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Home My WebLink AboutEMERSON ENERGY AND ELECTRIC LLC - INSURANCE CERTIFICATESfateFarm • • • �?�x= . _�a. � � � � 0 STATE FARM FIRE AND CASUALTY COMPANY A STOCK COMPANY W/TN NOME �FFlCES 1N BLOQMINGTON, !CLlNC(S RENEWAI. DECLARAi14NS Pp BOX 2g 15 8loomrngtvn IL 61702 29i5 Addl Insured-Sectivn II Onfy Ar i pp q g35 3125M-20-2346-FAA4 F E CITY OF FORT COLLINS 281 N COLLEGE AVE ATTN: ENGINEERING DEPARTMENT FORT COLLINS CO 80524-2404 �i��ti�i��i�ii�,ii,�,�i�i�i,��i��i��i��in�,��i�ii„i�i�i Artisan And Service Contractor Policy � PoEicy Number 96-EV-Q978-7 ~ Replaces Number 96 EM L9Z3 3 Poticy Period Effective Oate Exp iration Date 1 Year APR 4 2023 APR 4 2024 The poli y period begins and ends at 12;01 am standard bme at�e premtsesTocaUon. Named Insured EMERSON ENERGY AND ELECTRIC LLC Automatic Renewal If the policy petfod is shawn as 1Z months , this pol�cy will be renewed automa6cally subject to the premiums, rules and forms in effectfor each succeeding policy penod. If this policy is terminated, we will give yau and the Mortgagee/Lienholder written noUce in compliance with the pohcy provlsions or as required by law. Entity: Limited Liability Company NOTICE: Informatian concerning changes in your palicy language is included. Please call your agent if you have any questions. Total Estimated Premium Disaster Mttigation Audit Period: Annual Total Estimated Amt $ 1,121.00 $ 2.00 $ 1,123.00 Claim Record Discounts Applied: Renewal Year Years in 6usit�ess Prepared FEB 15 2023 CMP-4000 oi2�ss 2sa Ai N � Copyright, Stete Farm MutuaE Automobike Insurenee Compeny, 2008 Includes copyriphEed materiaf of Insurance Services Office, Inc., with its permission. Continued on Reverse Side of Page Page 1 oi 6 530 686 a.2 05 31 I011 1o1f32 RENEWAL DECLARATIONS (CONTINUED) Artfsan And Service Contractor Policy (or CITY OF FORT COLLINS Policy Nurnber 96-EV-�978-7 � � • ,I�! } A; Locatian Location of Limit of fnsurance' Limit ot Insurance' Seasonal Number Descrfbed Increase- Premises Coverage A- Coverage B- Business Buildfngs Buslness Persona! Personal Property Property 001 2843 S OURAY WAY No Coverage $ 1,4Q0 25% AURORA CO 8001 3-1 944 � of the etfective date of this policy, the Limii of Insurance as shown includes any increase in the limit due to Inflation Coverage � , • , • I�:T_Lr1�L[S�. Cov A- Inflation Coverage Index: N/A Cov B- Co�sumer Price Index: 298.4 SECTION I - DEDU TIBLES Basic Deductlble Special Deductibles: Equipment Breakdown $1,000 $1,000 Other deductibles may apply - refer to policy. Prepared FEB 15 2023 CMP-400Q 4 Copyriph4 Stete Farm Mamel Automobile lnsurance Compeny, 2008 I�cludes copyrfghted meteriel of Insurance Servtces Office, Inc , with rts permission. oi2�ss Continued on Next Page Page 2 of 6 StaleFarm �� RENEWAL pECLARATIONS {CONTiNUED} Artisan And Service Contractor Policy for CI7Y OF FQRT COLLINS Policy Number 96-EV-097&7 I �� 0 a S � � 0 SECTION I- EXTENSIONS OF COVERAGE - LIMIT OF INSURANCE - EACH DESCRIBED PREMISES The coverages and Corresponding limits shown below apply separately to each describetf premises shown in these Declarations, unless indicated by "See Schedule." If a coverage does not have a corresponding limit shown below, but has "Included" indicated, please refer to that policy provision for an explanation vf that coverage. COVERAGE Accounts Receivable On Premises Off Premises Arsort Reward Collapse Damage To Nan-Owned Buildings From Theft, Burglary Qr Robbery Debns Removai Equipment Breakdown Fire Department SeNice Charge F#re Extinguisher Systems Recharge Expense Forgery Or Alteration Glass Expenses Increased Cast Of Construction And Demolition Costs (applies only when buildings are insured on a replacement cost basisj Maney Orders And Counterfeit Money Newly Acquired Business Personal Property {applies only if this policy provides Coverage B- Business Personal Praperty) Newly Acquired Or Canstructed Buildings {applies only if this policy provides Coverage A - Buildings} Urdinance Or Law - Equipment Coverage Outdoor Property Prepared FEg 15 2a2s cMP-aaoo 012797 294 N a Copynyhc, State Ferm Mutuel Automobde Insurance Company, 2008 Includes copyrighted matenal of Insurance Servlces Office, inc , wrth its permission. Continued on Reverse Side of Page LIMIT OF INSURANCE $10,000 $5,000 $5,000 Included Coverage 8 Limit 25% of covered loss Included $2, 500 $5,400 $10,000 Included 10% $1,000 $100,000 $250,OQ0 Included $5,000 Page 3 of 6 RENEWAL DECLARATIONS (CONTINUED) Artisan Artd Service Contractor Policy far CITY OF FORT COLLINS Policy Number 96-EV-(�97&7 Personal Effects {applies only to those premises provided Caverage B- Business Personal Property) Personal Property Off Premises Pollutant Clean Up And Removal Preservation Of Prope�ty Property Of Qthe�s (appiies only to those premises provided Coverage B- Business Personal Property) Signs Valuable Papers And Records On Premises Oft Premises Water Damage, Other Liquids, Pawder Or Molten Material Damage $2,500 �y s,000 $10,000 30 Days $2,�oa $2,�oa $10,004 $5,000 Included • s . - Business Liat�ility - Property Damage $1,004 Other deductibles may apply - refer to policy. SfCTION II - LI�3�ITY LIM17 OF COVERAGE INSURANCE Coverage L - Business Liability Coverage M- Medical Expenses (Any One Persan) Damage 7o Premises Rented To You AGGREGATE LIMIiS Products/Completed Operations Aggregate Prepared FEB i 5 2a23 m CopyriphL State Farm Mutuel Automobile Insurance Company, 2ooe CMP-4000 Includes copyriphted materal ot Insurance Serviees Offtce, Inc , with its permission. 012797 Continued on Next Pags $1,000,000 $5,000 $104,000 LIMIT OF INSURANCE $2,0�0,000 Page 4 of 6 StateFarm • •• RENEWAL DECLAFiATIONS (CONTINUED) Artisan And Service Contractor Policy for CITY OF FORT COLLINS Policy Number 96-EV-G197&7 General Aggregate � Each paid claim far l�iability Coverage reduces the amount of insurance we provide during the applicable annuaE period. Please refer to Section fl - L.iability in the Coverage Form and any attached endorsements. $2,000,000 � r ti � � 0 You� policy consists of these Decfarations, the SUSINESSOWNERS COVERAGE FORM shown below, and any other forms and endorsements that apply, inciuding those shown below as well as those issued subsequent to the issuance af this policy. FORMS AND ENDORSEM�N7S _ _ CMP-4100 CMP-456i .4 CM P-4206.2 FE-6999.3 CM P-4600 FE-3650 CM P-4786 CM P-4787 FD-6007 Businessowners Coverage Form 'Policy Endorsement *Amendatory E�dorsemeni 'Terrorism insurance Cov Notice Artisan and Service Contractor Actual Cash Value Endorsement Addl Insd Owners Lessee Sched Waiver of Trans Rgt of Recov Inland Marine Attach Dec ' New Farm Attached > re Prepared FEB 15 2023 CMP-4000 4 Copynght, Stete Farm Mutuel Automobile Insurance Compeny, 2009 Includes copyriphted matenal of Insurance Services Office, Inc., wRh its permission o12�se 2sa Continued on Reverse Side o0 Page Page 5 of 6 N RENEWAL OECLARATIONS (CONTINUED) Artisan And Service Co�tractor Policy for CITY OF FORT COLLINS Policy Number 96-EV-�97&7 This policy is issued by the State Farm Fire and Casualty Company. Participating Policy You are entitled to participate in a distribution of the ea�nings of the company as detsrmined by our Board of Directors !n accordance with the Company's Articles af Inco�poration, as amended. In Witness VYhereof, t�e State Farm Fire and Casuaity Corr�pany has caused this policy to be signed by its President and Secretary at Bloomington, Illinois. �� rn ��- ,��,�.,��.,,� Sacretary President NaT10E TD POLICYH�LDER: For a comprehensive description oF caverages and forms, please reler to your policy. Policy changes requested before the "Date Prepared", which appear on this notice, are effective on the Renewal Date af ihis policy unless othenrvise indicated by a separate endorsement, binder, ar amended declarations. Any coverage forms atlached fo this notiee are also effective on the Renewai Date oF fhis policy. Policy changes raquested after the "Date Prepared" will be sent to you as an amended declarations or as an endorsement to your pol cy. Billing tor any additional premium for such changes will be mailed a1 a laisr date. It, during the past year, you've acquired any valuable property tems, made any mprovements to insured property, or ha�e any questions about your insurance coverage, contact your State Farm agenl. Please keep this with your policy_ Colorado !aw requires that we provide the foflowing information to you: In addition to other aliowable reasans for which your po►icy premium may have been adjusted upward or downward from your prior renewal, your premium increased due to the following: An increase in ihe estimated cost af anticipated claims and expenses for State Farm's commercial multi-peril business in Colorado. Please contact your State Farm agent if you have any questions abaut your poiicy. Prepared FEB 15 2023 � Copyripht, Stete Farm fNutuaf Autamobile Insurance Compeny, 2008 CMP-400d Includes copyrighted materiel of Insurance Services Office, Inc., with its panrtission. o�2�s8 2sa Page 6 of G � StateFarm � �'• j'i STATE FARM FIRE AND CASUAI.TY COMPANY A STQCK GOMPRNY W/TN NOME OFFlCES !N BLOOMINGTON, JLLlNOlS INLAND MARINE ATTACHING DECLARATIONS P 8ox 2 15 B�oomrng on JL 6 i 702-29 i 5 Named Insured M-24-2346-�AA4 F E EM�RSOM ENERGY AND ELECTRIC LLC ATTACHING INLAND MARINE Policy Number 96-EV-(a978-7 Replaces Number 96-EM-L923-3 Policy Periad Effective Date Expiration Date 1 Year APR 4 2023 APR 4 2D24 The poli y period be ins and ends at 12�01 am standard t�me att�ie premises�ocabon. Automatic Renewaf - If the policy period is shown as 12 months , this poGcy will be renewed automatically subjectto the premiums, rules and forms in effect for each succeeding pnl.cy perfod if tf�is policy is terminated, we will give you and the Mortgagee/Lienholder written notice in compl�ance wid� the po6cy provEsions or as required by law. Annual Policy Premium Included The above Premium Amount is included in the Po{�cy P�emium shown on the Declarations. Your policy consists of these Declarations, the INLANO MARIfVE CONDITIONS shown below, and any other forms and endarsements tt�at apply, including tfiosa shown belaw as well as tt�ose issued subsequentta the issuance of this policy. Forms, Options, and Endorsements FE-8739 FE-8743.1 FE-8756.1 FE-8764 Inland Marine Conditions Inland Marine Computer Prop Instailation Endorsement Mobile Equipment Form See Reverse for Schedule Page with Limits Prepared FEB 15 2023 FQ-6007 '�J` Copyright, State Farm Mutual Automobile Insurance Company, 2008 includes copyrighted material of lnsurance Services Office, Inc., wiih rts permission 012799 530 fi88a.2 05 31 TU1t �otf3i 96-EV-Q978-7 AT7ACHINO INLAND MARINE ENDORSEMENT NUMBER COUERAG� ATTACHING INLAND MARINE SCHEDUI.E PAGE FE-8743.1 Infand Marine Computer Prop FE-8760 Mobile Equiqment Form FE-8756.1 Instal4ation Endorsement Property in 7ransit Nurnber of Job-Sites: 1 LiMIT Of INSURANCE 25,000 10,000 5,000 5,000 OTHER LIMITS AND EXCLUSlONS MAY APPLY - REFER TO YaUR POLICY Prepared FEB 15 2023 � Copyright, Stete Ferm Mutual Automobile Insurance Company, 20Q8 �a-soo7 o,2�ss Includes copyrighted mate�ial of Insurance Services Office, loc., with its permission. DEDUCTIBLE AMpUNT 500 500 500 ANNUAL PREMIUM Included Included Included 530 686 a.7 tl5 31 2011 {o}I7't33c