HomeMy WebLinkAboutMagee Electric, Inc. - Insurance Certificate 2025 ,a►coRO® CERTIFICATE OF LIABILITY INSURANCE 7DATE(MMiODIYYYY)
/27/2024
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: 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 the terms and conditions of the 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
CRS Insurance Brokerage PHoI e —Maria Kubat FAX
9780 S Meridian Blvd Suite 400 &303-996-7865 ac No):303 757-7719
Englewood CO 80112 ADDRESS: mkubat@crsdenver.com _
INSURER(SI_AFFORDING COVERAGE NAIC U
------------ - ----- -----
INSURER A: Employers Mutual Casualty Co. 21415
INSURED MAGEELE-01 INSURERS: Pinnacol Assurance 41190
Magee Electric, Inc.
1236 S. Hoyt St. INSURERC:
Lakewood CO 80232 INSURER D:
INSURER E:
—
INSURER F: I
COVERAGES CERTIFICATE NUMBER:1308620753 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR A00L SUBRi -- ---- --------- ---TPOUCV EFF T"POLICY EXP
- - -- _ - ._ __.- _.
LTR i TYPEOFINSURANCE IN WVD! POLICY NUMB ER MMIDD/YYYY)1(MM/DD/YYYYI LIMITS
A X COMMERCIAL GENERAL LIABILITY Y 5XB0859 I 1/1/2025 1/1/2026 1EACHOCCURRENCE $1,000,000
DAMAGE TO RENTED
CLAIMS-MADE X OCCUR I
PREMISES(Ea occurrence $500,000
MED EXP(Any one person) $10,000
PERSONAL&ADV INJURY $1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
X POLICY!u X !,JECOT LOG h-'-- ---
j PRODUCTS-COMP/OP AGG $2,000,000
OTHER: $ —
A AUTOMOBILE LIABILITY 5XOO859 I 1/1/2025 1/1/2026 COMBINED SINGLE LIMIT $1.000,000
X ANY AUTO _ -- —
j BODILY INJURY(Per person) $
OWNED SCHEDULED
AUTOS ONLY AUTOS BODILY INJURY(Per accident) $
X HIRED X NON-OWNED PROPERTYDAMAGE
AUTOS ONLY AUTOS ONLY I.LPe{accident)__—
$
A X UMBRELLA LIAB X j OCCUR 5XB0859 111/2025 1/1/2026 EACH OCCURRENCE $5,000.000
EXCESS LIAB ~i CLAIMS MADE AGGREGATE $5,000,000
—�—
WORKERS DED ! X RETENTION$n $
B AND EMPLO ERSEL ABIILIITY Y/N ON 4241266 1/1/2025 111/2026 ;X STATUTE EERH
ANYPROPRIETOR/PARTNER/EXECUTIVE a N/A E.L.EACH ACCIDENT $1,000,000
OFFICE ReM EMBER EXCLUDED? 000
(Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000
11 yes,describe under r— -- ------
DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT $1,000,000
A (Leased/Rented Equipment 5X80859 1/1/2025 j 1/1/2026 !Limit 100,000
Deductible 1.000
i
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Addltional Remarks Schedule,may be attached If more space Is required)
Certificate holder is included as additional insured on the General Liability with respect to ongoing operations of the named insured for the certificate holder as
required by written contract.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS.
Building &Zoning
281 North College Ave. AUTHORIZED REPRESENTATIVE
Fort Collins CO 80521
01988.2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
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