HomeMy WebLinkAboutAMI FIREPLACE COMPANY INC - INSURANCE CERTIFICATE (2)".I.,i x 1
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AOC7ORO CERTIFICATE OF LIABILITY INSURANCE DAEIMYmMYYY,
0312712014
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
PRODUCER
Phone: 563-587-5000
-'
NAME:
Cottingham & Butler, Inc.
Fax: 563-583-7339
PHDRE FA%
800 Main Street
(AC. No, E,t), INC, Nog.
Dubuque, IA 52001
AIL
ADDRESS:
Bradley J. Plummer
INSURER(S) AFFORDING COVERAGE
NAICN
e1SURERA: Hartford Casualty Ins Co.
29424
S RED AMI Fireplace Company Inc
INSURERS: American Guarantee & Liability
26247
PO Box 9229
INsuREa c'. Hartford Fire Insurance Co
19682
Green Bay, WI 54308
INSURER D',
INSURER E :
INSURER F
Cr1VFRA6F4 CFRTIFICATF NIIMRFR- RFVISIr1N 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.
INN TYPE OF NEURANCE AOOL SUER PoLICY EFF POLICY EXP
POLICY NUMBER MMIDD/YYYY MM/DDIYYYY
11MnS
GENERAL LIABILITY
EACH OCCURRENCE
$
1,000,000
A
X I COMMERCIAL GENERAL LIABILITY 83UENOBS025 041011201404/01/2015
DAMAGE TO RENTED
PREMISES (Ea occurrenm)
S
300,000
CLAIMSMADEX OCCUR
MED UP (My one person)
S
11,00
I.,
PERSONAL a ADV INJURY
iS
1,000,00
GENERAL AGGREGATE
$
2,000,000
ISEN'L AGGREGATE LIMIT APPLIES PER:
iPRODUCTS- COMPIOP AGO
$
2,000,00
POLICY I X PIFCTRO- I LOC
Emp Ben.
$
2MIL/1MI
AUTOYOMI • UABLLITY
COMBINED SINGLE LIMIT
(Eaacciden)
',S
1,000,000
A
XIMY AUTO
A3UENOB8026 ', 04/0112014 0410112015',
BODILY INJURY (Per person
S
ALL OWNED SCHEDULED
AUTOS AUTOS
BODILY INJURY (Par accdgnQ
S
NON -OWNED
PROPERTY DAMAGE
�$
HIRED AUTOS AUTOS
(Per accident)
S
X
Me LLA Cous I X OCCUR
EACH OCCURRENCE
$
25,000,00
g
Ezcesa Lwe cLNMs MADE
AUC913715308
04101/2016104101I2015
AGGREGATE
IS
25,000,00
DED X RETENTION 0
S
NpRI(ERS COMPENSATIONX
WC STATU- OTH-
ANDEMPLOYERS 'WIBRJTY
TORY LIMITS Eft
YIN
A ANY PROPRIETOMPARTNERIEMCUTIVE
3WEOB6052 04/0t/2014 04/01/2015
EI. EACHACCIDENT
$
1,000,000
OFFICERIMEMBER EXCLUDED? N/A
❑
(Mandatory In NH)
EL DISEASE - EA EMPLOYEE $
1,000,00
Ifves dr..wundp
DESCRIPTION OF OPERATIONS aIow
EL DISEASE -POLICY LIMIT
S
1,000,00
C Property
31JUMAJ7334 04/01/2014 04/0112016
I
i
Prop Ded
25,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Mach ACORD 101. AddlBonal Remara Schadate, If mors apace is raqunio n
CITOCOL
City Of FOfI CollinsSHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
P.O. Box 580 ACCORDANCE WITH THE POLICY PROVISIONS.
Fort Collins, CO 80522
AUTHORED REPRESENTATNE
m
LL
O
01M-2010 ACORO CORPORATION. All rights reserved.