Loading...
HomeMy WebLinkAboutAMI FIREPLACE COMPANY INC - INSURANCE CERTIFICATE (2)".I.,i x 1 ____IN BAYIND1 OP ID: CJ1 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.