HomeMy WebLinkAboutLutey Construction The Craftsman Inc. Certificate of Liability Ins. Client#: 133433 27CRAINC
ACORD. CERTIFICATE OF LIABILITY INSURANCE F DATE(MMfDDYYYYj
11114/2012
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to
the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER CONNAME:TACT Chris Hindoien
Hub Intl. Mountain States Ltd PHONE 406 542-5126 PAX
H Na Ext: AxC Nn 406 542-5647
2703 Cannery Way ADDRE
Missoula, MT 59808 SS, Chris.hindoien @hubinternational.com
406 542-5126 INSURER(SI AFFORUMC COVERAGE NAIC#
INSURERA:United Fire&Casualty Group 13021
INSURED INSURER B.,
The Craftsman, Inc., Lutey Construction INSURERC: _..
420 S 13th Ave
Bozeman, MT 59715 INSURER D:
INSURER E:
INSURER F
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOT1MTH'STANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ADDL SUB ... .....� _........ POLICY EFF-- POLICY EXP _._..... .. .
LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER
_.._ LMOLICYYYY POLIClYEXP LIMITS
A GENERAL LIABILITY X 60405221 7/0812012 07/0812013 EACH OCCURRENCE $1 000Z000
DAMMA E TO D�ENTED
X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $100,000
CLAIMS-MADE O OCCUR MED EXP(Any one person) $5 000
PERSONAL&ADV INJURY $1,000,000
GENERALAGGREGATE $2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $2,000,000
POLICY i LOC $
A AUTOMOBILE LIABILITY 60405221 710812012 07/081201 COMBINED SINGLE LIMIT
_. lFa accident} $1,000,000
X ANY AUTO BODILY INJURY(Per person) $
ALL OWNED SCHEDULED BODILY INJURY PeGarcident $
AUTOS AUTOS f )
X HIRED AUTOS Ix NON-OWNED PROPERTY DAMAGE
AUTOS Peraccident $
A UMBRELLA LIAR OCCUR 60405221 710812012 0 $2 000 000
EXCESS LIAR CLAIMS-MADE $2 000 000
DED X RETENTION$10000WORKERS COMPENSATION WC STATU-AND EMPLOYERS"LIABILITY y,!N
ANY PROPRIETORIPARTNERIEXECUTIVE -EACH ACCI[}ENT $
OFFICERIMEMBEREXCLUDED? NIA
{iv�anda(ory in NH) E.L.DISEASE-EA EMPLOYEEI$
if yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 161,Additional Remarks Schedule,if more space is required)
Certificate holder is an additional insured if required by written contract per the attached form
CG71510211.
CERTIFICATE HOLDER CANCELLATION
City Hall SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BCFORE
THE EXPIRATION DATE. THEREOF, NOTICE WILL BE DELIVERED IN
City Clerk's Office,Suite 200 ACCORDANCE WITH THE POLICY PROVISIONS,
PO Box 1230
Bozeman,MT 59771 AUTHORIZED REPRESENTATIVE
oe + r-r, �
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