HomeMy WebLinkAboutMURPHY COMPANY - INSURANCE CERTIFICATEP536W3NpE
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CERTIFICATE OF LIABILITY INSURANCE
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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