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HomeMy WebLinkAboutMORTON BUILDINGS INC - INSURANCE CERTIFICATE (4)A O® CERTIFICATE OF LIABILITY INSURANCE DATE09MM/D01) 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 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 Aon Risk Services Central, Inc. Chicago IL Office CONTACT NAME: ((AA/CNNo. Ext): (866) 283-7122 (A/C. No.): (800) 363-0105 E-MAIL ADDRESS: 200 East Randolph Chicago IL 60601 USA INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: Zurich American Ins Co 16535 Morton Buildings. Inc. INSURERB: American Zurich Ins CO 40142 252 West Adams Street Morton IL 61550 USA INSURERC: Great American Insurance Company of NY 22136 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570059355902 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. Limits shown are as requested INSR TR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD MM/DD/YYYY POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY GLO 1 1 1 EACH OCCURRENCE $2 , 000 , 000 CLAIMS OCCUR DAMAGE TO PEN $1,000,000 -MADE ❑X PREMISES Ea occurrence MED EXP (Any one person) $ 50 , 000 PERSONAL &ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2 , 000 , 000 X POLICY ❑ PRO LOC JECT PRODUCTS - COMP/OPAGG Excluded OTHER: A AUTOMOBILE LIABILITY BAP 9376314 12 10/01/2015 10/01/2016 COMBINED SINGLE LIMIT Ea accident $2 , 000 , 000 BODILY INJURY ( Per person) ANY AUTO BODILY INJURY (Per accident) ALL OWNED SCHEDULED AUTOS AUTOS IXX PROPERTY DAMAGE HIRED AUTOS X NON -OWNED Per accident AUTOS UMB4223218 10/01/2015 10/01/2016 $2 000, 000 C X UMBRELLA LIAB X OCCUR EACH OCCURRENCE , Umbrella Liability AGGREGATE $2,000,000 EXCESS LIAB CLAIMS -MADE SIR applies per policy terns & conditions DEC I X RETENTION B WORKERS COMPENSATION AND Wc937631112 10/01/2015 10/01/2016 H X STATUTE CR EMPLOYERS' LIABILITY Y 1 N CS E.L. EACH ACCIDENT $1,000,000 '4 ANY PROPRIETOR / PARTNER / EXECUTIVE N/A W C937631212 10/O1/2015 10/Ol/2016 OFFICER/MEMBEREXCLUDED? (Mandatory in NH) Retro-WI, MA, EXCI OH E.L. DISEASE -EA EMPLOYEE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below D E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Contractors License. CERTIFICATE HOLDER 9 d� SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE _ POLICY PROVISIONS. City Of Fort Collins AUTHORIZED REPRESENTATIVE P.O. Box 580 Fort Collins, CO 80522-0580 USA J j' ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD CANCELLATION