Loading...
HomeMy WebLinkAboutMcKusker Electric Inc - Insurance Certificate 2024 DATE(MM/DDNYYY) AC"" CERTIFICATE OF LIABILITY INSURANCE 12/17/2024 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 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 Katie Klimek NAME: Ewing-Leavitt Insurance Agency, Inc. IA IC.N Ex : (970)679-7333 n/c No: (866)456-4265 5689 McWhinney Blvd. E-MAIL katie-klimek@leavitt.com ADDRESS: INSURERS AFFORDING COVERAGE NAIC# Loveland CO 80538 INSURER A:Owners Insurance Company 32700 INSURED INSURERB:Pinnacol Assurance 41190 McKusker Electric Inc INSURERC: 115 Hunters Cove Rd INSURER D: INSURER E: Mead CO 80542 INSURER F: COVERAGES CERTIFICATE NUMBER:25/26 WC Renew 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. I TR ADDL SUER POLICPOLICY NUMBER MMIDDY/YYYY MMIDDfYYYY LIMITS TYPE OF INSURANCE X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE rX OCCUR DAMAGE TO RENTED 300,000 PREMISES Ea occurrence $ X Blkt Additional Insured 74413141 7/11/2024 7/11/2025 MED EXP(Any one person) $ 10,000 X Blkt Waiver of Subrogation PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY aPR JECT LOC PRODUCTS-COMP/OP AGG $ 4,000,000 OTHER: F-71Errors&Omissions $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident 1,000,000 A ANYAUTO BODILY INJURY(Per person) $ ALL OWNED F SCHEDULED 74413141 7/11/2024 7/11/2025 BODILY INJURY Per accident AUTOS AUTOS ( ) $ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 6,000,000 A EXCESS LAB CLAIMS-MADE AGGREGATE $ 6,000,000 DED RETENTION$ 5041314101 7/11/2024 7/11/2025 $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY YIN N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? ❑ N/A B (Mandatory in NH) 3375442 1/1/2025 1/1/2026 E.L.DISEASE-EA EMPLOYEE S 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below Blkt Waiver of Subrogation E.L.DISEASE-POLICY LIMIT $ 1,000,000 A Errors & Omissions 74413141 7/11/2024 7/11/2025 Limit $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 281 N. College Ave. ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 80524 AUTHORIZED REPRESENTATIVE Katie Klimek/KAKLIM ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(201401)