HomeMy WebLinkAboutEMTECH, INC. - INSURANCE CERTIFICATE���
A�RO
EMTEINC-01
CERTIFICATE �F LIABlLITY INSURANCE
pATE (MMJDDIYYYYj
THIS CERTIFICATE IS ISSUED AS A MA7TER OF INFORMATION ONLY AN� CONFERS NO RIGHTS UPON THE CERTEFICATE HQLDER. 7HIS
CERTI�ICATE QOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORpED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BE'T'WEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
[MP�RTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to Ehe terms and conditions of khe policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement s.
PRODUCER
CONTACT fliano Kano
Home Loan 8� Investment Company
205 North 4th Street
Grand Junction, CO 81501
INSURED
EmTech, Inc.
PQ Box 429
Grand Junction, CO 81502
�t�: (9T0) 254-0838
. dianek@hlic.com
INSURER{S) AFFORDING COV
A:West American Insurance
e :Ohio Security Insurance (
c:GuideOne National Ins Cc
o : Pinnacol Assurance
243-3914
NAIC #
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN 15SUED TO TFiE INSURED NAM�d ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIftEMEN7, iERM OR CONDITION OF ANY CONiRACT OR OTHER DOCUMENT VNTH RESPECT TO VN-IICH TNIS
CERT{FfCATE MAY BE ISSUED dR MAY PERTAIN, THE INSURAMCE AFFQRDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO Al�l THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLiCIES. LIMITS SH01NN MAY HAVE BEEN R�OUCED BY PAID CLAIMS.
TYPE OF INSURANCE
COMMERCIAL GENERAL LIABILITY
] CLAIMS�AADE a OCCUR
L AGGREGATE LIMIT APPLIES PER:
POLICY a PRO- � LOC
JECT
B AU70MOBILE LIABILITY
X AtJY AUTO
ONMED �
AUTOS ONLY
AUTOS ONLY
UMBRELLA LIAB
EXCESS LIAB
POLICY NUMBER
X
W57731573
BAS57731973
X
SCHEDULED
At1T05
AUTOS ONL�
K o���R
CLAIMSavIADE
DED RETENTION $
D WORKERS COMPENSATION
AN� EMPLOYERS' LIABIL3TY Y 7 N
ANY PROPRIETORIPARTNERlEXECUTIVF �} N 1 A
OFFICER/ME,MBER EXCLUDED7 L�
(Manda�ory m NFi)
If ves. describe under
1-02
3225
4126J2023 � 4126l2024
arzsiso2s � alzsi2oza
4/2612023 I 4126l2024
11i12623 I 1/1l2024
uMiTs
iRR[NCE
iRC•MTE•D
n one rson
& ADV INJURY
GGREGATE
- COMPlOP AGG
P WYO
SINGLE LIM1T
E L DISEASE EA
OTH-
������fl
7,000,0
2,���,�
2,��0,�
1,000,0
s,aoo,a
5,000,0
1
i
DESCRIPTION OF OPERATIONS ! IOCATIONS ! VEHICLES SACORD 101, Addltlonal Remarks Schedule, may be attached H more space Is �equlredJ
The City of Fort CoUins, its officers, agents and employees are additional insured wlth regard to General Llability and Automobfle Llability.
The Insurance evldenced by thls Certi(icate will not reduce coverage or Ilmits and will not be cancelled, except after thirty (30} days written noti�e has been
received by the Clty of Fort Collins
City of Fort Collins
215 North Mason Street
Fort Collins, CO 80524
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
TFiE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED I�
ACCORDANCE WITH THE POLICY PRflVISIONS.
AUTHORiZED REPRESENTATIVE
c - -_ . - _.
� �� -- _
'� C'«�-�� I'�•-��_.�,..-�_ —
ACaRD 25 (2016lQ3) OO 1988-2015 ACORD CORPORATION. All rights reservE
The ACORD name and logo are registered marks of ACORD