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HomeMy WebLinkAboutEMPIRE ELECTRIC - INSURANCE CERTIFICATEACORD,M CERTIFICATE OF LIABILITY INSURANCE 01/02/z6' PRODUCER (303)889-5955 FAX (303)889-5945 Co West Professionals LLC 90Z5 E. Kenyon, Suite 312 Y Denver, CO 80237 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Empire Electric, Inc., Etal 10575 W. 120th Ave. Broomfield, CO 80021 INSURERA: Pinnacol Assurance 41190 INSURERS: ALLIED INSURANCE INSURERC: INSURER D: INSURER E: rnvcoecc¢ 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 5,DD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 X COMMERCIAL GENERAL LIABILITY NCT07SO2483618 12/31/2006 12/31/2007 DAMAGE TO RENTED $ 300,000 CLAIMS MADE M OCCUR MED EXP (Anyone person) $ 5,00( B PERSONAL & ADV INJURY $ 1 , O00 , O GENERAL AGGREGATE $ 2,000,00( GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS- COMP/OP AGG $ 2,000,00 J 17 POLICY M PROECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ X ANY AUTO (Ea accident) 1 , 000 , 00 BODILY INJURY $ ALL OWNED AUTOS SCHEDULEDAUTOS ACP7502483618 12/31/2006 12/31/2007 (Per person) B BODILYINJURY $ X HIREDAUTOS X NON-OWNEDAUTOS (Peraccident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ 2,000,000 X OCCUR ❑CLAIMS MADE AGGREGATE $ 2,000,00 B MCT07502493619 12/31/2006 12/31/2007 $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND 4051499 07/01/2006 07/01/2007 X I WC STATu- OTH- FR EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ SOO,OO A ANY PROPRIEfORIPARTNERIEXECUTIVE E.L. DISEASE - EA EMPLOYEE $ 500,000 OFFICERIMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 ROrPERTY-SPECIAL RENTED, LEASED $100,000 FORM B MCT07502483618 12/31/2006 12/31/2007 INSTALLATION FLOATER $100,000 DESCRIPTION OF OPERATIONS! LOCATIONS I VEHICLES f EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS City of Fort Collins 300 LAPORTE Fort Collins, CO BOS21 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSI AUTHORIZED REPRESENTATIVE Ann Pasque/AP ACORD 25 (2001108) ©ACORD CORPORATION 1988