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
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- _ .. ,. 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