HomeMy WebLinkAboutCERTIFICATE OF LIABILITY INSURANCE - 08-00204 - Christensen Fire Extinguisher Co - Fire Safety CertificationBig Sky Underwrites 4/29/2008 2:29 PAGE 1/; Fax Server
ACORDTM CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDDNYYY)
PRODUCER 4/29/2008
Alpine Insurance Agency, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
P O BOX 1764 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Idaho Falls, 1D 83403 INSURERS AFFORDING COVERAGE
wsuRED NAIL #
Christensen Fire Extinguisher Co., K. Douglas Christensen INSURER Evanston Insurance Company
732 Falls Drive INSURER B:
Idaho F:IIs, ID 83401 L INSURER D:
COVERAGES NSURER E
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
L=
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,
NSR DDL
LTR NSRD TYPE OF INSURANCE POLICY NUMBER - POLICY EFFECTIVE. POLICY EXPIRATION- _
A GENERAL LIABILITY DATE MM/DD/YY DATE MM/DD/YY LIMITS
X CL250100387 3/25/2008 3/25/2009 EACH OCCURRENCE $ $1,000,001
COMMERCIAL GENERAL LIABILITY DAMAGET RENTED
CLAIMS MADE [n OCCUR PREMISES Ea oC'c'I ce $ $50,00(
GEN'L AGGREGATE LIMIT APPLIES PER.
POLICY n PRO-
JECT P LOC
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
- HIREDAUTOS
NON -OWNED AUTOS
GARAGE LIABILITY
IANY AUTO
EXCESS/UMBRELLA LIABILITY
OCCUR n CLAIMSMADE
DEDUCTIBLE
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
It yes, describe under
SPECIAL PROVISIONS below
OTHER
IDESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL
Evidence of Insurance
CERTIFICATE HOLDER
City of Rexburg
19 E Main
Rexburg, ID 83440
ACORD 25 (2001/08)
MED EXP (Any one person) $
PERSONAL & ADV INJURY$
GENERAL AGGREGATE::t$
PRODUCTS -COMP/OPAGG $
COMBINED SINGLE LIMIT
-- - (Ea accident) ---
$-
POerrperslo)
$
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
AUTO ONLY:
ASS
$
EACH OCCURRENCE
$
AGGREGATE
$
E . EACH ACCIDENT
$1,000,000
$1,000,000
$1,000,000
c,HnceLLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVORTO MAIL 10
DAYS WRITTEN
NOTICE TO THE CERTIFICA�����RRRTTE HOLDER NAMED TO THE LEFT,. BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGAT ------6666LIABILITY OF ANY KIND UPON�SURER, ITS AGENTS OR
REPRESENTATIVES
AUTHORIZED KE _ FNTn Tn .moi 7"Y
RPORATION 1988