HomeMy WebLinkAbout20073168 ACORD. CERTIFICATE OF LIABILITY INSURANCE 09/30/2008 09/28/z O7)
PRODUCER LOCKTON COMPANIES,LLC-1 KANSAS CITY THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
444 W.47th Street,Suite 900 HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Kansas City Mo 64112-1906 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
(816)960-9000 INSURERS AFFORDING COVERAGE
INSURED US CABLE OF COASTAL-TEXAS L.P. INSURER A' HARTFORD CASUALTY INS. CO.
4333 dba US CABLE OF WEST TEXAS INSURER B
28 WEST GRAND AVENUE INSURER C: FIREMAN'S FUND
MONTVALE NJ 07645 INSURER 0 COMMERCE& INDUSTRY(AIG-ST.LOUIS)
THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE
COVERAGES USCAB03 ZH INSURER(S). AUTHORIZED REPRESENTATI EORPRODUCER AND THE CFRTFI THE ISSUING
CA EHOLDER.
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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR POLICY EFFECTIVE POLICY EXPIRATION:
LTR . TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE(MWDD/YY) LIMITS
GENERAL LIABILITY EACH OCCURRENCE S 1]000,000
A X COMMERCIAL GENERAL LIABILITY 37UUNAK0159 09/30/2007 09/30/2008 FIRE DAMAGE(Any one fire) I $ 300,000
CLAIMS MADE X OCCUR MED EXP(Any one person) I $ 10,000
PERSONAL 8ADV INJURY I $ 1,000,000
GENERAL AGGREGATE _ $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000
POLICY JECQT LOC
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT I $ 1,000,000
A X ANY AUTO 37UENAK0228 09/30/2007 09/30/2008 (Ea accident)
ALL OWNED AUTOS BODILY INJURY � S XXXXXXX
_ SCHEDULED AUTOS (Per person)
X HIRED AUTOS BODILY INJURY $ XXXXXXX
X I NON-OWNED AUTOS (Per accident)
— PROPERTY DAMAGE $ XXXXXXX
(Per accident)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ XXXXXXX
I ANY AUTO NOT APPLICABLE OTHER THAN EA ACC S XXXXXXX
AUTO ONLY: AGG $ XXXXXXX
EXCESS LIABILITY EACH OCCURRENCE $ 5,000,000
C iX OCCUR CLAIMS MADE SU099516825 09/30/2007 09/30/2008 AGGREGATE $ 5,000,000
I�UMBRELLA $ XXXXXXX
XXXXXXX
DEDUCTIBLE I I FORM $
__ RETENTION $ $ XXXXXXX
D WORKERS COMPENSATION AND WC342--60-78 09/30/2007 09/30/2008 X MC STATU- DTII-
EMPLOYERS'LIABILITY TORY LIMITS ER
E.l.EACH ACCIDENT $ 1,000,000
E .DISEASE-EA EMPLOYEE $ 1,000,000
E.L.DISEASE-POLICY LIMIT $ 1,000.000
A OTHER 37tRINAK0159 09/30/2007 09/30/2008 ALL RISK FORM.S 10,000 DED.
REAL&PERSONAL PROPERTY
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICATE HOLDER IS AN ADDITIONAL INSURED UNDER THE ABOVE CAPTIONED POLICY.
CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: CANCELLATION
1003184 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
WELD COUNTY DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
ATTN:BILL HAWKINS
P.O.BOX 758 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
GREELEY CO 80632 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
', AUTHORIZED REPRESENTATIVE
L 427/71A//v/x4-776/✓c il/iatl
ACORD 25-S(7/97) For questions regarding this certificate,contact the number listed in the'Producer ®A 0 CORPORA ION 1988
/h— ("it=(*? 2007-3168 �`-7
Hello