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Home My WebLink AboutINSURANCE INFORMATION - 08-00062 - Simplex/Grinnell LP - Fire Safety Certification'.RTIFICATE OF INSURANCE CERTIFICATE NUMBER 351449 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE Marsh, Inc. POLICIES DESCRIBED HEREIN. 1166 Avenue of the Americas New York, NY 10036 COMPANIES AFFORDING COVERAGE Telephone (212) 345-5000 COMPANY A: At South Insurance Co. COMPANY B: American Home Assurance Co. INSURED COMPANY C: Commerce & Industry Ins Cc COMPANY D: Illinois National Insurance Co. SimplexGrinnell, LP 1272 W 2240 SOUTH SALT LAKE CITY, UT 64119 COMPANY E: Insurance Company of the State of PA COMPANY F: New Hampshire Ins. Co. COMPANY G: New York Marine & General Insurance Co. (Lead) United States COMPANY H: White Mountain Insurance Co. COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUIRMENTS, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES LISTED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR I DATE (MM/DD/YY) DATE (MM/DDM') B GENERAL LIABILITY GL 1595415 6/29/2007 10/1/2006 GENERAL AGGREGATE $15,000,000.00 X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMPIOP AGG $15,000,000,00 CLAIMS MADE OCCUR " PERSONAL &ADV INJURY $7,500,000.00 OWNER'S& CONTRACTOR'S PROT EACH OCCURRENCE $7,500,000.00 FIRE DAMAGE (Anyone fire) $1,000,000.00 MED EXP (Any one person) $10,000.00 B AUTOMOBILE LIABILITY CA 1606993 (VA) 6/29/2007 10/1/2006 COMBINED SINGLE LIMIT $7,500,000.00 B X ANY AUTO CA 1606992 (MA) 6/29/2007 10/1/2008 B ALLOWED AUTOS CA 1606994 (AOS) 6/29/2007 10/1/2008 BODILY INJURY (Per parson) SCHEDULEDAUTOS BODILY INJURY (Per accident) X HIRED AUTOS NON-OWNED AUTOS X PROPERTY DAMAGE PROPERTY EXCESS LIABILITY EACH OCCURRENCE UMBRELLA FORM AGGREGATE OTHER THAN UMBRELLA FORM B WORKERS COMPENSATION AND SEE PAGE TWO SEE PAGE TWO SEE PAGE TWO X ERMISTATUTORY OTHER D EMPLOYERS' LIABILITY EL EACH ACCIDENT $2,000,000.00 0 A THEPARPROPRIETOR/ THE PROPRIETOR/ INCL CUTIVE EL DISEASE-POLICY LIMIT $2,000,000,00 EL DISEASE-EACH EMPLOYEE $2,000,000.00 F OFFICERS ARE: EXCL OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESISPECIAL ITEMS Please see page 2 for additional insureds and any additional language. CERTIFICATE HOLDER CANCELLATION ' City OF Rexburg 19 E Main St. Rexburg, ID 83440 SHOULD ANY OF THE POUICIES DESCRIBED HEREIN BE DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN OTICE TOCELLED BEFORE THE THE CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF MY KIND UPON HE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES. OR HE ISSUER OF HIS CERTIFICATE. MARSH INC.USA BY: SA01eary,NC. Katherine Ceeeelly Program ey71Q �PO4� MM1(3/02) VALID AS OF: 6/30/2007 DITIONAL INFORMATION CERTIFICATE NUMBER 351449 PRODUCER Marsh, Inc. 1166 Avenue of the Americas New York, NY 10036 Telephone (212) 345-5000 INSURED SimplexGrinnell, LP 1272 W 2240 SOUTH SALT LAKE CITY, UT 84119 United States WORKERS COMPENSATION POLICIES ILIABILITY PROGRAM Project: Fire Protection Installation, Maintenance, Testing, Inspection, Etc. If there is a question regarding this certificate please contact Jean Court (Email: jcourt@tycoint.com Phone: 801-262-9406) City of Rexburg 19 E Main St. Rexburg, ID 83440 Carrier Policy Number Eff. Date Exp. Date State (B) American Home Assurance Co. WC 1616576 6/29/2007 6/29/2008 CA (B) American Home Assurance Co. WC 1616584 6/29/2007 6/29/2008 AOS (D) Illinois National Insurance Co. WC 1616577 6/29/2007 6/29/2008 MI (C) Commerce 5 Industry Ins Co WC 1616582 6/29/2007 6/29/2008 FL (B) American Home Assurance Co. WC 1616581 6/29/2007 6/29/2008 NJ (A) AI South Insurance Co. WC 1616578 6/29/2007 6/29/2008 GA (B) American Home Assurance Co. WC 1616579 6/29/2007 6/29/2008 PA (F) New Hampshire Ins. Co. WC 1616580 6/29/2007 6/29/2008 NY,WI (B) American Home Assurance Co. WC 1616585 6/29/2007 6/29/2008 OR (E) Insurance Company of the State of PA WC 1616583 6/29/2007 6/29/2008 AR,MA,VA ILIABILITY PROGRAM Project: Fire Protection Installation, Maintenance, Testing, Inspection, Etc. If there is a question regarding this certificate please contact Jean Court (Email: jcourt@tycoint.com Phone: 801-262-9406) City of Rexburg 19 E Main St. Rexburg, ID 83440