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HomeMy WebLinkAboutCERTIFACTE INSURANCE - 07-00025 - SimplexGrinnell LP - Fire Safety CertificationPRODUCER Marsh, Inc. 1166 Avenue of the Americas New York, NY 10036 Telephone {272} 345-5000 INSURED SimplexGrInneN, LP 1272 W 2240 SOUTH SALT LAKE CITY, UT 84119 United States �ERTf FlCATE EDF INSURANCE CERTIFICATE NUMBER 291553 THIS GERTlFfCATE 1S ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO 131611175 UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTAR THE COVERAGE AFFORDED BY THE POLICIES DESCRIBED HEREIN. COMPANIES FF R II COVERAGE COMPANY : Al South Insurance . COMPANY : American Home Assurance Go. COMPANY ; Illinois National Insurance COMPANY Incur n- e Company ofth t t of PA COMPANY E: National Union dire In urnCo. COMPANY F. New Hampshire Inst Go. COMPAT' : New Yorka ren n ral Insurance . (Lead) COMPANY l ---I : ! l %I I n u ray Compare '.ESE THIS IS TO CERTIFYTHAT HE POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED T THE f INSURED NAMED HEREIN FOR THE RNLI �'� PEF�1[� I I'�T�.�'ITHTA�'� DI �1 N1 R EQUIRMENT , TER M R NDITI N F ANY CONTRACT R TH E R [ROCU MEET WITH R E PE T T WHICH H THE CERTI FI ATS M `� � I AT A BE � I�ED OR ISE E AFFORDED R THE POLICIES LISTED HEREIN I SUBJECT T ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES, I� IE- SRA E �T.�I TH E PAI[ LAI�11 AGGREGATE LIMITS SHOWN MAY HAVE �EE�� REDUCED �'� CO I TYPE OF INSURANCE LTR I I GENERAL INABILITY COMMERCIAL GENERAL LIABILITY I CLAIMS MADE a occur OWNER'S &CONTRACTOR'S PRpT B AUTOMOBILE LIABILITY B X ' ANY A{JTC) B B ALLOWED AUTOS SCHEDULED AUTOS X HIRED AUTOS X NON -OWNED AUTOS PROPERTY EXCESS LIABILITY Ur.,ERELLA FORD OTHER THAN UMBRELLA FORM E I WORKERS OOMPENSATION AND EMPLOYERS' LIABILITY A THE PRCPR I ET R E PARTNERS/EXECUTIVE � I NCL F OFFICERS FSE HEXCL OTHER POLICY NUMBER 0 IL 5759120 RMCA 583848 {TX} RMCA 583647 (VA) RMCA 5836481 (MA) RMCA 5836482 (AOS) EE PAGE TWO DESCRIPTION F PERATI NS/LO TIC)N HI LE PE I L ITEIVI Please see page 2 for additional insureds and any additional language. CERTIFICATE HOLDER DE City f Rexburg 19 E Main St. Rexburg, I D 83440 POLICY EFFECTIVE I POLICY EXPIRATION LIMITS DATE (MM/U1)/YY) DATE (MM/DD/YY) 10/'1.2006 10/1/2007 GENERAL AGGREGATE 15,000,0 '0.00 PRODUCTS - COMP/0P AGO $15,000=0.00 PERSONAL & ADV INJURY $7,500,000.00 EACH OCCURRENCE $795001000.00 FIRE DAMAGE (Anyone fired 1 1000X0.00 0.00 MED EXP (Ani' one persons $107000.00 10/1/2006 10/1/2007 I EI IED! SINGLE LIMIT � ��. 10/1/2006 10/1/2007 10/1/2006 00 10/1/2006 1011 /2-007 �DIL`� IJCRY (Per por0�1) BODILY f JU Y (Ser accident) PROPERTY DAMAGE EACH OCCURRLNCE AGGREGATE SEEPAGETI SEE= PAGE T X I% ISTATU-0 HY OTH ER LI�MiI EL EACH ACCP DE NT $2,000,000.00 00.00 EL DISEASE -POLICY LI MIT $ZOOOtO00.00 EL DI EA E -EACH EMPLOYE[ 000 000}0() I CANCELLATION SHOULD ANY OF THE POLICIES DEB FUSED HEREN RE CANCELLED 6EFORE THE E PIRATIO,�1 DATE THEREOF. THE INSU HER AFFORIDINGi (DVERAC3E WILL ENDEAVOR TO MAIL 30 DAY S VVRITTEN NOTICE TO THE CERT IFICATE HO NAM50 HEREIN, BUT- FAILU9E TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION Ofi LIA21LITY OP ANY KIND LDER THE INSURER AFFORDING OVERA3E, ITS, AGENTS OR REP RE ENTATIVE , OR 7HE ISSUER O� THIS EHTIFICATE. MARSH USA INC- BY, - Katherine O'Leary, Casualty Program EUIM1{3102} VALID AS OF: 101412006 PRDU-LR Marsh, Inc. 1166 Avenueof the Americas New York, NY 10036 Telephone (21 ) 345-5000 INSURED SimplexGrinnell, LP 1 272 W 2240 SOUTH] SALT LADE CITY, UT 84119 United states ADDITIONAL INFORMATION COMPANIES AFFORDING COVERAGE COMPANY i- White Mountain Insurance Co. TEXT r . _.,, _ :_ a :' .. _. .. �3 r.r�l,��.'c�'° _:... �.-., - -,,_ e ..a _. -. >`._.. .}.... `._. _. :-.. - .,,.�_�-'"':•.�. •�.._"'+S�7.'3._ i�i�s� :$ ;� - _ .. ,. wr3,-, ar�$4 .ye:}i."r a'..`-+�. .,. rk:e �+a _ .� - ,.. : • •-. . -' _. . �g .fit - 1*�+:.Sa�.� �s r, e_:r_ . . ,.., c .:. ..-. ..�. ��'_t'.e _.;;:.-vs.__.. _ .._., �., .- ._�.. .�. .'���' .�. ib 4h�.%�. L$t �_. �. a-�-i�4 ... -..• - .ham-�'y",.,�iTa+�.'S$'�'' e+_`__�"n.�''i�...'�•TE"�'..,�f: �•.^ '�.'���_`+ ..` �.4 ',1!'7F ............I ........ ........ . e .. �.:.w.. m,.xsr.. ,. ��...: `_.---®... _.n.. .. :Y'i�ti.'�;' r,....vw• a i.e. _ WORKERS COMPENSATION POLICIES L� AB e L L'-' ` PROGRAIN Pro '`ter 1 r + 1 �.Protection J�1J La1l ion, Maintenance, aint an, T tin y Inspection, Etc. If there is a question regarding in thi certi dicta pleaze contact Jean Court (Email: j courttoint . COM Phone; 801-262-9406) CERTIFICATE L EFT City of Rexburg 19 E Main St. Rexburg, ID 83440 CERTIFICATE NUMSER 291 553 State CA I FL NJ GA N IL P D e WI OR �q� l � j 1'x'1 � 1 N . i€ A A.t. .icy Carrier Poli Number Ef. f t Date Exp. Date (B) American Home Aqsurance Co. R 2920280 10/1/2006 10/1/2007 (B) American 14 : LL Assurance Co. iy1rY 29202292 10f 12004? 10/1/2007 . , I, f AZ., CO, CT., DC., HZ, YA,- IDF IN, KSFKYj, L. r D f E, Nr , h S., MT, NCI NEI 14H. NMfOX., RI, SC., SD, TX., UT, -VT (C) Illinois National Insurance RMWC 2920289 10/1/2006 10/1/2007 (H) Arnerican Home Assurc-nce Co. RMWC 292028 10/1/2006 1"0/1/20-07 (B) American Horne Assurance Co, R91C 2920290 10/l/2006 10/1/2007 (A) Al outn Insu-rcnce Co. RMWC 2920281 10/--1/2006 10,/1/2007 (E) National Union Pine Insurance Co. RMWC 2920283 10 a /2006 10/1/2007 (C) Illinois National Insurance Co. RMWC 2920286 10/1/2006 10/1/2007 (B) American Horne Assurance Co. RMWC 2920291 10/1/2006 10/1/2007 (B) Ameriran Horne Assurance Co. RMWC 2920285 10/1/2006 10/1/2007 (F) New Hampshire Ins. Co. RMWC 2920282 10/1/2006 10/1/2007 (E-) National Union Fare insurance Co. RMWC 292023410/1/2006 10/1/2007 D) 1 1 1 rJ Li r c. d i c e Company o 1 the S -a t t o of l MW 2920288 10/1/2006 1 1 1007 L� AB e L L'-' ` PROGRAIN Pro '`ter 1 r + 1 �.Protection J�1J La1l ion, Maintenance, aint an, T tin y Inspection, Etc. If there is a question regarding in thi certi dicta pleaze contact Jean Court (Email: j courttoint . COM Phone; 801-262-9406) CERTIFICATE L EFT City of Rexburg 19 E Main St. Rexburg, ID 83440 CERTIFICATE NUMSER 291 553 State CA I FL NJ GA N IL P D e WI OR �q� l � j 1'x'1 � 1 N . i€ A A.t. .icy