HomeMy WebLinkAboutCertificate of Insurance (4)
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: CONFERS NO RIGHTS UPON THE CERnFICATE HOLDER. THIS CERnFlCATE
Ins. Management Assoc., Inc. ' DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
600 IMA Plaza/250 North Water LI'(),L.Ic:,~~,!l BELO"":",,. """"" , " '"''''
Wichita, KS 67202-1279 COMPANIES AFFORDING COVERAGE
(316) 267-9221 """""" """"",,'"
~~ANY A St. Paul Fire & Marine Ins.
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: C~ANY B
INSURED ' L
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RESTAURANT MANAGEMENT COMPANY : COMPANY C
LETTER
OF WICHITA, INC. '",,,,,,,,,,,, """"""", """"""",,"""""'" """"" '"''''''
555 No Woodlawn suite 3102 : COMPANY D
., : LETTER
wichita, KS 67208 '""""""""""""""""",
COMPANY E
LETTER
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERT!RCATE MAY BE ISSUED OR M.W PERTMN. THE :NSUr.ANCE AFr--CAD::D BY THE POLICIES DESCRIBED HEREIN is SUBJECT TO ALL THE TERMS,
EXCLUSIONS AN[)"C:;ON[)ITIONS OF SUCH POUCIES:""L1MI~..~f:lO'IVN.t<A,~~,~~YE.B~~~"RE[)~CE[)",,~~,,~p,1lJ"C:;~It<A~."" ."""..".....,."...
co: . POLICY EFFECTIVE POLICY EXPIRATION
LTR, TYPE OF INSURANCE POLICY NUMBER DATE (MMIDDIYY) . DATE (MMIDDIYY) LlIIITS
A QENERAL UABiLiTY"""" """"",,"""" ,. GENERAL AGGREGA1E$~;OO'();(j()O
X : COMMERCIAL GENERAL LIABILITY RR0881107t :: PRODUCTS-COMPIOP AGG, $ 2,000,000
'''''' . CLAIMS MADE '''x'' OCCUR. 06 /30/94 : 06/30/95 PERSONAL & ADV, INJURY ""s"'i,,;OOo,O't)()
. OWNER'S & CON1FIACTOR'S PAOT, '. EACH OCCURRENCE : $ 1, 000 , 000
"FiRE"DAMAGE (A;;~'~~flr~j""":$ '" r;Oo(); (jOO
. """""" """"",,,,,,,,,,,,,,'''''''' """'"'''''' """ " " "'"'''''' ' MED:~EI'lSE,(~Y,~~e person)L$""""",,!),d>,f:)()
; AUTOIIOBU UABILITY ; COMBINED SINGLE
, . '$
: MlY AUTO · LIMIT :
....",................. ....." .
. ALL OWNED AUTOS . BODILY INJURY .
, :$
. SCHEDULED AUTOS(~~rflllrOO~}"",uuuuu'",:,,'''''
. HIRED AUTOS ' BODILY INJURY .
, '$
. NON-OWNED AUTOS · (Per accident)""" j""",.
. GARAGE LIABILITY
. . PROPERTY DAMAGE : $
;Dcm'wILiTY''''''''''u "",,,,,,. """"'" uuu""",,'u """",,'u ,,,,,,,,,,,,,'u """""" uEACH OCCURRENCi,:S'''''' uuuuu,,,,
. ; UMBRELLA FORM ' AGGREGA!E,,,,, ".i~,,,, ,,',',',' uu",,,,
: OlliER lliAN UMBRELLA FORM Hi
WORKER'S COIlPEN8ATlON",,,,,,u~T~!'-l~ORY, LIMITS"""
AND ' EACH ACCIDENT . $
. DISEA.'le - POLICY LIMIT · ~
&lW'lOYER!' UI\.!~!TV :"" u '" , .
. . u u u u : ' DISEASE - EACH EMPLOYEE · $
~ER :
A BLKT. BUILDINGS RR0661107t06/30/94: 06/30/95 Special Form 26,260,000
& CONTENTS . : Deductible $1,000
PUBLIC LIABILITY
MAIM PARK ADJ TO PIZZA HUT
SHOUW ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL --1Q. DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
THE CITY OF BOZEMAN LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES_
POBOX 640
BOZEMAN NT 59711-0640