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HomeMy WebLinkAboutMURPHY COMPANY - INSURANCE CERTIFICATEP536W3NpE A� n® °05/28/ 0"4 CERTIFICATE OF LIABILITY INSURANCE os/7e/Iola 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: N the certUkate holder Is an ADDITIONAL INSURED, the polky(les) must be endorsed. H SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, Certain policies may require an endorsement. A statement on this ceRHicate does not confer rights to the cerWiwte holder In lieu of such endorseme s . PRODUCER Aea Rlek Services Central, Inc. NAME: Kelly CONTACT Belly Martin NE 314-854-0867 FAX PHOtM,ftl: 847-953-2307 8182 Maryland Ave Suite 1500 E= E , kelly.martinlaaon.COM St Louis, MO 63105 INURE1431 AFFORDING COVERAGE MACE INSURER A: ANINICAN CGNPaACTORS INS CO Rag 12300 INSURED Murphy Company Mechanical Contractors i engineers INSURERS: ACIG Insurance Company 29984 INSURER C: AGIG Incorence Covany 19984 INSURER O: 3790 Wheeling Street INSURER E: Deaver, CO 80239 NSURER F: COVERAGES CFRTIFICATF NIOIRFR• 39923614 RFVLQIr1N MIIMRFR• THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOT WITHSTANDING 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 TYPE OF INSURANCE 1118. POLICY NUMBER POLICY EFF IMMMDNYYYI POLICY ENP 011111001YYYY) LIMAS A GesERAL DABRlTY GL14X0003S 0610111 06/01/15 EACH OCCURRENCE S 5.000,000 A X CONMERCW GENERAL LMBIf1Y GLl4000035 06/O1/1 06/01/15 AMA ET RENTED PREMISES (Es eCI nm r 100,000 CIAUASNADE I —XI OCCUR MM E%P me $ 5,000 PERSONAL 4 ADV INJURY $ 5.000,000 GENERAL AGGREGATE $ 5,000,000 GENLAGGREGATE LIMIT APPLIES PER PROIXICTS COMPAIP AGG S5,000,000 POLICY JT PRO LOC JFCT $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT aoddent ANY AUTO SOI LLY INJURY(ft perm) { ALL OVMED SCHEDULED AUTOS AUTOS BODILY INJURY (PM emaml) r NONOM7JED HIREDAUTOS AUTOS PROPERTYOAMAGE Merdlenl $ $ uMRRELIA LIAR OCCUR EACHOCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAINSMADE DED I I RETENTION $ B B WORKERS COMPENSATION AND EMPLOYERS' LIAINUTY ANY PROPRIETONJPMTNEREXECUTIVE YIN OFFIUMEMBER EXCLUDED? NIA W-A000003014 MCA000007614 O6/01/1 06/01/1 O6/01/15 06/01/15 I MEITATLL OM1 E.L.EACHACCIDENT r 1,000,000 E.L. OLSEASE-EA EMPLOYE $ 1,000,000 C (Myyanaaaddl In NH) MCA000011714 06/02/1 06/01/15 DESCRIP'TION OF OPEMTIONS OMrA E.L. DISEASE -POLICY LIMIT S 1,000,000 T- DESCRIMON OF OPERATIONS I LOCATIONS VEHICLES (AtMah ACORD 101, AMIIII WRse SahFVWe, M Ivan FPam b n uh ) Per Policy Terms, Conditions and BSLcluelone evidence of Automobile Liability Attached SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN M. College Avenue ACCORDANCE WITH THE POLICY PROVISIONS. P.O. BOX 580 AUTHORMED REPRESENTATIVE Port Collins, CO 80577-0580 1 USA 01988-2010 ACORD CORPORATION. All I ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD kelly.martinleaco.00m 39923614 Y53�„i3NU3 AC 20 Oa AGENCY CUSTOMER ID: LOC f: ADDITIONAL REMARKS SCHEDULE Page 2 of 2 19ry Services Central, Inc. MEDDISURED rsk Murphy company KeohAo E �Miaeeze 3790 Wheeling street N790 Wheel ng Street poucv NUMBER Danver, CO 80239 . CARRIER NAICCODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance ACORD 101(200MI) 02008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD