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Home My WebLink AboutSTURGEON ELECTRIC COMPANY - INSURANCE CERTIFICATEACORD,. CERTIFICATE OF LIABILITY INSURANCE DA7E(MMIDDYYYY) 09/22/06 PRODUCER 1-630-773-3800 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Arthur J. Gallagher Risk Management Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Two Pierce Place ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Itasca, IL 60143 Kate Ackert (630) 694-5167 INSURERS AFFORDING COVERAGE NAIC# INSURED Sturgeon Electric Company, Inc. INSURERA: St Paul Fire ✓r Marine Ina Co (A+ XV) 24767 INSURERB: Zurich American Ins Co (A XV) 16535 12150 E. 112th Avenue INSURER C: INSURERD: Henderson, CO 80640 INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LT ADD'L POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMNS B GENERAL LIABILITY GL0837415412 09/30/06 09/30/07 EACHOCCURRENCE $2,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE lil OCCUR DA ETOR TED PREMISES Ea occurence $ 100,000 MED EXP (Any one person) $ 5, 000 PERSONAL B AOV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $4,000,000 X POLICY PRO LOC B AUTOMOBILE LIABILITY ANY AUTO BAP837415510 09/30/06 09/30/07 EG accdient) SINGLE LIMIT $ 2, 000, 000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULEDAUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ Comp Ded $100,000 X I Coll Ded $100, 000 GARAGE LIABILITY AUTO ONLY -EA ACCIDENT $ OTHERTHAN EAACC $ ANYAUTO $ AUTO ONLY: AGG A EXCESSIUMBRELLA LIABILITY QK01201433 09/30/06 09/30/07 EACH OCCURRENCE $ 10, 000, 000 X OCCUR 1�1CLAIMS MADE AGGREGATE $ 10, 000, 000 $ HXDEDUCTIBLE $ RETENTION $ 10,000 B B WORKERS COMPENSATION AND EMPLOYERS'LUIBILITY ANY PROPRIETOR/PARTNER/EXECUTIVEX INC WC837415310 (WI) WC3374252101 09/30/06 09/30/07 07- TH- X WC LIMIT OR T Y IT R E.L.FiACHACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 OFFICER/MEMBER EXCLUDED? EXCL If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $1,0 00, 000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES) EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Description of Job: SECO Job No. 821536 - Replace 8" a 12" LED's from Traffic Signal heads at various locations determined by the City of Fort Collins Traffic Operations Department City of Fort Collins, Colorado is shown as an additional insured solely with respect to general liability and automobile liability coverage as evidenced herein as required by written contract with respect to work performed by the named insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 1556 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN City of Fort Collins, Colorado NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL John Stephen P.O. P.O. Box 580 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522 USA m ACORD 25 (2001/08) katloh © ACORD CORPORATION 1988 4891290 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. AGORD 25 (2001108) � DATE (MM/DD/YY) low 09/26/06 PRODUCER 1-630-773-3800 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Arthur J. Gallagher Risk Management services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Two Pierce Place COMPANIES AFFORDING COVERAGE COMPANY Itasca, IL 60143 Rate Ackert (630) 694-5167 A Firemans Fund Ins Cc (A XV) INSURED COMPANY Sturgeon Electric Company, Inc. B COMPANY C 12150 E. 112th Avenue COMPANY Henderson, CO 80640 D 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. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMIDDIYY) POLICY EXPIRATION DATE (MMIDDIYY) COVERED PROPERTY LIMITS PROPERTY BUILDING $ $ CAUSES OF LOSS PERSONAL PROPERTY $ BASIC BUSINESS INCOME $ BROAD EXTRA EXPENSE $ SPECIAL BLANKET BUILDING $ EARTHQUAKE BLANKET PERS PROP $ FLOOD BLANKET BLDG 8 PP $ A X I INLAND MARINE MXI97909437 09/30/06 09/30/07 X See Below $2,500,000 TYPE X $ 100,000 OF POLICY Deductible $ Property Floater $ CAUSES OF LOSS $ NAMED PERILS X $ OTHER All Risk CRIME $ $ TYPE OF POLICY $ BOILER 6 MACHINERY $ OTHER $ LOCATION OF PREMISES/DESCRIPTION OF PROPERTY SPECIAL CONDITIONSIOTHER COVERAGES Coverefl Property - Materials of Others in the Care, Custody and Control of the Named Insured Description of Job: SECO Job No. 821536 - Replace 8• & 12" LED'S from Traffic Signal heads at various locations determined by the City of Fort Collins Traffic Operations Departments SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 1556 EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL City Of Fort Collins, Colorado 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Attn: John Stephen BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY P.O. Box 580 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE /•i_ F• Fort Collins, CO 80522 ( e, USA 4906937