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HomeMy WebLinkAboutFERRIE FRANZMANN INDUSTRIES LLC - INSURANCE CERTIFICATE (2)A� & CERTIFICATE OF LIABILITY INSURANCE ATE D10/03/2014Y) 10/03/2019 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 certificate holder in lieu of such endorsement(s). PRODUCER 1-303-534-4567 IMA, Inc. - Colorado Division CONTACT NAME: PHONE FAX (AIC No Fail Alt No: E-MAIL denpant@imatcorp.com ADDRESS: P P•com 1705 17 th Street INSURERS AFFORDING COVERAGE NAICN Suite 100 INSURER A: LIBERTY MUT FIRE INS CO (LIBERTY MUTUAL 11748 Denver, CO 80202 INSURED INSURER B: GREAT NORTHERN INS CO (Chubb) 20303 Ferris Franzmann Industries, LLC ESE Matron Packaged Pump Systems, LLC INSURER c: FEDERAL INS CO (Chubb) 20281 1505 N Third Ave INSURER D: INSURER E: INSURER F: Denver, CO 80223 COVERAGES CERTIFICATE NUMBER: 41752888 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 rypE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MMIDDIYYYY LIMITS A GENERAL LIABILITY TB2Z91452868054 10/01/14 10/01/15 EACH OCCURRENCE $ 1,000,000 � OCCUR �fCBOJMMERCIAL DAMACLAIMS-MADE PREMI ES I RENTED300,000 PREMISES Ea urrence $/PD MED EXP(Any one person) $ 10,000 Ded: $10,000 PERSONAL S ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY jRo- [X] LOC PRODUCTS - COMPIOP AGO $ 2,000,000 $ OTHER: B AUTOMOBILE LIABILITY 73571965 10/01/14 10/01/15 COMBINED SINGLE LIMIT Ea accident) $ 1,000,000 X BODILY INJURY (Per person) $ ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS I BODILY INJURY (Per accident) $ % PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOS X AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CWMS-MAGE DED RETENTION$ $ C C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETORIPARTNEWEXECUTIVE F OFFICERIMEMBER EXCLUDED') NIA 71739807 10/01/14 10/01/15 PER % STATUTE OT- E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE -EA EMPLOYE $ 1:000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1, 000, 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more apace is required) The City of Fort Collins, its officers, agents and employees are included as Additional Insureds on the General and Automobile Liability Policies if required by written contract or agreement subject to the policy terms and conditions. : RFP 7294 Irrigation Pump Station Maintenance 6 Repair. ty of Fort Collins rector of Purchasing and Risk Management PO Box 580 Collins, CO 80522 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988.2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD emeando 41752888