Loading...
HomeMy WebLinkAboutM-L HOLDINGS COMPANY INC POWER EQUIPMENT COMPANY - INSURANCE CERTIFICATEA�o!2o® CERTIFICATE OF LIABILITY INSURANCE FDATE (MMIDD/YYYY) 2/28/2o1s 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((es) 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). P PRODUCER CONTACT NAME: Cynthia Bade USI Insurance Services P.O. Box 7050 PHONE FAX C No 800-873-8500 AIC No:303-831-5295 ADDRIESS: Den. certificate usi.com Englewood CO 80155 INSURERS AFFORDING COVERAGE NAIC # INSURERA: Zurich American Insurance Company 16535 INSURED MLHOL INSURERB: St Paul Fire and Marine Insurance Co 24767 M-L Holdings Company, Inc. Power Equipment Company INSURERC: INSURER D : 500 E. 62nd Ave. Denver CO 80216 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 1455624718 REVISION NUMBER: 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 TR TYPE OF INSURANCE ADDL'�S V POLICY NUMBER MM/DDOLICY EFF POLICY MM/DD EXP LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y GLO980922405 3/1/2019 3/1/2020 EACH OCCURRENCE $1,000,000 CLAIMS -MADE � OCCUR DAMAGETO REN E PREMISES Ea occurrence $ 300,000 MED EXP (Anyone person) $ 10,000 PERSONAL 8 ADV INJURY _ $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PRO JECT LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: A AUTOMOBILE LIABILITY Y Y SAP980922505 3/1/2019 3/1/2020 COMBINED SINGLE LIMIT Es accident _ $ 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTYDAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY B X UMBRELLA LIAB OCCUR Y Y ZUP14R3342319NF 3/1/2019 3/1/2020 EACH OCCURRENCE $25,000,000 HCLAIMS-MADE AGGREGATE $ 25,000,000 EXCESS LIAR DED I X I RETENTION $ 1 n nnn $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANYPROPRIETOR/PARTNERIEXECUTIVE Y - WC980922305 3/1/2019 3/1/2020 X SPER TATUTE ORH E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBEREXCLUDED? ❑ NIA', E.L. DISEASE - EA EMPLOYEE $1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) The Umbrella/Excess Liability policy provides excess coverage over the General Liability, Automobile Liability and Employers Liability. The Workers Compensation policy contains an All States Endorsement. Subject to policy terms, conditions, limitations and exclusions: The Certificate Holder is included as additional insured per written contract or agreement on the General Liability, Automobile Liability and Excess Liability. A waiver of subrogation applies to the Certificate Holder under the General Liability, Automobile Liability, Excess Liability and Workers Compensation per written contract or agreement. With respects to General Liability, Automobile Liability and Umbrella/Excess Liability, if you have agreed, in a written contract or written agreement, that a person or organization be added as an additional insured, and that the insurance shall be primary and non-contributory with the additional insured's own See Attached... CERTIFICATE HOLDER CANCELLATION The City of Fort Collins P.O. Box 580 Attn: Doug Clapp 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. REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD