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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