HomeMy WebLinkAbout2011 07 01 Bozeman Crime Binder
EVIDENCE OF CRIME COVERAGE
ISSUE DATE (MM/DD/YY)
July 1, 2011
THIS BINDER IS A TEMPORARY INSURANCE CONT RACT, SUBJECT TO THE CONDITIONS SHOWN ON THE
REVERSE SIDE OF THIS FORM.
PRODUCER COMPANY POLICY NO.
Alliant Insurance Services National Union Fire Ins. Co. of PA 01-995-62-43
1301 Dove St., Suite 200 EFFECTIVE EXPIRATION
Newport Beach, CA 92660-2436 DATE TIME DATE TIME
Ph (949) 756-0271 / Fax (949) 756-2713 7/1/11 12:01 AM 7/1/12 12:01 AM
THIS BINDER IS ISSUED TO EXTEND COVERAGE IN THE ABOVE NAMED COMPANY
PER EXPIRING POLICY NO:
CODE SUB-CODE DESCRIPTION OF OPERATIONS/VEHICLES/PROPERTY (including Location)
INSURED :
MONTANA MUNICIPAL INTERLOCAL AUTHORITY (MMIA) AND
City of Bozeman
PO Box 1230
Bozeman MT 59771--1230
COVERAGES LIMITS
TYPE OF INSURANCE COVERAGE/FORM S AMOUNT DEDUCTIBLE COINSUR.
PROPERTY CAUSES OF LOSS
BASIC BROAD SPEC.
GENERAL LIABILITY GENERAL AGGREGATE
COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG.
CLAIMS
MADE OCCUR PERSONAL & ADV. INJURY
OWNER’S & CONTRACTOR’S PROT. EACH OCCURRENCE
FIRE DAMAGE (Any one fire)
RETRO DATE FOR CLAIMS MADE: MED. EXPENSE (Any one person)
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
ANY AUTO BODILY INJURY (Per person)
ALL OWNED AUTOS BODILY INJURY (Per accident)
SCHEDULED AUTOS PROPERTY DAMAGE
HIRED AUTOS MEDICAL PAYMENTS
NON-OWNED AUTOS PERSONAL INJURY PROT.
GARAGE LIABILITY UNINSURED MOTORIST
AUTO PHYSICAL DAMAGE DEDUCTIBLE ALL VEHICLES SCHEDULED VEHICLES ACTUAL CASH VALUE
COLLISION: STATED AMOUNT
OTHER THAN
COL:
OTHER
EXCESS LIABILITY EACH OCCURRENCE
UMBRELLA FORM AGGREGATE
OTHER THAN UMBRELLA FORM RETRO DATE FOR CLAIMS MADE: SELF-INSURED RETENTION
STATUTORY LIMITS
WORKER’S COMPENSATION EACH ACCIDENT
AND DISEASE-POLICY LIMIT
EMPLOYER’S LIABILITY DISEASE-EACH EMPLOYEE
SPECIAL CONDITIONS/OTHER COVERAGES
SUBJECT TO POLICY TERMS, CONDITIONS AND EXCLUS ION, AND AS PER CONDITION OF BINDER ATTACHED.
NAME AND ADDRESS
MORTGAGEE ADDITIONAL INSURED
LOSS PAYEE X EVIDENCE ONLY
LOAN #
AUTHORIZED REPRESENTATIVE
RENEWAL OF COMMERCIAL CRIME POLICY
AS PER THE ATTACHED BINDER ATTACHMENT
EVIDENCE OF RENEWAL