HomeMy WebLinkAboutCERTIFICATE OF LIABILITY INSURANCE - 08-00059 - Nelson Fire Systems - Fire Saftety CertificationClient#: 1177
NFI RFIRI
` ACQRD, CERTIFICA. E OF LIABILITY
INSU." 'ANCE
MIDD YYYY)
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR
5/29/
osns/oe
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
UT -COMMERCIAL LINES
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
COBB STRECKER DUNPHY & ZIMMERMANN
5 TRIAD CENTER SUITE 340
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
SALT LAKE CITY, UT 84180
INSURERS AFFORDING COVERAGE NAIC #
INSURED
NELSON FIRE SYSTEMS
1481 SO MAJOR STREET
INSURERA: SCOTTSDALE INSURANCE CO.
INSURER B: EMPLOYERS MUTUAL CASUALTY COMP IkNY
INSURER C:
SALT LAKE CITY, UT 84115
NSURSUER D.
INRER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERMOR CONDITION OF ANY CONTRACTOR 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.
LTR
N R
TYPE OF INSURANCE
POLICY NUMBER
POLICYEFFECTIVE
DATE MM/DD
POLICY EXPIRATION
LIMITS
A
GENERAL LIABILITY
CLS1498747
06/01/06
06/01/09
EACH OCCURRENCE $1000000
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE 5XI OCCUR
DAMAGE TO RENTED ESO OOO
MED EXP (Any one person) $1,000
PERSONAL S ADV INJURY $1000000
X 1,000 BI/PD Ded.
GENERAL AGGREGATE $2 OOO OOO
GENIE AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG $2000000
PRO LOC
X1 POLICY JECT F-1
B
AUTOMOBILE
LIABILITY
ANY AUTO
3X4991209
06/01/08
06/01/09
COMBINED SINGLE LIMIT
(Ea accident) $1,000,000
SOINJURY E
(Perr person)
ALL OWNED AUTOS
SCHEDULED AUTOS
X
X
HIRED AUTOS
NON -OWNED AUTOS
BODILY INJURY
(Per accident) $
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT $
OTHER THAN EA ACC $
ANY AUTO
0
AUTO ONLY: AGG $
EXCESSIUMBRELLA LIABILITY
EACH OCCURRENCE $
AGGREGATE $
OCCUR F_] CLAIMS MADE
a
$
DEDUCTIBLE
$
RETENTION $
WORKERS COMPENSATION AND
_
_
—TTWC STATU- OTH-
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
E.L. EACH ACCIDENT $
E.L. DISEASE - EA EMPLOYEE E
OFFICERIMEMBER EXCLUDED?
yes, PRunder
SPECIAL PROVISIONS below
E.L. DISEASE -POLICY LIMIT $
OTHER
DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
RE: ALL OPERATIONS
CITY OF REXBURG
BUILDING DEPARTMENT
ATTN: JANELL HANSEN
19 EASET MAIN
REXBURG,ID 83440
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 'AD DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
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'"PORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. A statement
on this certificate does not confer rights to the certificate 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.
ACORD 25S (2007/08) 2 Of 2 #M299528