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Home My WebLink AboutIRWIN SEATING COMPANY - INSURANCE CERTIFICATEA`� "® CERTIFICATE OF LIABILITY INSURANCE 6/18/2014 ' 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 WANED, 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 endorsements .CT PRODUCER Van Wyk Risk Solutions 2237 Wealthy Street SE Suite 200 Grand Rapids MI 49506 ME, NAME: Patti Zuk NA ONE (616)942-5070 FAXNo,, (616) 942-8199 PHFin ADDREss.pattiz@vaawykcorp.com INSURERS AFFORDING COVERAGE NAIC4 INSURER A:National Union Fire Ins. Co. 19445 INSURED Irwin Seating Company 3251 Fruit Ridge Ave., NW Grand Rapids MI 49544 INSURER B:Frankenmuth Mutual Ins. Co. 13986 I INSURER C:Continental Casualty Co. 20443 INSURER D: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER:14-15 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 ADDL SUBR POLICY NUMBER POLICY EFF MM DD POUCYEXP MM D LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE ED PREMISES E... NT rr nce $ 1,000,000 A CLAIMS -MADE FX1 OCCUR 7133106 /1/2014 /1/2015 MED EXP (Any one person) $ 10,000 S ADV INJURY $ 1,000,0001 GGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: -COMP/OP AGG $ 2,000,000 POLICY X PRO-IFCTX LOC $ AUTO MOBILE LIABILITY COMBINEDSINGLd ESINGLE LIMIT QINJURY(P�a�d.t) i 1,000,000 X INJURY person) $ B ANY AUTO URY Per acdtlent ( )NON $ ALL OWNED SCHEDULED AUTOSAUTOS 6113110 /1/2014 /1/2015 -OWNED HIRED AUTOS AUTOS DAMAGE Per accident) $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 C EXCESS DAB CLAIMS -MADE DED X RETENTION$ C6011487988 $ /1/2014 /1/2015 A WORKERS COMPENSATION X WC STATU- OTH- EE AND EMPLOYERS' LIABILITY YIN E.L. EACH ACCIDENT 1 000 )DO ANY PROPRIETOR/PARTNERIEXECUTIVE� OFFICER/MEMBER EXCLUDED? L.J (Mandatory in NH) N I A 086476551 7/1/2014 /1/2015 _3 EL DISEASE - EA EMPLOYE $ 1,000,000 If yes, desonbe under E.L. DISEASE -POLICY LIMIT s 1,000,00 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, a more space is required) RE: Seats -Floor mounted -City Council Chambers City of Fort 215 N. Mason PO Box 580 Fort Collins, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Collins ACCORDANCE WITH THE POLICY PROVISIONS. St. 2nd Floor I CO 80522 AUTHORIZED REPRESENTATIVE Patti Zuk/PATTI �ti� ` 1988-2010 ACORD CORPORATION_ All rinhte maorvcd INS025 (201005).01 The ACORD name and logo are registered marks of ACORD