HomeMy WebLinkAbout20002573 MARSH USA INC. .LCERTIFICATE OF INSURANCE CERTEn ATE MTh ,ER
NYC-0(534940r, -61_
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONCE ANT`CONFERS
Marsh USA Inc. NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
Attention Rosalie I3ellucoa POLIO`.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE IC JERAGE
TEL 212 345 5255, FAX. 212 345 5591 AFFORDED BY THE POLICE S DESCRIBED HEREIN.
1166 Avenue of the Amiercas,42nd floor _ --- ----
New York, NY 10036-2774 COMPANIES AFFORDING COVERAGE
COME ANY
10600-TCI R-REN=W-99-00 A OLD REPUHLIC INSURANCE COMPANY
INSURED COMI ANY
Tele-Vue Systems. Inc B NATIONAL I INION FIRE INS CO.
4700 S. Syracuse Street. Suite '100
Denver. CO 80237 COMI ANY
C N/A
COME ANY
D AMERICAN PROTECTION INS CO
COVERAGES
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY FIEF IUD NI,ICATEE,
NOTWITHSTANDING ANY REOUIREMEN TERM OR CONI)I1ION OF ANY CONTRACT OR OTHER DOC UMENT WITH RESPI CT TO WHICH THE CERI IFICATE MAY BE ISSUEE OR MAY
PERTAIN TIIF INSURANCE AFFORDED HY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.CONDITIONS AND EXCLUSIONS OF SUCH POLICIES I IM TS SHOWN
MAY HAVE BEEN REDUCED BY PAD CLAIMS
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION GMI ES
LTR DATE IMMIDD/YY) DATE IMMIDD/YY)
A GENERAL LIABILITY MW7_Y 54957 10/15/99 110/15/02
GENERAL AGGRE.GATE J
K COMMERCIAL GENERAL LIABILII, PRODUCTS COMPIOPAGG $ 2,501 000
' CLAIMS MADE X ()CCUI: PERSONAL B ADO INJURY $ 2.501 000
OWN,RS 1.CONTRACTORS PRO EACH OCCURRENCE $ 2.501 000
FIRE DAMAGE(Any one Ire:' $
MED EXP'Any ore person)__$
A-'-.AUTOMOBILE LIABILITY IMWTB 17862 10/15/99 10/15/02
COMBINED SING F LIMIT $ 2,51, 000
K ANY AUTO
ALL OWNE G AUTOS BODILY INJURY
(Per posonl
I SCHEDULED MD OS
HIRE❑AUTOS BODILY INJURY
(Per a:Ed nr
NON'IWNI'.D AU If G
PROPERTY DAMAGE $
GARAGE HABILTY AUTO ONLY EA ACCIDENT $
ANY/ O 01 HER THAN AUTO ONLY
FACE ACCIDENT $
AGGREGATE $
B - EXCESS LIABILITY BE 357 8851 110/15/99 10/15/01 EACH OCCURRENCE $ 1,00i .000
X UMHUFI I A FORM AGGREGATE $ 1,0CI 000
OTHER THAN UMBRELLA FORM
D wORRERS COMPENSATION AND 5BR 002 926-00 '10/15/00 10/15/01 X I ToaY L Mies DF,I _
EMPLOYERS'LLABILITY
D 5BR 002 927-00 AZ, LA 10/15/00 10/15/01 El EACH ACCIDENT $ 2,51 .000
D THE PROPRIETOR' INCI 5BR 002 928-00 A/O 10/15/00 110/15/01 EL DISEASE-POLICY LIMIT $ 5.01 .000
PARTNERS/EXEC I:I IVE I
OFFICERS ARE. X E XCI EL DISEASE-EACH EMPI OYEF S 2.51 .000
BOTHER
DESCRIPTION Of OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS(LIMITS MAY BE SUBJECTIl TO DEDUCTIBLES OR RETENTIONS)
Term of Contract:8/16/00-8/15/2012 The Certificate Holder is added as an Additional Insured as required by written contract or lease agreemer 1.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE POLICIES o'SCRIBFD HEREIN BE CANA ELLUD BE.OM nn XPIRr-I 'N DA IF ' RFI`'
THE INSU!ER AFFORDING DOVE,AGE NI I ENDEAVOR TN MA I _IC OS rt. Mil -I N NOrCE " `1F
Weld County DERIDED<rE HOI DER NAMED HE.EEIN,ALIT FAILURE 10 MAIL TUC.T ND'rlr-,E ;H Al I IMPC a .o UHLI.,. Fr,zE
Board of County Commissioners
Attention County Clerk LIABILITY''F ANY RIND UPON THIN HSUPEH AFFORDING COVERAGE "TB AOFN''S OR REAR 31 NI Al De
915 10th Street
Greeley,CO 80632 MARSH USA INC.
BY: Lisa Trimble �& -,-- W - I(e
''MM1(9/99) VALJD AS OF: 10/12/00
(ELIJS!-/7f ;23 C ) 2000-2573
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