HomeMy WebLinkAboutMcBride Lighting Inc - Insurance Certificate 2025 A�® CERTIFICATE OF LIABILITY INSURANCE FDAT3l13/?025 YY>
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 NAME:CT Tern Wroblewski
CRS Insurance Brokerage PHONE 303 996-7800 ac No:303-757-7719
9780 S Meridian Blvd Suite 400 E-MAILfACO.
Englewood CO 80112 ADDRESS: troblewski crsdenver.com
INSURERS AFFORDING COVERAGE NAIL F
-------------------
INSURERA:EMCASCO Insurance Company 21407
INSURED MCBRLIG-07
McBride Lighting, Inc, INSURERB: Employers Mutual Casualty Co. 1 21415
dba. McBride Lighting & Electrical Services INSURERC: Pinnacol Assurance j 41190
16026 W. 5th Avenue INSURER D:____
Golden CO 80401 _i--
INSURER E
INSURER F: l
COVERAGES CERTIFICATE NUMBER:710328353 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.
MR __ApOL SUBRi - -T POLICY&0 i POLICY EXP
LTR. TYPEOFINSURANCE iIN D:WVDI POLICY NUMBER MMIDDIYYYY MM/DD,YYYY LIMITS
A X COMMERCIAL GENERAL LIABILITY 6X63654 4/1/2025 4/l/2026 EACH OCCURRENCE $1.000,000
CLAIMS•MADE X OCCUR DAMAGE TO RENTED
PREMISES LEa occurrence) $500,000 -
MED EXP(Any one person) $10,000
PERSONAL&ADV INJURY $1.000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $3,000,000
X POLICY'ruK JECOT X ! LOC PRODUCTS_COMP/OP AGG $3,000,000
OTHER: $
A AUTOMOBILE LIABILITY 6X63654 4/1/2025 4/1/2026 COMBINED SINGLE LIMIT $1,000,000
X ANY AUTO BODILY INJURY(Per person) $
OWNED I—! SCHEDULED AUTOS ONLY X' AUTOS BODILY INJURY(Per accident) $
j
X .HIRED NON-OWNED PROPERTY DAMAGE
AUTOS ONLY AUTOS ONLY $
Per accident
i $
B X UMBRELLA LIAB X OCCUR I 6X63654 4/1/2026 4/1/2026 EACH H OCCURRENCE $5,000,000
EXCESS LIAB _ CLAIMS-MADE_ AGGREGATE _ $5,000,000
DED X RETENTION$
C WORKERS COMPENSATION 4193424 PER OTH-
AND EMPLOYERS'LIABILITY Y/N 4/1/2025 4/1/2026 X STATUTE ER
!ANYPROPRIETORiPARTNERIEXECUTIVE -NJ:
!� E.L.EACH ACCIDENT $1,000,000
OFFICERMEMBER EXCLUDE[
? j N/A I --------__—_ — -- --
(Mandatory In NH)It yes,describe I j ! E.L.DISEASE-EA EMPLOYEE $1,000,000
under,
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000
8 ;Installation Floater i 6X63654 4/1/2025 4/1/2026 $150,000 Umit $1,000 Deductible
B Leased/Rented Equipment 6X63654 4/1/2025 4/1l2026 $100.000 Limit $1,000 Deductible
A Contractor's Errors&Omissions 6X63654 4/1/2025 4/1/2026 $1.000.000 Each Claim $1,000.000 Agg
DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACOR0101,Additional Remarks Schedule,may be attached if more space is required)
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.
281 N College Ave AUTHORIZED REPRESENTATIVE
Fort Collins CO 80526 4CS._0C:1
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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