HomeMy WebLinkAboutINSURANCE CERTIFICATE - 08-00010 - 3-D Fire Protection Inc - Fire Safety Certification_acoRo CERTIFICATE
The Hartwell Corporation
PO Box 51019
ITho Falls ID 83405-1019
ne.209-522-5656 Fax:208-524-5721
B
C
3-D Eire Protection Inc
1*0 IdahoxFalls 5ID 83405-0845
THE POLICIPS DP I... is nu
3 D FIRE PROTECTION
LIABILITY INSURANG
INSURERS AFFORDING COVERAGE
INSURER A: Advanta E, Work
INSURER B TravcT ere r...i__
PAGE 05/06
OPID JJ DATE(MM/DDNMI
3aFIR-1 10 02 07
MATTER OF INFORMATION
PON THE CERTIFICATE
NOT AM END, EXTEND OR
BY THE POLICIES BELOW.
NAIC p
OM
1ty 39357
as of AID 7S Al
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT wlTid RESPECTABOVE OTOTHE
O IICYTHICERD CATS MAY EBT SUED
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. SUBJECTS
INDICATED.
NOTWITHSTANDING
POLICIES. nOGREGATE OR
MAY PERTAIN, TNG INSURANCE AFFORDED BY THE POLICIES DESCRIBEO HEREIN IS ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
R NSR TYDE DF NSURANCE POLICYNUMSPR
COMMERCIAL GENERAL LIABILITY C0539C21ATIA07
] CLAIMS MAOF, I X I OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER;
AUTOMOBILE LIABILITY
X ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTO$
GARAGE LIABILITY
I ANY AUTO
EXCES9/UMBRGLLA LIABILITY
-11
OCCUR �._I CLAIMS MADE
DEDUCTIBLE
n4ICNTION S
WORKERS COMPENSATION AND
AEMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTtVE
OFMCERMEMBER EXCLUDED?
,ORD
.... ..... .amruullT LIMITS
EACH OCCURRENCE AS 000,000
10/01/07 10/01/08 PREMISES (EQ occurenu 8300,000
MED EXP (Any one Pareom ss 000 _
PERSONAL&ADVINJURY A1, 000,000
GENERALAGOORFOATEE 82,000,000
PRODUCTS•COMP/OP AOG $2,000,000
8105393C21ATIL07 10/01/07 10/01InNI
ldanl) SINGLE LIMB
INJURY
reen)
INJURY
dent)
RTY DAMAGE
ld"t)
NLY. EA ACCIDEN
THAN EA A(
NLY:
AC
F,ACH OCCURRENCC
2271484 ^ TORY LIMITB
10/01/07 10/01/09 EJ.. QFLCCIDENT
10 DAY WRITTEN NOT I E EE.LDIS•
SE•FEMP
L. BE POLICY
51,000,000
5
A
S
$300000
$500000
CITRE-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THEEXPIRATIO
PATE THEREOF, THE ISSUINO INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
City of Rexburg NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE To 0090 SHALL
PO BOX 280 IMPOSE NO OBLIGATION OR LIABILITY OF ANY HIND UPON THE INSURER. ITS AGENTS DR
Roxburg ID 83440 ----
-.. . ---- cV.14J0001 3 D FIRE PROTECTION PAGE 06/06
l
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed, A statement
on this certificate does not confer rights to the certlfioate holder in lieu of such endorsement(s).
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).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does It
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
Acoao 25 (xttMOR)