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Home My WebLink AboutCERT LIABILITY INSURANCE - 07-00087 - Nelson Fire Systems - Fire Safety Certificationr1hantf- 1 177 lTPI &�%w-Ir-%r THS POLICIES 1= INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED REQUIREMENT, TERM CONDITION F 1 �L�ABOVE � THE ELI'S HERD 1f�1�IT��. 1T'1THTf�ll�1 TINCT OTHER DOCUMENT T ITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUEID O MAY PERTAIN, , TIDE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT T ALL THE TERM P0LI f E _ F E TE LIMIT H MAY H `E BEET REI U ELS B PAID L I'f , E LIC [ C' CONDITIONS F H INS R I)D` POLICY EFFECTIVE POLICY EXPIRATION LTR NSRC TYPE OF INSURANCE POLICY NUMBER DATE MMIDIDN DATE MM/DD/YY) LIMITS GENERAL LIEILiT"f 06/01107 0 610 100 EACH U 1 E E � '� X MME IAL GENERAL LIABILITY' DAMAGE TO RENTED , PR M1CLAIMS MADE OCCUR E MED AXP (Ani' one person) $1,000 GENERAL AGGREGATE$250005000 E'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO- Loc PRODUCTS - COMPI P ooh 000 J ECT AUTOMOBILE LIABILITY 3E4991208 06/01107 06/01108COMBINED SINGANY AUTO (Ea accident) LE LIMIT $1,0005000 ALL OWNED AU T SCHEDULED ALJT BODILY INJURY $ (Per person) X HIRED UTO S X NON -OWNED AUTOS BODILY INJURY accident) PROPERTY DAMAGE (Per accident) GARAGE LIABILITY UTO ONLY - EA,ACCIDE,,NT ANY AUT OTHER THAN EA ACC ALTO ONL1Y; EXCESSIUMBRELLA LIABILITY EACH OCCURPENCE OCCUR LII MADE AGGREGATE DEDUCTIBLE TIBLE RETENTION WO IS E IRS COMPE NSATIO N AN D STATIC WC 10TH - EMPLOYE' 1 LIABILITY=RY LIMIT PR IV EOEFiEif��F�1I�THEI�IEEI�TI'E E.L. EACH .��C�EI�T FFA EPJIVIELI ER EXCLUDED? Jf yes, describe under E, L. D15 EASE _ EA EMPLOYEE SPECIAL PROVI I N below OTHER E.L. DISEASE-- POUCY LIMIT DESCRIPTION F OPERATIONS I LOCATIONS VEHICLES f EXCLUSIONS .ADDED BY ENDORSEMENT I SPECIAL PROVISIONS E: ALL OPERATIONS CERTIFICATE HOLDER e% A .,�r-. CITY OF REXBURG BUILDING DEPLA TME iT TTS JNELL H'E' 19 EAS ET MAIN REXBURG, ILS 83440 ACORD 25 (20011a8) 1 of Z #M275$66 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CA C ELLE D BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WJL.L ENDEAVOR TO MAIL DAYSWRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO -B LI A.TIO I OR LIASILITY OF ANY KIND D LI ICON THE INSURER, ITS► AGENTS O REPRESENTATIVES. AUTHORIZED REPRESENTATIVE "m 0 ACORD CORPORATION 1988 If the certificate holder is an ADDITIONAL INSURED, the policy(ies) 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, subiect to the terms and conditlows, of the Ii V � rtr� Icy require hJd r i ! F ars endorsement. A statement on. this certificate does not confer rights to the certificate lies.., of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract rotor, the issuing insurer(s), authorizedrepresentative producer,r the certificate holder. n r does it affirmativelyor negatively amend, extend or alter the coverage afforded by the policies' listed thereon, acoRa 25-s (2001108) 2 of 2 #M2758-66 MiAnt - 1177 kIr e'%r"1"I COVERAGES THE. POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PE_ R1 1D INDICATED. I T `ITH TANDIN ANY REQUIREMENT, TERM ORCONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT T HI H THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE E FF RDE[ THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED ED BY PAID CLAIMS, INS: Y LTR I� I� TYPE OF INSURANCE POLICYN DQE POLICY �[� EFFECTIVE POLICY EXPIRATION DATE MMIDD) LIMITS GENERAL LIABILITY - _s- - LS 1251556 06101/07 06/01/08 EACH UIEIE i o n X COMMERCIAL GENERAL LI BILIT CLAIMS MADE CUR E 'L AGGREGATE LIMIT APPLIES PER, X POLICY F PF- JET L I I A UTOM Bt'LE LIABILITY ANY AUTO ALL WN ED ALTOS SCHEDULED, AUTOS HIRED AUTOS X NON -OWNED AUTOS GARAGE LIABILITY AN. AUTO EXCESS/UMBRELLA LI EIL.ITY 71 OCCUR CLAWS MADE DEDUCTIBLE I ETENTJN WORKERS COMPENSATION AND EMPLOYERS" LIABI LITS'' ANY P PM ETOR/PAI T ERIE E UTNE OFFICE/MEMSER EXCLUDED? Ifyes, ecrl�,,ier SPECIAL PROVISIONS below OTHER 3X49912 06/01107 06101/08 DESCRIPTION OF OPERATIONS I LOCATIONS) VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PF OVi I N RE:ALL OPERATIONS CERTIFICATE H LLE . CITY OF REXBURG BUILDING DEPARTMENT ATTR: JAE.LL HASEN 19 EASET MAIN REXBURG, ID 83440 CANCELI—ATION DAMAGE TO RENTED PPREMISESEe occurrence S50000 MED EXP (Any one person) 5 1 , 000 BERSQi"1AL & ADS' INJURY Q 1,000,000 GENERAL AGGREGATE s 000x'00 PRODUCTS - CODE/P A $2,010 , COMBINED IN L.E L_AMIT (La accident) 1 9 3 BODILY INJURY (Perprr) BODJLY INJURY (Per accident) PROPERTY DAC E $ (For accident) AUTO ONLY - EA ACCIDENT I CJ7i-EER THAN_EA _ A Auro ONLY: ,aGG i $ EACH OCCURRENCE 1 AGGREGATE 0 WC STATU- _ _o7H- '- - - E.L_ EACH ACCIDENT 1 $ El_ DISEASE EA EMPL EE1 $ E_L_ DISEASE POLICY L;MIT f SH ULD ANY OF THE ABOVE DE. USED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISS U I ING, IN S U RER VVILL E N DEAVOR TO MAI DAYS VVRiTTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE To BO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPF ESENTATt E _ AUTHO IZEO REPRESENTATIVE AGORD 25 (2001/08) 1 of 2 #S264128/M264122 KXM @ ACORD CORPORATION 1988 COMBINED IN L.E L_AMIT (La accident) 1 9 3 BODILY INJURY (Perprr) BODJLY INJURY (Per accident) PROPERTY DAC E $ (For accident) AUTO ONLY - EA ACCIDENT I CJ7i-EER THAN_EA _ A Auro ONLY: ,aGG i $ EACH OCCURRENCE 1 AGGREGATE 0 WC STATU- _ _o7H- '- - - E.L_ EACH ACCIDENT 1 $ El_ DISEASE EA EMPL EE1 $ E_L_ DISEASE POLICY L;MIT f SH ULD ANY OF THE ABOVE DE. USED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISS U I ING, IN S U RER VVILL E N DEAVOR TO MAI DAYS VVRiTTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE To BO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPF ESENTATt E _ AUTHO IZEO REPRESENTATIVE AGORD 25 (2001/08) 1 of 2 #S264128/M264122 KXM @ ACORD CORPORATION 1988