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HomeMy WebLinkAboutBABCOCK LABORATORIES INC - INSURANCE CERTIFICATEOM�VL.f10-V I JVV \ L ' �®� CERTIFICATE �� OF LIABILITY INSURANCE DAsi26/zozo 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 WANED, 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 iii lieu of such endorsements . PRODUCER License # 0757776 MCA041ACTLynn Slone HUB International Insurance Services Inc. PO Box 5345 Riverside, CA 92517 PHONE N No, : 951) 779-8511 A/F No :(951 231-2572 Mq� P%D k s. eal.epu@hubinternational.eom INSURERS AFFORDING COVERAGE NAIC # INSURERA:Valley Forge Insurance Company 20508 INSURED INSURERS: Continental Casualty Company 20443 INSURERC:State Compensation Insurance Fund of Califomia 35076 Babcock Laboratories, Inc. Edward S. Babcock & Sons, Inc. P.O. BOX 432 INSURER D : INSURER E : Riverside, CA 92502 INSURER F.: rnveonr_ee rCDTICir ATF idilma b• RFVISIAN NUMRFR- 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 OTHERDOCUMENT 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 LTRA TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY-EFF POIJCYEXP LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR X 6071825747 5/28/2020 5/28/2021 EACH OCCURRENCE 1,000,000 DAMAGE TO RENTED c,, 1 $ 100,000 MEDEXP (Any oneperson) 15,000 PERSONAL B ADV INJURY $ 1,000,000 GENL AGGREGATE LIMIT APPLIES PER X POLICY 0 jp(?T LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS-COMP/OP AGG $ 2,000,000 B AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOSONLY ❑ AUT SSyy X AUTOS ONLY HX A101T05 ONLDY J( 6071825750 5/28/2020 5/28/2021 COMBINEIEn ED SINGLE LIMB $ 1,000,000 BODILY INJURY Perperson) $ BODILY INJURY Per accident $ a dent AGE PeER $ Is UMBRELLA UAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ - C WORKERS COMPENSATION AND EMPLOYERS' I IGRRfTY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N (Mendat In NH) EXCLUDED9 If yes, descnbe under DESCRIPTION OPOPERATIONS below N / A 9265963-2020 1/2/2020 1/2/2021 E.L. EACH ACCIDENT 1,000,000 $ E.L DISEASE -EA EMPLOYE $ 1,000,000 E.L. DISEASE -POLICY LIMIT 1,000,000 - DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (ACORD 1 D1, Additional City of Fort Collins, its officers, agents and employees are Additional attached endorsement. form CNA75079XX 10116. Additional Insured endorsement form SCA235001) 10/11.30 day Cancellation notice CNA74702X0(01/15'and CNA72315XX 02113. Remarks Schedule, may be attached if mores ace is required) Insured with regard to General Liability when required by written contract per the with regard to Auto Liability when required by written contract per the attached applies with regard to the General Liability and Auto Liability per attached endorsements n�nrm,rw� U^r n=M I rekirCl I ATInki SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Of Fort CollinsTHE tY EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION, All rights reserved. The ACORD name and logo are registered marks of ACORD