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Home My WebLink AboutCity Hilltop Tank Repainting Cert. of Liability Insurance send to Brian Heaston I ACORD... CERTIFICATE OF LIABILITY INSURANCE CSR KD I DATE (MMIDDIYYYY) WESTE25 04/10/07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION I ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Brown & Brown - Seattle HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2101 4th Avenue, Suite 600 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Seattle WA 98121 phone: 206-956-1600 Fax:206-956-9600 INSURERS AFFORDING COVERAGE NAIC# I INSURED INSURER A. Firemans Fund Ins CO INSURER B: Northern Assurance Company Western Industrial, Inc. INSURER C: Allied Insurance I 1441 N North1ake wa~ INSURER 0: SeaBright Insurance Co 11755 Seattle WA 98103-89 0 INSURER E: COVERAGES II 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 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 ClJ\IMS. 'D'i'1'~1MM/DDlYYf "~kfEY(~~b~~N - LTR NSRt TYPE OF INSURANCE POLICY NUMBER LIMITS !A GENERAL LIABILITY EACH OCCURRENCE $1,000,000 - X X COMMERCIAL GENERAL LIABILITY OML99040095 07/07/06 07/07/07 PREMISES '(E~;~nce) $ 50,000 - :=J ClJ\IMS MADE ~ OCCUR MED EXP (Anyone person) S 5,000 - I PERSONAL & ADV INJURY $1,000,000 ~ GENERAL AGGREGATE s2,000,000 ~ ..- GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS. COMP/OP AGG sl,OOO,OOO I nPRO. n POLICY JECT LOC I AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT - $1,000,000 C ANY AUTO BA7502283160 07/07/06 07/07/07 (Ea accldent) ~ ...!.. ALL OWNED AUTOS BODILY INJURY I $ SCHEDULED AUTOS (Per person) ~ ~ HIRED AUTOS BODILY INJURY $ X NON.OWNED AUTOS (Per accident) - I - PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY. EAACCIDENT $ ==i ANY AUTO OTHER THAN EAACC S I AUTO ONLY: AGG $ I EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 2,000,000 B !J OCCUR D ClJ\IMS MADE N5JH81620 07/11/06 07/11/07 AGGREGATE 52,000,000 I $ ~ DEDUCTIBLE 5 RETENTION $ $ I WORKERS COMPENSATION AND X I TORYlIMrrS I IU1M' ER 0 EMPLOYERS' LIABILITY BBI060456 07/12/06 07/12/07 E.L EACH ACCIDENT Sl,OOO,OOO ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERlMEMBER EXCLUDED? WA USL&H; NV E.L. DISEASE. EA EMPLOYEE $ 1,000,000 ~~EC:I:~'OvlS?~~S belOW E.L. DISEASE. POLICY LIMIT sl,OOO,OOO I OTHER I DESCRIPTION OF OPERATIONS /LOCATlONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Re: City of Bozeman Hilltop Tank Repainting The City of Bozeman is named as Additional Insured II CERTIFICATE HOLDER I I The City of Bozeman 20 E. Olive P.O. Box 1230 Bozeman MT 59771-1230 CANCELLATION BO ZE - 01 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRA lION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ OAYS WRiTtEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO so SHALL IMPOSE NO OBUGATION OR UABILlTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORl%ED REP EN;: ~ CORD 25 (2001108) @ACORD CORPORATION 1988