HomeMy WebLinkAboutAXIS ELECTRICAL SERVICES LLC - INSURANCE CERTIFICATE 2020-2021� D� CERTIFICATE OF LIABILITY INSURANCE �ATE�MM�ODfYYYY)
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THIS CERTIFIGAT� !S ISSUED A5 A NfATTER OF INFQRMA'�ION ONLY AN� CONFERS NO RIGHTS UPON THE C�RTIFICA7E HOLDER. THI�
CERTIFlCATE DOES NOT AFFIRMATiVELY OR N�GA7IVELY AMEND, EXTEND OR ALTER THE COVEAAGE AFFQRDEO BY THE POLICIE�
BELOW. 7NIS CERTIFICAT� OF INSl1RANCE QOES NQT CONSTETUTE A CONTRACT BETWEEN TH£ ISSIIENG INSUREfii(S), AUTHpRIZEC
REPRESENTATIVE QR PROOUCER, AN� THE CERTIFiCA�E HOLpER.
IMPOFITANI": If the certificate holder is an ADDITIONAt iNSURED, the policy(ies) must have ADDITIONAL IN5UREU provisians or be endorsed
If SUBROGATION IS WAIVED, subject So the terms and conditlons of the policy, certain policfes may requlre an endorsemenl. A statement or
thfs certiflcate dpes npt confer ri hts to the certificate holder In tleu of such enr�orsement s).
PRODUCER
NaMe: Rebecca Leatherman
Commercial Risk 5olutions PifONE Fnx
66Q0 E Hampden Ave Ste 260 � 303-998-7853 � nrc No _ 303-996-7851
�en�er CO 84224 nooR�ss: rieatherman@crsdenver.com
INSURED
Axis �lectncal Services, �LC
81 a1 W. I-25 Frontage Rd., #2
Fredenck CO 80516
iNSUR�Rn: Pinnacal Assurance
'ix sE � iNsuR�R 6: Westfieid Insurance
INSURER G : CNA
INSUREp 0 :
INSURER E :
41'130
24i12
2047$
COVERAGL�S CERTIFICATE NUMBER:136B947248 REVISION NiJMBER:
THIS !S TO CERTIFY TWAT TWE POLICIES Of INSURANG� LISTED eELOW HAVE BEEN lSSUED TO TNE INSUREp NAMED ABOVE FOR THE POLICY PERiOC
INDICAT�D. NOTW1THSiANDING ANY REQUIREMENT, TERM OR CONDITIpN OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPEC7 TO WHICH THI:
CEFi71FICA7E MAY BE ESSUED RR NkAY PERTAIN, THE INSURAhfCE AFFOR��O BY YHE POLICIES �ESCRiBED HEREIN IS SUBJEC7 TO ALL THE TERMS
EXCLUSIONS AND CONDITIOlVS OF SUCH POLIClES. LIMlTS SHQWN MAY HAVE BEEN REDUGED BY PAID CLAIMS.
�7q TYPE OF IiV5lJFANCE A�a4 �UBFi P01JCY EFF� POL.IC1' E%P
li�E 4 WY� I PpI.fCY NUMBER MIJUDDlVYYY I MMInDlYYY LIMITS
g X� COMMERCIAL GENERAL LIABWTY � CWP44fi2197 4I1I2Q20 41112021 �A�H pCCURRENCE S 1 000.000
ClAIMS•MADE x OCCUR PAEMISESiEaocasrrencel 5500.00D
GEN'G pGQREGATE LIMl1" APPLIES PER
� POUCY %� ��CT 40C
8 AUTOMpBILE LIABIW7Y
X Ai+1V RUTO
OWN�D SCHEDULEO
AUTOS ONIY AUTOS
X HkRED x NON�pWNE�
AVTOS ONLY AUiOS ONLY
B X UMBREILA LIAB X p�CUR
f ExCES9 LIAB CWMS�MADE
I IJED ^ i RETENT101J S
q WORKEFiSCOMPENSATION
AND EMPLOYERS' LIABILETY Y! N
ANVPA6PRIETOPoPARTNERIEXECUTIVE �
OFFICERIMEMBEREXGLUpED? � ��a
(Mendelory In NN)
H yes, descrfhe andor
DESCRIPTI4hf OF OPERAilONS bebw
B LcaserRanted Equip j
C SpeGal FvrmfACV i
PraGPall f
C WP4462 i97
CWP44S2797
A144873
CWP4462197
CE060762493'i5
4l�12020 41112Q21
41112020 41112Q21
4l1I2620 I 41112021
b1112D20 41112021
617/2019 6l71202Q
MED EXP [M one per�n► a 5,000
PERSONAL 8 ADV INJl�RY $1.DOO.OUO
GENERALAGGREGA7E 52,000.060
PAOQUCTS- COMPiOP AGG 52,000.000
S
COMBINED SINGLE LIMIT y }.D00,000
(Ea acaden;�
60DELY ENJIIRY (Perperean) $
BODfLY kNJiiRY �Per aaidentl 5
PFlOPERTY pAMAGE $
_(Por accidenE
S
EACHOCCURRENCE as,000,aao
AGGREGATE SS.D00,000
S
x STATt1TE ERH
E.L EACN ACClDEN7 S� AD0,400
E L. Di5EA5E EA EMAL4YEE S�,OOO,OaO
E.L. DlSEASE � POI.IGY UMI� S ti,000,OaQ
Limtl �50 000
oed asao
�imiUOccurrence 1.0OO.OQO
OESCRlPTION OF OPfRA7lONS 7 LOCATtONS � VEHlCLES (ACOHD 101, Addkt[onel Remarka Sehedule, may be altaehed II more apaee is requlred)
All pohcy terms, conditions and exclusions apply
CfRTIFECATE HOLQER
SHOULD ANY OF THE ABQYE DESCRIBED POLICIES BE GANCELiED BEFORF
THE EXPIRATION DATE THEREOF, NOTlCE WILL BE OELIVEqED IA
ACCORDANCE WITH THE POLICY PROVESIONS.
Cliy Of �Oft COIIIf15
P.O. Box 580
Fort Collins CO 8Q526
ACORD 25 (2p16103)
Al)THOAEZED REPRESENTATIVE
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81988-2015 ACORD CORPORAT}ON. Ali rights reseroe
The ACORD name and logo are registered marks of ACORb
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