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HomeMy WebLinkAboutLukas Electric - Insurance Certificate ACoizo® CERTIFICATE OF PROPERTY INSURANCE =DATEYYYY)023 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. PRODUCER CONTACT NAME: PHONE EM: (844) 472-0967 BIBERK Fvc A/C No No: (203) 654-3613 aDDRIESS: salessupport@biberk.com P.O. BOX 113247 PRODUCER Stamford, CT 06911 CUSTOMER ID: INSURER S AFFORDING COVERAGE INSURED NAIC# INSURERA:Berkshire Hathaway Direct Insurance Compal 238210 Lukas Electric INSURERB: 1103 Xenon St INSURERC: Golden, CO 80401-4200 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: LOCATION OF PREMISES/DESCRIPTION OF PROPERTY (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Location: 1103 Xenon StGolden, CO 80401-4200 Bldg #001: Electrical Work - Within Buildings - 7456101 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 TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION LTR POLICY NUMBER DATE(MMIDD/YYYY) DATE(MM/DD/YYYY) COVERED PROPERTY LIMITS X PROPERTY CAUSES OF LOSS DEDUCTIBLES BUILDING $ 0 BASIC BUILDING N96P822872 01/27/2023 01/27/2024 PERSONAL PROPERTY $ 0 250 BUSINESSINCOME $ 49 BROAD CONTENTS EXTRA EXPENSE $ �K X SPECIAL RENTALVALUE $ EARTHQUAKE BLANKET BUILDING WIND $ n/a FLOOD BLANKET PERS PROP $ n/a BLANKET BLDG&PP $ n/a INLAND MARINE TYPE OF POLICY CAUSES OF LOSS NAMED PERILS POLICY NUMBER $ CRIME TYPE OF POLICY 4BOILER&MACHINERY/ $ EQUIPMENT BREAKDOWN $ j__ 114:: $ SPECIAL CONDITIONS/OTHER COVERAGES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) * ALS up to 12 months. 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 01995-2015 ACORD CORPORATION. All rights reserved. ACORD 24(2016/03) The ACORD name and logo are registered marks of ACORD ACC> "® CERTIFICATE OF LIABILITY INSURANCE =DATEM/DD/YYYY) 023 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 BIBERK NAME: PHONE 844-472-0967 (A/c.No Ext FAX 203-654-3613 P.O. Box 113247 ) ,vc No Stamford, CT 06911 ADDRESS: customerservice@biBERK.com INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Berkshire Hathaway Direct Insurance Company 10391 Lukas Electric INSURERB: INSURER C: 1103 Xenon St INSURERD: Golden, CO 80401-4200 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: 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. IN SR ADDL SUBR YEXP LTR TYPE OF INSURANCE POLICY NUMBER MMIDDIYYYY MMIDD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR DAMAGE TO RENTED A PREMISES Ea occurrence $ 50,000 N9BP822872 01/27/2023 01/27/2024 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ Included GEN'L AGGREGATE LIMIT APPLIES PER:APOLICY PRO- GENERAL AGGREGATE $ 2,000,000 OTHER: ❑ JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 X AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO Ea accident BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE $ Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DE D RETENTION$ WORKERS COMPENSATION $ AND EMPLOYERS'LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N STATUTE ERH OFFI CER/M EMBER EXCLUDED? ❑ NIA E.L.EACH ACCIDENT $ (Mandatory in NH) If yes,describe under E�.L_DISEASE-EA EMPLOYEE $ DESCRIPTION OF OPERATIONS below EASE-POLICY LIMIT $ Professional Liability (Errors & Per Occurrence/ Omissions): Claims-Made Aggregate DESCRIPTION OF OPERATIONS/LOCATIONS/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 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD