HomeMy WebLinkAboutINS CERT 2006-12-04
MARSH CERTIFICA TEOFINSURANCE CERTIFICATE NUMBER
CLE-001345448-09
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
MARSH USA INC. NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
TWO LOGAN SQUARE POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR AlTER THE COVERAGE
PHILADELPHIA, PA 19103-2797 AFFORDED BY THE POLICIES DESCRIBED HEREIN.
Attn: COMCAST.CERTS@MARSH.COM FAX: (212) 948-0360 COMPANIES AFFORDING COVERAGE
COMPANY
b5194 -ALL-GAWU-06-07 COMC SAN CA A DISCOVER PROPERTY & CASUALTY INSURANCE COMPANY
INSURED COMPANY
COM CAST OF MARIN I, INC. B DISCOVER SPECIALTY INSURANCE COMPANY
12647 ALCOSTA BLVD., STE 200
P.O. BOX 5147 COMPANY
SAN RAMON, CA 94583 C NATIONAL UNION FIRE INS CO OF PITTSBURGH, PA
COMPANY
D FIDELITY & GUARANTY INS. CO.
COVERAGES This certificate supersedes and replaces any . previously issued certificate for the policy period noted below .
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE (MM/DD/YY) DATE (MM/DD/YY)
GENERAL LIABILITY GENERAL AGGREGATE $ 25,000,000
f----
A X COMMERCIAL GENERAL LIABILITY D002Q00148 12/01/06 12/01/07 PRODUCTS - COMP/OP AGG $ 6,000,000
~ o CLAIMS MADE [K] OCCUR
f---- PERSONAL & ADV INJURY $ 1,900,000
~ OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1,900,000
f---- FIRE DAMAGE (Anyone fire) $ 1,900,000
X $100,000 SIR MED EXP (Anyone person) $ 10,000
AUTOMOBILE LIABILITY $ 10,000,000
~ COMBINED SINGLE LIMIT
A X ANY AUTO D002A00516 (AOS) 12/01/06 12/01/07
-
A ALL OWNED AUTOS D002A00517 (MA) 12/01/06 12/01/07 BODILY INJURY $
-
B SCHEDULED AUTOS D002A00518 (TX) 12/01/06 12/01/07 (Per person)
-
- HIRED AUTOS BODILY INJURY $
NON-OWNED AUTOS (Per accident)
-
- PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
- .
- ANY AUTO OTHER THAN AUTO ONLY: .. .
f---- EACH ACCIDENT $
AGGREGATE $
EXCESS LIABILITY EACH OCCURRENCE $ 5,000,000
C Pl UMBRELlA FORM BE4485800 12/01/06 12/01/07 AGGREGATE $ 5,000,000
OTHER THAN UMBRELLA FORM $
WORKERS COMPENSATION AND I WC STATU- I IOTH-
EMPLOYERS' LIABILITY X TORY LIMITS ER ... ....
D D002W00571 (AOS) 12/01/06 12/01/07 EL EACH ACCIDENT $ 2,000,000
D THE PROPRIETOR! fK1'NCL D002W00573 (OR, WI) 12/01/06 12/01/07 EL DISEASE-POLICY LIMIT $ 2,000,000
PARTNERS/EXECUTIVE D002W00572 (NJ) 12/01/07
A OFFICERS ARE: EXCL 12/01/06 EL DISEASE-EACH EMPLOYEE $ 2,000,000
OTHER
DESCRIPTION OF OPERATIONS/LOCATlONSNEHICLES/SPECIAlITEMS
CERTIFICATE HOLDER IS INCLUDED AS ADDITIONAL INSURED AS RESPECTS THE GENERAL LIABILITY POLICY WHERE REQUIRED BY WRITTEN
CONTRACT WITH THE NAMED INSURED. $100,000 PER OCCURENCE SELF INSURED RETENTION APPLIES ONLY TO THE ABOVE GENERAL
LIABILITY POLICY.
CERTIFICATE HOLDER .... . .... CANCELLATION ..
...
RECEIVED S ULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF.
THE INSURER AFFORDING COVERAGE 'MLL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE
TOWN OF TIBURON ~\ ' .~.>Z" ~ CERTIFICATE HOLDER NAMED HEREIN. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
ATTN: TOWN MANAGER ~~-:--~
1155 TIBURON BLVD. LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE. ITS AGENTS OR REPRESENTATIVES. OR THE
TIBURON, CA 94920 DEe i j 2006 ISSUER OF THIS CERTIFICATE
TO\l'J;~ LLERK MARSH USA INC. ---h1~-t'3 ad k~{.A----d.~-
BY: Mary Radaszewski
TOWN OF TIBURON ~M1(3f02) VAUD AS OF: 12/04/06