HomeMy WebLinkAbout286869 ABS ASSOCIATED BUILDING SPECIALISTS INC - INSURANCE CERTIFICATEA�ORo® CERTIFICATE OF LIABILITY INSURANCE 5/1/202o
DATE(MM/DD NYYY
9 )
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 Lockton Companies
444 W. 47th Street, Suite 900
Kansas City MO 64112-1906
(816) 960-9000
CONTACT
NAME:
HONE FAX
A/C, No, Ext : A/C, No):
E-MAIL
ADDRESS:
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURER A: Ohio Security Insurance Company
24082
INSURED ASSOCIATED BUILDING SPECIALTIES, INC.
1352712 3764 IMPERIAL STREET
FREDERICK CO 80516
INSURER B : American Fire and Casual Company
24066
INSURER C : West American Insurance Company
44393
INSURER D: The Ohio Casualty Insurance Company
24074
INSURER E :
INSURER F :
COVERAGES* CERTIFICATE NUMBER: 14095308 REVISION NUMBER: XXXXXXX
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
TYPE OF INSURANCE
ADDL
INSD
SUBR
yWD
POLICY NUMBER
POLICY EFF
MM/DDIYYYY
POLICY EXP
MMIDD/YYYY
LIMITS
B
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
Y
N
BKA2056071740
5/1/,2019
5/1/2020
EACH OCCURRENCE
1,000,000
PREMISES (ETO a RENTED
)
$ 300,000
MED EXP (Any oneperson)1
O OOO
PERSONAL & ADV INJURY
$ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY JECTPRO- LOC
OTHER:
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMP/OP AGG
$ 2 000 000
$
A
AUTOMOBILE
LIABILITY
ANY AUTO
AUTOSONLY SCHEDULED
AUTOS
AUTOS ONLY X ED AUUTOS ONLY
Y
N
BAS2057983294
5/1/2019
5!1/2020
COMBINED LIMIT
$ 1,000,000
X
BODILY INJURY (Per person)
$ XXXXXXX
BODILY INJURY (Per accident
$ XXXXXXX
X
(Per a c deWNED nt DAMAGE
$ XXXXXXX
$XXXXXXX
D
X'
UM13RELLALIAB
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
N
N
US02056071740
5/1/2019
5/1/2020
EACH OCCURRENCE
$ 5000000
AGGREGATE
$ 51000,000
DED RETENTION $
$ XXXXXXX
D
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETORIPARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?NI
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS beluw
NIA
N
XW02056071740
5/1/2019
5/1/2020
X STATUTE OT
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE -EA EMPLOYEE
1,000,000
E.L. DISEASE -POLICY LIMIT
1,000,000
C
INSTALLATION/STORED
MATERIALS
N
N
BMW2058614595
5/1/2019
5/1/2020
$475,000LIMIT
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
CITY OF FORT COLLINS IS ADDITIONAL INSURED ON GENERAL, AND AUTO COVERAGE, IF REQUIRED BY WRITTEN CONTRACT AND
SUBJECT TO THE TERMS AND CONDITIONS OF THE POLICY.
CERTIFICATE HOLDER CANCELLATION
14095308
CITY OF FORT COLLINS
PO BOX 580
FORT COLLINS CO 80524
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
ACORn 25 (2n1A/n31
Cc)10R_2015 ACf)Rn CnRPnRATION_ All riahtc resarvad
The ACORD name and logo are registered marks of ACORD