HomeMy WebLinkAbout102630 AYRES ASSOCIATES INC - INSURANCE CERTIFICATE (6)DATE (MMDD!YYYY)
ACORL7® CERTIFICATE OF LIABILITY INSURANCE
12/18/2018
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 have ADDITIONAL INSURED provisions or 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 CONT
NAME:-_ Sharon BanneCh
Arthur J. Gallagher Risk Management Services, Inc. PitoNE -- - — _- --- FAX `- - --' - — --"
245 South Executive Drive, Suite 200 - 262-792-2214 A/ No): 262-792-1712
Brookfield WI 53005 E-MAIL _ADDI�ESS;_Sharon_Bannach@ajg.com
INSURED
AYRES ASSOCIATES INC
3433 Oakwood Hills Parkway
Eau Claire, WI 54702-1509
INSURERIS) AFFORDING COVERAGE
INSURER A: Travelers Property Casualty Co of America
AYREASS-02 INSURER B : The Travelers Indemnity Comoanv of CT
INSURER E :
COVFRAGFS CFRTIFICATF NIIMRFR-11)571AlA05 RFVISInN NIIMRFR-
25682
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 - - -. - - - -- 'ADDLSUBR; - - -- POLICY EFF POLICY EXP- - --- - - -
LTR : TYPE OF INSURANCE!WVD POLICY NUMBER MMIDDIYYYY MMDD%YYYY LIMITS
A
X COMMERCIAL GENERAL LIABILITY
r--- '
CLAIMS -MADE '� OCCUR
Y
P6302183P260TIA19
1/1/2019
1/1/2020
CH OCCURRENCE
NAGE'r5'A9IW0-'-----
' �PRJIM__—
5_jE4 gc;gpra a)
$1,000,000
-----_.__.._
$ 300,000
MED EXP (Any onepereon)
$10, 000
PERSONAL 8 ADV INJURY
$1,000 000 —
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2,000,000
X I POLICY 1 • -) JEC U LOC
PRODUCTS_ COMP/OP AGG_
-
$ 2,000,000
$
OTHER:
A
AUTOMOBILE LIABILITY
Y
81021-352245
1/1/2019
1/1/2020
COMBINEDSINGLE LIMIT
$1,000,000
BODILY INJURY (Per person)
$
X ANY AUTO
OWNED SCHEDULED
BODILY INJURY
—
AUTOS ONLY AUTOS
(Per accident)
$
HIRED
X AUTOS ONLY x AUTOS ONLDV
_
jar �4 yens MAGE— _—
$ — —
$
A
x ' UMBRELLA LIAB X OCCUR
CUP9J784097
1/1=19
1/1/2020 EACH OCCURRENCE
$6,000,000
EXCESS LIAB CLAIMS -MADE
C
AGGREGATE
$ 8,000,000
DED X RETENTION $
Products/Com I Ops
$ 8,000,000
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANYPROPRIETORPARTNER''EXECUTIVE YIN
1OFFICER/MEMBER EXCLUDED?
In NH)
N / A
UB9H9437751843E
1/1/2019 1/1/2020 X�STATUTE R I ERH
--
E.L. EACH ACCIDENT
E.L.E.L DISEASE EA EMPLOYEE,
A EMPLOYEE, EE,
--
$ 1,000,000
—' --- `"
$1 000,000
if yes.
y
(DESCRIPTION OF OPERATIONS below
-...—
E.L. DISEASE -POLICY LIMIT
$ 1 0 - -- 0
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more apace is required)
The City of Fort Collins is included as Additional Insured for General Liability per form CGDO 37 0405 and Auto Liability per form CAT3 53 0310.
UtK I It-II;A I t MULUtli L;ANI;tLLA I IUN
The City of Fort Collins
Purchasing Department
PO Box 580
Fort 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
U
O 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
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