The URL can be used to link to this page

Home My WebLink About677133 BRASCO INTERNATIONAL INC - INSURANCE CERTIFICATEA� Y CERTIFICATE OF LIABILITY INSURANCE °A'j`MM°°"""' 3/ 16/20200 THIS CERTIFICATEIS ISSUED ASA 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 MSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is in ADDITIONAL INSURED, the policy(ies) must 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 endo_rsement(s). �PROeUCER HTC Insurance Group - - -Troy Office 1175 W. Long Lake Ste. 200 Troy - MI 48098-4960 CONTACMichelle Komerska NAME: __.. _._ . PHONE. (248)828-3377 JAX :. (24eI e-2e-3741 E- oliess: mkomerska@vtcina. com INSURER(S) AFFORDING :COVERAGE_ _ NAIC C. INSURERA::State. Auto Insurance.Co- pan - INSURED Hrasco International, Inc. 32400 Industrial Dr Madison Heights MI 48071 INSURERB:State .Auto Prop 6 Cas Ins. Co 25127 INSURERC;Manufacturing Tech Mutual Ins. AL314AN INS URERD: INSURER E : INSURER F: COVERAGES CERTIFICATE NUMBER:2020-2021 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THEINSURED 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, EXCLUSIONSAND CONDITIONS OFSUCHPOLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD I POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MWDD LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE. $ 1,000,000 A CLAIMS -MADE OCCUR PREMISES Ea occurrence DAMAGE TO RENTED $ 100,000 MED EXP(Arry. one person) $ 10,000 X Y PEP2188878 3/16/2020 3/16/2021 PERSONAL BADV INJURY $ 1y000, 000 GENLAGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 27000, 000 %t POLICY PRO- JECT 7 LOC PRO PRODUCTS $ 2,000,000 $ OTHER:...... AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT . Ea accident $ 1,000,000 BODILY INJURY (Per person) $ B I ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS g 2455360 - 3/16/2020 3/16/2021 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOS AUTOS Uninsured motorist BI-single lime $ i , 000 , 000 X. UMBRELLA LIAB OCCUR .EACH OCCURRENCE $ 4,000,000 AGGREGATE $ A EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ PBP2788878 3/16/2020 3/16/2021 WORKERS COMPENSATION AND EMPLOYERS LIABILITY YLN. js PER OTH- STATUTE ER C ANVCERIMEMBR/PARTNER/F�(ECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA 2020-301800 3/16/2020 3/16/2021 E.L. EACH ACCIDENT $ 5,000,000 E.L. DISEASE - EA EMPLOYEE $ 5, 000,000 If yes. describe under DESCRIPTION OF OPERATIONS belm E.L.DISEASE- POLICY LIMIT $ 5 000 000 __.. __ _ ._.. _ _ .., _ _ __ _ ___ _ __ _ ___.6kS_/W—___ (ACORD DESCRIPTION OF OPERATIONS I LOCATION$! VEHICLE$ (ACORD 101, Atltldional Remarks Schedule, may he attached if more space is required) Where required by written contract, City of Fort Collins is additional insured on the General Liability policy - on a primary/non contributory basis, including waiver of subrogation - and also additional insured on Automobile Liability - with respects to operations performed by the named insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO Box 580 ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE Ian Chandler/V412 //.lstsvj� e4il,._- ACORD 25 (2014/01) INS025 (201401) 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD