HomeMy WebLinkAboutMORTON BUILDINGS INC - INSURANCE CERTIFICATE`�.
`'moo CERTIFICATE OF LIABILITY INSURANCE
DATE(MAVDDM V)
OW19/2014
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 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 endorsemerd(s).
PRODUCER
AOn Risk Services Central, Inc.
Chicago IL Office
CONTACT
NAME.
U,.No,EN); (HONE966) 283-7122 aG Nc ): (B00) 363-0105
E# L
ADDRESS:
200 East Randolph
Chicago IL 60601 USA
INSURERS) AFFORDING COVERAGE
NAIC9
INSURED
INSURER A, Zurich American Ins CO
16535
Morton Buildings, Inc.
252Morton West Adams Street
IL 61550 USA
INSURER B: American Zurich Ins CO
40142
INSURER C: Great American Insurance Company Of NY
22136
INSURER D:
INSURER E:
'
NSURER F:
COVERAGES CERTIFICATE NUMBER: 570055181122 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. Limits Shown are as requested
INSR LTRTYPE
OF INSURANCE
INSO
yJV
POLICY NUMBER
kIk110D
amenionry,renI
LIMITS
A
X
I COMMERCIALGENERALLIABILIT9
CLAIMS -MADE X❑OCCUR
OLD
EACHOCCURRENCE
$2,000,000
PREMISES Ea oraenerne
$1,000,000
MED EXP(Any one Pelson)
$50,000
PERSONAL &ADV INJURY
$1,0001000
GENL AGGREGATE UNIT APPLIES PER:
% POLICY ❑PEd LOG
OTHER:
GENERAL AGGREGATE
$2,000,000
PRODUCTS - COMP/OP AGO
EXCluded
A
AUTOMOBILE LIABILITY
X ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
HIRED AUTOS % NON -OWNED
X AUTOS
BAP 9376314 11
10/01/201410/01/2015
COMBINED SINGLE LIMIT
BODILY INJURY I Per Person)
$2,000,000
cn
BODILY INJURY FeraCent)
PROPERTY DAMAGE
Perecourmt
C
X
UMBRELLALIAS
EXCESS LIAB
X
OCCUR
CLAIMSMADE
umB1911369
Umbrella Liability
SIR applies per policy terns
10/01/2014
& condi
10/01/2015
ions
EACH OCCURRENCE
$2,000,000
I
AGGREGATE
$2,000,000
DEO X
RETENTION
e
A
WORKERS COMPENSATION AND
EMPLOYERS'LIABILITY yIN
Alo'PROPRIETOR/PARTNER/EXECIRIVE
OFFICERMEMBER EXCLUDED? EN
(Mandatory in NH)
nY deean a under
DESCRIPTION OF OPERATIONS Wine
N/A
WC937631111
AOS
WC937631211
Retro-WI, MA, EXCI OH
10/01 2014
10/01/2014
10/Ol/201$
10/01/2015
X I PER OTH-
STATUTE
E.L. EACH ACCIDENTS1,000,000
E.L. DISEASE -EA EWLOYEE
$1,000,000
EL. DIS-.ASE-POLICY LIMIT
$1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101. Additional Remarks Scle dula. may Ire atMcbed it more.Pace Is raquimd)
Re: Contractors License.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
POLICY PROVISIONS.
City Of Fort Collins AUTHORIZED REPRESENTATIVE
P.O. BOX 580
Fort Collins, CO 80522-0580 USA
01988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD