HomeMy WebLinkAbout2010 07 01 BozemanCrimeBinderEVIDENCE OF CRIME COVERAGE ISSUE DATE (MM/DD/YY)
July 1, 20 1 0
THIS BINDER IS A TEMPORARY INSURANCE CONTRACT, SUBJECT TO THE CONDITIONS SHOWN ON THE
REVERSE SIDE OF THIS FORM.
PRODUCER COMPANY POLICY NO.
Alliant Insurance Services Natio n al Union Fire Ins. Co. o f PA 02 -132 -4 5 -85
1301 Dove St., Suite 200 EFFECTIVE EXPIRATION
Newport Beach, CA 92660 -2436 DATE TIME DATE TIME
Ph (949) 756 -0271 / Fax (949) 756 -2713 7/1/10 12:01 AM 7/1/1 1 12:01 AM
THIS BINDER IS ISSUED TO EXTEND C OVERAGE 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/FORMS 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 f ire)
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 AU TOS 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 EXCLUSION, AND AS PER CONDITION OF BINDER ATTACHED.
NAME AND ADDRESS
MORTGAGEE ADDITIONAL INSURED
LOSS PAYEE X EVIDENCE ONL Y
LOAN #
AUTHORIZED REPRESENTATIVE
RENEWAL OF COMMERCIAL CRIME POLICY
AS PER THE ATTACHED BIND ER ATTACHMENT
EVIDENCE OF RENEWAL
MONTANA MUNICIPAL INTERLOCAL AUTHORITY (MMIA)
COMMERCIAL CRIME COVERAGE
BINDER ATTACHEMENT
EFFECTIVE JULY 1, 20 1 0
NAMED INSURED:Montana Mun icipal Interlocal Authority and the
City of Bozeman
POLICY TERM:July 1, 20 1 0 to July 1, 201 1
COMPANY:National Union Insurance Company of Pittsburgh, PA
LIMITS:
$5,000,000 Employee Theft –per loss coverage
$2,500,000 Forgery or Alteration
$5,000,000 Computer Fraud
$5,000,000 Funds Transfer Fraud
$ 100,000 Inside Premises –Theft of Money &
Securities
$ 100,000 Inside Premises Robbery, Safe Burglary
–other Property
$ 100,000 Outside the Premises
Not Covered: Money Orders and Co unterfeit Paper
Currency
Not Covered: Employee Theft –per employee
coverage
Deductible:$15,000 Employee Theft per Loss
$5,000 All Other Coverages
Annual Assessment:$2,828
O:\Administration -MMIA \Accounting Services \Property \2010JulyBillingDocuments \CrimeBinder10 -11.doc