD ADDITIONAL COVERAGE SCHEDULE COVERAGE LIMITS Bodily Injury by Accident - $1,000,000 Each Accident POLICY TYPE: WY Stop Gap/Employers Liability Limit CARRIER: Peerless Indemnity Insurance Company Bodily Injury by Disease - $1,000,000 Policy Limit POLICY TERM: 4/1/2014 - 4/1/2015 Bodily Injury by Disease - $1,000,000 Each Employee POLICY NUMBER: CBP 8631329 Blanket Building - Limit $517,321 POLICY TYPE: Property Blanket Personal Property of Others: $707,472 CARRIER: Peerless Indemnity Insurance Company Blanket Personal Property: $605,297 POLICY TERM: 4/1/2014 - 4/1/2015 Blanket Building - $500 deductible POLICY NUMBER: CBP 8631329 Blanket Personal Property of Others - $500 deductible Blanket Personal Property - $500 deductible