The URL can be used to link to this page

Home My WebLink About362159 CORROSION SPECIALISTS LTD - INSURANCE CERTIFICATE (4)CORRO-3 OP ID: ERNE CERTIFICATE OF LIABILITY INSURANCE DATE12/16/14 1 12/16/14 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(les) 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 Liberty Mutual Insurance PO Box 188065 Fairfield, OH 45018 Arthur J. Gallagher & Co. CONTACT PHONE FA% A/C No EXt : AIC No E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC# INSURER A: Liberty Mutual Fire Insurance 23035 INSURED CORROSION SPECIALISTS LTD INSURERS: First Liberty Insurance Corp 33588 2860 SOUTH VALLEJO UNIT C ENGLEWOOD, CO 80110-1222 INSURERc:Ohio Casualty Insurance 24074 INSURER D: Employers Insurance of Wausau 21458 NSURER E: NSURER F: COVERAGES CERTIFICATE NUMBER: 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 POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MMIDD/YYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FxI OCCUR TB2-Z91.062096-114 12/31/14 12/31/15 EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurrence $ 100,00 MED EXP (Any one person) $ 10,00 PERSONAL B ADV INJURY $ 1,000,00 GENERALAGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY JECTPRO LOC PRODUCTS AGG $ EXCLUDE $ B AUTOMOBILE LIABILITY ANY AUTO AU OS X SCHEOULED AUTOS AUTOS X HIRED AUTOS X NON -OWNED AUTOS ASC-Z91-062096-044 12/31/14 12/31/15 COMBINED SINGLE LIMIT Ea accident 1,DDD,DD BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ O UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE ES056456490 12/31/14 12/31/15 EACH OCCURRENCE $ 2,000,00 X AGGREGATE $ 2,000,08 DED RETENTION$ $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICERIMEMBER EXCLUDED? ❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A WCC-291-062096.014 12/31/14 12131/15 X WC STATU- OTH- T OR,IMITS ER E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE- EA EMPLOYEE $ 1,000,00 E.L. DISEASE - POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES (ANach ACORD 101, Additional Remarks Schedule, If more space is required) City of Fort Collins PO Box 580 Fort Collins, CO 80522-0580 CITOFRT 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 Itrir, Wew'ma.r. ACORD 25 (2010/05) Holder 01988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD