HomeMy WebLinkAboutFRA1978-0134 - Insurance Certificate - TCI Seattle, Inc. - Liability Coverage - 01/01/1987 ordi, - i' 6-19-87
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INSURANCE COPIPANY OF NORTH AMEBIC_
INSURED
TC�I Seattle, Inc. _----.___--
Call Box 22595 Wellshire Station F`_TFV',
Denver, Colorado 80222 - _____ -_-----_—_----
COMPANY E
( LETTER
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED I;)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 CONDI-
TIONS OF SUCH POLICIES. _
---- ------- T -- - -- --
I ABILITv LAMTS IN THOUSANDS
CO ---- '
LTR ,YP- OF INSURANCE Y NUMBER DA tiC
'• AGGREGATE
--
`
e iv I
A XECOMPREHENSI COMPREHENSIVE ISL GO 569682 3 1-1-87 1-1-88 . $ I$._______
REMISES 0 ER 0I
UNDERGROUND �;,r,AC F— ---- — $— —
X EXPLOSION &COLLAPSE HAZARD
X PRODUCTS%COMPLETED OPERATIONS
X CONTRACTUAL " �,N`NFE', $ 1000 is 1000
X INDEPI%DENT CONTRACTORS -- -------�-------
BROAD FORM PROPERT)' DAMAGE
PERSONAL INJURY PERSONAL INJURY 1000
AUTOMOBILE LIABILITY y F
ANY AJ '1
f Al O',IJNED AUTOS(PRY. PASS( u
ALL P'APNED AUTOS(OTHER THAN
,PRIV PASS - - —--- -—._. -
r GARAGE AI ID AUTOS
r AMfE
EXCESS LIABILITY
UMHHF,.I_A FORM
OTHER THAN UMBRELLA FORM -
-- -- —--
TA . TOP
WORKERS' COMPENSATION EACH ACCIDENT(
' AND
(DISEASE-PO ICY ,IMI I
EMPLOYERS' LIABILITY (DSFAaLEA''hI"MPLOl'P
!OTHER
I
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
The hold harmless agreement and waiver of
subrogation is in effect for the city of Kent, and is named as additional insured.
. Z N 4 111 WAD
City of Kent/Water District 111 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX-
PIRATION DATE'.: THEREOI , THE ISSUING COMPANY WILL ENDEAVOR TO
Kent City Hall MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT BUT FAILURE TO MAIL SUCH NOTICE SHALL-IMPOSE NO OBLIGATION OR LIABILITY
220 4th Avenue South OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
Kent, 111A 98032-5895 AuTrjj 1 REPRFSENTATIVE
Attn: City Treasurer