HomeMy WebLinkAboutINTERMOUNTAIN ELECTRIC INC - INSURANCE CERTIFICATE 2023-2024r�
'4CO��'� CERTIFICATE 4F LiABILITY INSURANCE °"���"'""°°""""'
`� 5/1/2024 04125�2023
THIS CERTIFICATE IS ISSlJED AS A MATTER OF INFDRMATION ONLY AND CONFERS NO RIGHTS 11PON THE CERTIFICATE HOIDER. THIS
CERTIFICATE dpES hOT AFFIRMAiIVELY OR NEGATIVELY AMENd, EXTEND OR ALTER THE COVERAGE AFFORDEU BY THE POLICI�S BELOW,
THIS CEl2TIFICAT£ OF INSURANCE DOES NOT CONSTI7UTE A CONTRACT SETWEEN THE ISSUING INSURER{S}, AUTHORIIED REPRESENTATIVE
OR PRODUCER, ANd THE CEiiTIFICATE HOL�ER.
IMPORTANT: If the certiflcate holder Is an ADDITIONAL INSURED, the policy(ies) must have ADDkTIONAL INSURED provisfons or be endorsed. If
SUBROGATfON IS WAIVED, suhject to the terms and conditfons of the policy, certain policies may requEre an endorsement. A stalement on this
tertfiloete does not confer rights to the certificate holder in iieu of such endorsemeM(s].
PROOUCER LOCKTON COMPANIES
3657 BRIARPARK DRIVE, SUITE 700 PHONE
HOl1STON TX 77042 e�nni�
866-26p-3538
INSURER 5 AFF6ROING COY�RAGE NAIC M
�Nsuaeaa: Old Republic Insurance Company 24147
IHSurtEo INTERMOUNiAIN ELECTRIC, INC, INSURER 8: ACE Pro ene Casua msurance com n 2Q6g9
364742 A �UANTA S�RVICES COMPANY IHsIlrteR c:
5D50 05AG E S7RE�T, 5 U ITE 500 IMSifRER �:
QENVER Cp 80221
INSURER E :
INSURER F :
COVERAGES ENTMEL01 CERTIFICATE NUMBER: 12416016 REVISION N[IAIIBER: )OO(XXXX
THIS IS TO CERTIFY TNAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN lSSUEp TO THE INSUFiED NAM1hED ABOVE FOR THE POLICY
P�RIOD iNDICATED. NOTWITHSTANDlNG ANY REQUIREMENT, TERM OR CONDlTIbN OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECi TO
WHICH THIS CERTfFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURRNCE AFFOR{}ED BY THE PpLICIES 4ESCRIBED HEREIN IS SUBJECT TO
INSR ppL $UB POLICY EFF POLICY EXP
LTR TYPE OF [NSURANCE lNSD WVD POLICY Nl1M9ER M!HlOD MMIDD LIMRS
A �( COMMERCWL GENERAL UABILITY MWZY 313093 2 QrJ �i 2�2 05 01 202 �pCH OCCURRENCE S 5��Q �Q�
A MWZX 313095 23 Q51091202 05/01/202
CLAiMS-MADE � OCCl1R S 1 Up0 000
N N MED EXP An one rson a Excluded
PERSONAL 6 ApV INJURY s � OOO OOO
GEN'�AGGREGATELIMITAPPLIESPER: GENERALAGGREGATE sSOOOOOO
POLICY❑ 1� a ❑ �p� PRODIiCTS - COMPlOP AGG s 5 000 000
O7HER. y
A AIiTOMOBILEL1A81LITY M1NTB3i309223. 05/01/202 Q§JQ'1J�QQ E88BI�_N�tSINGLE���dIT 55,U�10,00�
A X ANYAUTO MWZX3i309123 05l011202 05l07l202 gODILYIN3l1RY�Perperson) 3�OO(X)p(
X OWNE� SGHEDUIED N N BOUILYIN3URY�Peracddenq S XX)QQQ(X
AUT0.5 ONLY AUTOS R
X AUi'OS OhLY x AUTOS ONLp PPer�eaE.�iRdem AMAGE a XXXXXXX
S )()()(X)Q(X
B X UMBRELLA LWB X O�CCUR XEU G27972032 008 05/01/202 �5/�1/207 �CW OCCURRENCE S rj QQQ QaQ
E1(CESS LIA9 CLAIMS�AADE � N AGGREGAT� S s o00 oaa
DED REfENTIONS S
WQRI(HRS COMPENSATIpN X
�.j AND EMPLpYERS' E.IABII.I7Y Y! N MWC 313094 23 �5��'��2�2 0510112Q2
�ic�EMa��uoEm ecum� � N I A �] a 1 ODO 000
E.L. E4CH ACCIDENT
�N1�na�wrylnNH� E.L UISEASE-EAEMPLOYCE s � ooa oao
I[ yss, deauiCe undai
a�scRiPTiorr oF oreannaNa � E.L. DlSEASE - POIICY _iMIT S 1 000 000
OESCR[PTION OF OPERATIONS ! LOCATIONS 1 VEHICLES (ACORD 1 Q1, Addltiona{ Remarks Scheduls, may ba attachad if more spaee is requlred)
CERTlFICATE HOLDER CANC�LLATION
SHOULD AHY OF TN� ABOV� pESCRIBED POLICIES 6E CANCELLED BEFORE
7NE EXPII2ATlUN DATE THEREOF, NOTICE WILL BE �ELIVER�D Ik
ACCpRflANCE WITFE THE POLICY PROYi510N5.
'I Za'I GO'I B AUTHOR¢ED REPRESENTATIYE
City Of Forl Collins
281 N. College Ave.
Fort Collins CO 80522-058D
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s�Lc�Ku za (zvi ti►us) The AcvRp name artd logo are registered marks of AGORD