Loading...
HomeMy WebLinkAbout406748 MCMS INC - INSURANCE CERTIFICATE (4)DATE (MM/DDIYYYY) 6/22/2015 rE HOLDER. THIS 3Y THE POLICIES (S), AUTHORIZED AIVED, subject to onfer rights to the (866)237-2178 NAIC # 10677 41190 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 OF INSURANCE ADDLTYPE INSg SUER POLICY NUMBER POLICY EFF MMI D/YYYY POLICY EXP MM IDDIYYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY I CLAIMS -MADE FX_1 OCCUR X Blkt Addl Insured EPP0146955 6/25/2015 6/25/2016 EACH OCCURRENCE $ 11000,000 DAMAGE TRENTED PREMISES PREMISES Ea occurrence $ MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 X Blkt Waiver Of Sub GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X1 POLICY PRO LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS X NON -OWNED HIRED AUTOS AUTOS EBA0146955 6/25/2015 6/25/2016 Ea aBINEDt SINGLE LIMIT 11000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X R POPERDA AMAGE MAGE Per accid $ A S UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE PP0146955 6/25/2015 6/25/2016 EACH OCCURRENCE $ 11000,000 AGGREGATE $ 1,000,000 DED X RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N I A 4089148 /1/2015 2/1/2016 X WCSTATU- OTH- E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE - POLICY LIMIT $ 500,000 A Inland Marine PP0146955 6/25/2015 6/25/2016 Leased& Rented Equipment $350,000 with $5,000 deductible DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION (970)221-6378 City of Fort Collins PO Box 580 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. AUTHORIZED REPRESENTATIVE Karole Peters/KAPETE ACORD 25 (2010/05) N S025 (201005).01 ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD