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HomeMy WebLinkAboutSHEET METAL PRODUCTS INC - INSURANCE CERTIFICATE (2)Client#: 1246901 SHEETMET23 ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/VYVY) 313112015 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 USIInsurance Service 1904 Warren Avenue Cheyenne WY 82001 CON NAME: Vale PHONE 3 AIC No Eatil: 635 4231 E-MAIL lerie.robatCh ADDRESS: vaY _ INSURED Sheet Metal Products, Inc PO Box 1112 Cheyenne, WY 82003 AFFORDING COVERAGE lity Insurance Co COVERAGES CERTIFICATE NUMBER: RFVISInN NIIMRFR- 635-4237 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 CONTRACTOR 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 TYPE OF INSURANCE ADDLSUBIR INSR WVD POLICY NUMBER POLICY EFF MMIDDNYYY) POLICY EXP (MM1DDNYYYj LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR CBP8631329 4/01/2015 04/01/2016 EACH OCCURRENCE 1 $000000 MCH�OE D PREMqISES a csTurrence $100 000 MED EXP (Any one person) $$ 000 PERSONAL S ADV INJURY GENERAL AGGREGATE GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-LOC PRODUCTS-COMP/OP AGG Rs2000,000 A AUTOMOBILE LIABILITY ANY AUTO AU OS SCHEDULED AUTOS AUTOS HIRED AUTOS �( NON -OWNED AUTOS BA8630529 4/01/2015 04/01/2016 EaaccidentSINGLELIMIT BODILY INJURY (Per person) BODILY INJURY Pereccident i ) )t PROPERTY DAMAGE Per accident $ $ A UMBRELLA LIAR EXCESS LIAR OCCUR CLAIMS -MADE CUB631929 01/2015 04/01/2016 EACH OCCURRENCE $2 000 000 AGGREGATE s2 000 OOO DED RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITYJMIjS ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? a (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below MIA CBP8631329 D4101/2015 04/01/201 we YTATLI oTH- E.L. EACH ACCIDENT $ E.L. DISEASE- EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT I s A Wyoming Stop Gap CBP8631329 L W011/20115 ON011201 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Certificate issued usual to contracting operations on current insurance policy of Sheet Metal Products, Inc. This Certificate is issued as respects to the business operations of the insured. City of Fort Collins PO BOX 580 Fort Collins, CO 80522-0000 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 (2010105) 1 Of 1 #S14771184IM14757963 \C 91988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CAJBP