HomeMy WebLinkAbout364100 L N CURTIS & SONS - INSURANCE CERTIFICATEACORO® CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
A-,
0329/2019
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
CONTACT
NAME___
MARSH RISK & INSURANCE SERVICES
PHONE FAX
345 CALIFORNIA STREET, SUITE 1300
_Extl: IA/C, Nol:
E-MAIL
CALIFORNIA LICENSE NO.0437153
SAN FRANCISCO, CA 94104
ADDRESS:
Attn: sanfrancisco.certs@marsh.com, Fax: 212-948-0398
INSURERS AFFORDING COVERAGE
NAIC #
__
INSURER A: Federal Insurance Company
20281
CN 101 797553-STND-GAWU-1 9-20
INSURED
L. N. Curtis & Sons, Inc.
INSURER B : Great Northern Insurance Company
20303
Attn: John Viboch, CFO
INSURER C :
INSURER D
1800 Peralta Street
Oakland, CA 94607-1603
INSURER E
INSURER F
COVERAGES CERTIFICATE NUMBER: SEA-003569466-02 REVISION NUMBER: 1
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
SUER
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MM/DD/YYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
36023726
04/01/2019
04/01/2020
EACH OCCURRENCE
$ 1,000,000
CLAIMS -MADE J OCCUR
LXnce)
DAMAGE TO
PREMISES (Ea occur e
$ 1,000,000
MED EXP (Any one person)
$ 10,000
PERSONAL & ADV INJURY
$ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2,000,000
X POLICY ECT LOC
PRODUCTS - COMP/OP AGG
$ 2,000,000
PER PROJECT AGG
$ 5,000,000
OTHER
B
AUTOMOBILE LIABILITY
73583643
04/01/2019
04/01/2020
COMBINED SINGLE LIMIT
a
Ea ccident
$ 1,000,000
BODILY INJURY (Per person)
$
X ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
X HIRED X NON -OWNED
AUTOS ONLY AUTOS ONLY
COMP/COLL DEDS:
$ 1,000
UMBRELLA LIAB
_
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
DIED I I RETENTION $
$
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANYPROPRIETOR/PARTNERlEXECUTIVE
OFFICER/MEMBER EXCLUDED? ❑N
(Mandatory in NH)
NIA
71737666
04/01/2020
X PER OTH -
STATUTE ER
E.L. EACH ACCIDENT
$ 1,000,000
--
E.L. DISEASE -EA EMPLOYEE
$ 1,000,000
If yes. describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Re. Request for Proposal No 8757, sale of ballistic vests and rifle plates.
The City, its officers, agents and employees are included as additional insureds (except workers' compensation) where required by written contract.
t,tK I IrIL.A I t tlULUtK
City of Fort Collins
P.O. Box 580
Fort Collins, CO 80522-0580
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
of Marsh Risk & Insurance Services
Kirsten Thomson
@ 1988-2016 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD