HomeMy WebLinkAboutEMF ELECTRICAL CORPORATION - INSURANCE CERTIFICATE (2)AC R � DA7E (MkS�ODNYYY)
�. CERTIFICATE OF LIABILITY INSURANCE zt�arzo2s
THIS CERiIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY A1JD CONFERS NO RIGHTS UPON THE CERTIFiCATE HOLDER. THlS
CERTIFlCATE DOES NOT AFFIRMATIVfLY OR NEGATIVELY AMEND, EXiEPlD OFl ALTER THE COVERAGE AFFORDED BY THE POLICIfS
BELOW. THIS CEFiTIFICATE OF ItJSURANCE DOES NQT CONS'I'ITUTE A CONTRACT BETWEEN 7HE iSSUING INSURER(S), AUTHORIZEO
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
FMPORTANT: If thc certificate hotder Is an ADORIONAL INSURED, the poiicy(ies) must have ADQITIONAL INSURED pravisfons or be endorsed.
ff SUBROGATION IS WAfVED, sub�ect to the terms and condltlons ot the pollcy, certain pollcies may requlre an endorsement. A slatement on
thls certificate does not conter rights to the cartificate holder in Ileu bf such endorsement s).
PRODUCER HAME• Andrew Safe
Cf2S Insurance Brokerage PHpNE +�ax
9780 S Meridian Slvd Suite 400 . 303•336-7800 ac No ; 303-T57-7718
Englewood CO 80112 A DARESS: 050fC crsdenver.com
INSURE P
EMF Electrical Corporation
7240 Weld County Rd #1
Longmont CO 80504
T INSl3RER(S}AFFORDINGC4VE
INSURERA: PI[Il1dC01 ASSUfdflCe
�MF��'� iNsuaeA a: Employers Mutual Casualry Co.
INSURER C :
INSUAER D :
41190
21415
COVERAGES CERTIfICATE NUMSER: 1151853500 REVISION NUMSER:
THIS IS TO CERTIFY THAT THE POLICIES OF iNSURANCE LISTEO BEI.OW HAVE BEEN ISSUEO TO THE INSUREQ NAMED ABOVE FOR THE POLICY PEflIOD
INDICATEp. N07WI'i'HSTANDING ANY REQUiREMENT, 7ERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH 7FiIS
CERTIFICA7E MAY 8E ISSUED OR MAY PER7AIN, iHE INSURANCE AFFOADED BY THE POLICIE5 DESCRIBED HEAEIN IS SUBJ�CT TO ALL THE TEFM5,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDtJCED BY PAID CLAIMS.
INSR TypE OF INSURANCE AaOL BUBR POLICY EFF PpLtC Y EXp V��
LTp I I WV POUCV NUMB�R MIaLDD�'YYYY MM�DDIYYYY
8 X COMMERCIALGENERALlIA81LfTY 6X15120 1H12023 1/1l2Q24 ;Eq�HOCCURRENCE 51.000,000
CLAIMS•MADE %� OCCUR PFiEM� , �� SES Ea€xa�rrenco 5540,000
_L� �__...__l._.
MED EXP {Any one person) S 40.000
PERSONAL 8 ADV INJURY E 4.040,000
GEN'L AGGREGATE LIMiT APPLIES PER GENERAL AGGFEGATE b 2,000,000
��POUCY %� j�� L(� PRODUCTS COt.APlOPAGG 52,000,000
OTHER. b
B AUTOMOBkLEUABIUTY 6X15120 111/2023 1/1/2024 ���d dtSINGLE LIMIT 57,000.000
� ANY AUTO BODILY INJURV rPer person) S
OWNED SCHEUULED BpDlLY INJURY(Pa acc�denl} 5
AUTO$ ONLY � AU70S
X HIREQ X tJON�OWN6Q PROPEHTYDAMAGE �
I AUTOS ONLY AUTOS ONtY jPar accident
I I Ib
B X UMBRELI.ALIAB ����R 6X15120 11112023 1!1l2024 EqCkpCCURRENCE SB,OOO,Q00 �_
EXCE33 UAB _� CWAAS�MADE AGGR£GA7E E B.00D,pOQ
DED I^ I RETENTIONS ` S
A WORKERSCOlr1AENSATION 4027546 bl1l2022 411/2023 X
AND EMPLOYERS' LIABILFTV Y 1 N STATUTE ERH
IlWYPROPRI£TOR�PARTNERrEXECUTIVE ❑ E.L EACHACGtDEN7 Ei,00p,400
� OFFICEFi�MEA70EREXGLUDEO? Y k � A — "'-'— -
(Mandetory In NH) E L DISEASE - EA EMPLOYEE S i,000,000
II yes, describe undei
DESCRIPTION OF OPERATIONS nebw E.l. 61SEASE • POUCY I.1MIT S 1.DOQ,000
6� 7nland Manne 6X15120 1/1/2023 1t11202A RenteNLeaseJEq 100 004
?roperty • Stored Maledals DeducUble 500
Stored Matenals 600,000
t
AE9CRIRTION OF OPERATION9 � LdCATiOtiS � VENICLE3 iACOHD 101, Addillonal Remerke Schedula, mey be elteched il mpre spece is required}
SHOULD ANY OF 7HE ABOVE DESCRIBED POLICIES BE CANCELLED 9EFORE
THE EXPIRATION DATE 7HEREOF, NOTICE WILI BE OEI.IVEREd IN
ACCOHDAAlCE WITH THE POLICY PROVtStONS.
City ot Fort Collins
281 North Coilege
Fort Collins CO 80521
ACORD 25 (20y6t43)
AUTMORIZED REPRESENTATIVE
}C�`•P�iT/t7 %�i�
� 1988-2015 ACORD CORPORATION. Qlf rights reserved.
The ACORD name and logo are registered marks of ACOFiD
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