HomeMy WebLinkAboutSIMPSON ELECTRIC INC - INSURANCE CERTIFICATE 2020-2021'`�� � CERTIFICATE OF LIABILITY INSURANCE �'�{��'
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THIS CER7IFICAiE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON TNE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFlRMATIVELY OR NEOATI1fELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY TiIE POIJCIES BELOW. THIS
CERTIFICATE OF INSURANCE �OES NOT CONSTITUTE A CONTRACT 9ETMIEEN TfiE ISSUINO INSURER(3), AUTNORIZED REPRESENTATIVE OR
PRO�UCER, ANR THE CERTIFICATE HOLDER.
IMPORTANT: If the certificala holdar is an AD�ITIONAL INSURED, tYis policy(ies} must have ADDITIONAL IkSURED provisians ar be endarsed. If
SUBROOATION IS WAIIIED, sub�ect to the terms and condEtlons of the poliey, certaln policles may requlrs an endorseinent. A stAtement on this
PRODUCER
FEbERATED MUTUAL INSURANCE COMPANY
!-IOIuIE dFFICE: P O. BOX 328
OMlATONNA, MM 55060
nrsueeR A: FED�RATED MUTUAL INSURANCE COMPANY
IN6VRED �Sg_7�q_g i�rsuxere a: FEOERATE� SERVICE IN5URANCE COMPRNY
5lMPSON ELECTRIC, INC. INSUNER C:
220 12TH ST SW
LOVEL4ND, CO 80537�361 INSURER D:
IXSIIRER E:
IHSUNER F.
'3335
28900.
COVERAGES CER7IFICA7E NUMBER: 11 A@VISION NUMBER: 0
THIS S TO C6RTIFY THAT TFtE POLICIE5 OF INSURANCE i ISTED BELOW HAVE BEEN ISSLIED TO 7HE INSUREp NqMED ABOVE FOR THE POLICY PER OD
INDICATED. NOTWiTHSTANDING ANY RiOUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHEFi DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE IN3URAMCE AFFORDE� BY THE POLIqES pESCRiBED NEREiN IS SUBJECT Tp ALL THE TERMS. FJCCWSIONS
ANU CONDIT ONS OF SUCH POLICIES. LIMITS SNOWN MAY MAVE BEEN REDUCED BY PAID CLAIMS.
INSR TypE OF INSIIRIWCE N�R SUBR pp�,�CY NUM6EH ��CY EFf � LICY EXP LIMIT6
GOM111ERtlAL OEMENAL LIABILITY EAiCN OCCLRRENCE S�,OOO�UDD
CLA1M5-MADE �X p�CUR GANFAGE TO RENTED j100,OQ0
%� BUSINESS OWNER'8 LIAB�LITY
MED E7fP IMY ane Oe�san;
iM �/ i'� Q1'1�79 �/�ii/2�� 04I01f2021 PERSONPLfF�VINJVHY a1��0����
'L AGCRECA E L]MIT PPPLIES PiR: 6ENERAL AGOREOATf SZ,QOO,OOO
%� POLJCY ��� ❑ LOC PRODUCTS - COMPfOY A00 f2i��A�
OTMER:
AUTOMOBILE LIA6ILITY COMBtNEO 5 NCLE 13MIT ;1 �� ��
i� ANY AUTO BDDILY INlURV �Per penan)
8 OWNEO Alli05 ONLV puTpgv�� N N 61'14s� �4/d1/2U'10 �4101/2�1 BODItY INJVRY �Pu scciMnq
HIRED AUToS ox�Y NON•OMMEO PROPERri DAMAGE
WTOS ONLY p �
X UMBRELLA LIAB X OCCVR EACN OGCUNRENGE �1�000�000
A E][CESSLIAB CWMS-Mp�E N N B�Z4JB� O4IO1I2O'lO OM1IOtiI2O2� qOG0.E0ATE i��UOO�QOD
DE� RETENTION
WORKERS GOMPENSATI6t1 PER S7A7U7E �ER
AMO EMPLOYERS' LIABILYTY
4NY PROARIETOR1PhRTNERIE%ECUTJVE � E.L. EMCN MGCIDENT
piCICEWMEMBER EJICWDiU? N � A
{MaMalory En MH� E.L GISEASE • EA EMPLOYEE
If yef, Aesai6e unacr
D¢SCRIPTION Oi OPERATIONS hslew E,L OISE0.5E • POLICY LIMIT
UEBGRIPTION OF OPERATIONS f LOCATIONS i VEHI[LE$ ��LORD iL1, Adeiepnal Rem�rts StAeCu�e m�Y 6e ald�heU i1 mare fyaca is raquire6}
TFfB CERTIFICATE HOLDER IS AN ADDITIONAL INSURED SUBJEGT 1'O THE tCN�ITI0N5 OF THE AD�ITIONAL INSURED SY CQNTRACT
Et�DRSEHENT FOR BUSINESSOWNERS LIABILITY.
HOLDER
189-714•9
CITY OF FORT COLI.iNS
PO BOX 580
FORT CO�LINS, CO 80522-0580
RCGRD 2b {zp�gl�p)
CANCELLATION
11 Q
SNOULD ANY OF THE ABOVE OESCRIBE� POWCIES 8E CANCFLIED BEFORE
THE ExGIIZA710N DA7E THEREOF, N0710E WfLL BE DELIYERED IN
ACCORDANCE WITH TH8 POLiCY PROVISIONS.
lWiHORIYEO REPpESEhYATI+rt
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