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HomeMy WebLinkAboutAMI FIREPLACE COMPANY INC - INSURANCE CERTIFICATE (3)ACOROx CERTIFICATE OF LIABILITY INSURANCE 3i26/201DATE(M sD�) 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 endorsemen s . PRODUCER Cottingham & Butler Bradley J. Plummer 800 Main St. CONTACT PHONE 563-587-5000 FAIL 563-583 7339 — E-MAIL INSURE S AFFORDING COVERAGE NAIL Dubuque IA 52001 INSURER A: Hartford Fire Insurance Co 19682 INSURED BAYINDI INSURER B: National Fire & Marine Ins. Co AMI Fireplace Company Inc. PO Box 9229 INSURER C: Twin CftY Fire Insurance Co. 29459 Green Bay WI 54308 INSURER D: INSURER E : INSURER F : COVERAGES CFRTIFICATF NIIMRFR• 1793619455 RFVICIr1M NI IMRFR• 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR 83UENOB8025 /l/2015 /1/2016 EACH OCCURRENCE $1,000,000 DAMAGE TO R N PREMISES $300,000 MED EXP ona on $10 DDO PERSONAL& ADV INJURY $1,000,000 GENL AGGREGATE LIMIT APPLIES PER: POLICY [xl JEm LOC OTHER GENERAL AGGREGATE $2,000,ODO PRODUCTS - COMPIOP AGG $2AO0,000 Employee Benefits $$2MM/$1MM A AUTOMOBILELIABILnY X ANY AUTO AUTOS AUTEDULED NON -OWNED HIRED AUTOS AUTOS 83UENOBS026 11/2015 112016 Ea BINEnt $1,000,000 $ BODILY INJURY (Per person) BODILY INJURY (Per accident) $ MA Per accident $ $$25,000/$25,000 Comp/Coll Deductible B X UMBRELLA LIAR EXCESSLUIB X OCCUR CLAWS -LADE 42-UMO-301172-01 1/2015 1/2016 EACH OCCURRENCE $25,000,000 _ $25.000,000 $ AGGREGATE DIED I X RETENTION 1O C WORMERS COMPENSATION AND EMPLOYERSUABILTTY YIN MYPROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? ON (Mandatory in NH) Ii Yes, desMbe under DESCRIPTION OF OPERATIONS below NIA 83WEOB8052 1/2015 /2D18 X PER STATUTEER - $1,000,000 E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $1,000,000 -- $1,000,000 "— E.L. DISEASE - POLICY LIMIT 1 A Property 83UUNAJ7334 4/1/2015 �,4/1/2016 Blanket Building/BPP 128.978.000 Deductible 25,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be anachad if mom space is required) City of Fort Collins P.O. Box 580 Fort Collins CO 80522 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 ACORD 25 (2014101) ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD