HomeMy WebLinkAboutFRA1978-0134 - Insurance Certificate - Group W Cable, Inc. ETAL - 06/20/86-06/20/87 Certificate of Insurance - 02/20/1987 ISSUE DATE;MMiDDIYY?
11L 04. 902/20/87
PRODUCER THIS t;I�,>; �) OW"">RMA7ION ONLY AND CONFERS
N� 11C, alas,tar)N is ! IFIC A' s 110E M R H FRTIFICATE DOES NOT AMEND,
Frank B. Hall 8 C��mpany E<,,; �. r POLICIES BELOW.
Spear, Street Tower -- —__
One Market Plaza - Suite 2100 °�C?I►�P�s�r4l�:. s ��������;�,°�. AVERAGE
San Francisco, CA 94105
ET ` INSURANCE CO. OF_NORTH AMERICA
Cr3 CO
OMPAt"
-----
INSURED _ PACIFIC EMPLOYERS__I-NSURA
NCE-
GROUP W CABLE, INC. ETAL COM_PAN
888 SEVENTH AVENUE, ,?,8TH FLOOR LETTER
NEW YORK, NEW YORK 10106 COMPAN, D
I..FTT"F cl
COMPANY E
LETTER
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO 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. — -------
--- ------------- ---- — "— 1 LIABILITY LIMITS IN THOUSAND
CO TYPE OF INSURANCE POLICY NUMBER a- mv A, D4 MM x; 1 EACH AGGREGATE
LTR I - T OCCURRENCE
GENERAL LIABILITY �— — I eOD'I Y $
ISL-GO-56-`3E-44-6 06/20/86 06/20/87 "� `'� - $
A COMPREHENSIVE FORM "- "
PREMISES/OPERATIONS ,DAMAGE GROPI,E
'� !$
$
�( UNDERGROUND
EXPLOSION 8 COLLAPSE HAZARD
PRODUCTS/COMPLETED OPERATIONS B,
x CONTRACTUAL coMBINED $ 1 000 $ 1 000
INDEPENDENT CONTRACTORS j
BROAD FORM PROPERTY DAMAGE $ 1 000 PERSONAL INJURY
X PERSONAL INJURY
KOLA
AUTOMOBILE LIABILITY 1JR+
A X ANY AUTO I SA-38-c4—�6 06/20/86! 06/20/87 " F�saNI i$
N,Li,.
ALL OWNED AUTOS (PRIV. PASS.) wdUPv
P_e ACCIDENT $
ALL OWNED AUTOS OTHER THAN 11 PRIV. PASS ) PRPER
1
X HIRED AUTOS DAAMAGETY
x NON-OWNED AUTOS ----—
GARAGE LIABILITY N x PD
COMBINED $ 1000
EXCESS LIABILITY $
ED $
UMBRELLA FORM COMBIN
OTHER THAN UMBRELLA FORM ----
- ---- STATUTORY
B WORKERS' COMPENSATION CC��—C1-46`��178-3 06/G0/86 11 06/20/87 ; $ 100 (EACH ACCIDENT)
AND $ 100 (DISEASE-POLICY LIMIT)
EMPLOYERS' LIABILITY $ 100 (DISEASE-EACH EMPLOYEE)
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/SPECIAI-ITEMS
AS RESPECTS FRANCHISE IN THE CITY OF KENT; THE CERTIFICATE HOLDER IS NAMED AS
ADDITIONAL INSURED.
• .
rAUTH
ULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX-
CITY OF KENT TION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
220 S. 4TH AVENUE 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
,BUT FAILURE TO MAIL SUCH NOTICE SHALL.IMPOSE NO OBLIGATION OR LIABILITY
KENT, WASH I NGTON -'� NY KIND UPON THE COMPANY, ITS AGENTS OR RE SENTATIVES.
RIZED REPRESENTATIVE