The URL can be used to link to this page

Home My WebLink AboutKOLDEWAY ELECTRIC - INSURANCE CERTIFICATEACORD,, CERTIFICATE OF LIABILITY INSURANCE °A0329/07 Y) PRODUCER Welsh Insurance Agency, Inc. 1310 East Eisenhower Blvd. 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 Loveland, CO 80537 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # Phone (970)663-5404 Fax (970)663-7183 INSURED Koldeway Electric INSURER'A: Auto Owners INSURER B: 14311 Mead Street INSURERC: Longmont, CO 80504 INSURER D: INSURER E: COVERAGES INSURER F: ' THE POLICIES OF INSURANCE LISTED 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 T ADUL S TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDDIYY POLICY EXPIRATION DATE MMIDDIYY LIMITS _I GENERAL LIABILITY EACH OCCURRENCE 1,000,000I QCOMMERCIAL GENERAL LIABILITY 74969155 04/01/07 04/01/08 DAMAGE TO RENTED PREMISES (Ea oc urreence 100,000 MED EXP (Any one person) 10,000 A ❑ ❑❑ CLAIMS MADE E/J OCCUR ❑ PERSONAL BADVINJURY 1,000,0()0 ❑ GENERAL AGGREGATE 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG 2,000,0001 I ❑ POLICY ❑ PROJECT ❑ LOC AUTOMOBILE LIABILITY ❑ ANY AUTO 4626430600 03/02/07 03/02/08 COMBINED SINGLE LIMIT (Ea accident) 1,000,000 BODILY INJURY (Per person) A - ❑ ❑ ALL OWNED AUTOS SCHEDULED AUTOS ❑ HIRED AUTOS ❑ NON OWNED AUTOS BODILY INJURY (Per accident) ❑ PROPERTY DAMAGE (Per accident) y GARAGE LIABILITY AUTO ONLY - EA ACCIDENT OTHER THAN EA ACC ❑ ❑ ANY AUTO ❑ AUTO ONLY: AGG EXCESS LIABILITY 0 OCCUR ❑ CLAIMS MADE 44969,550, 04/01/07 04/01/08 EACH OCCURRENCE 1,000,000 AGGREGATE 1,000,000� A ❑ D DEDUCTIBLE ❑ RETENTION 0 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 74000981 04/01/07 04/01/08 WCTAUs OTH- I E.L EACH ACCIDENT 100,00011, A ANY PROPRIETOR / PARTNER I EXECUTIVE OFFICER J MEMBER EXCLUDED? It yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - EA EMPLOYEE I 100,000 E.L. DISEASE -POLICY LIMIT 5001000 OTHER A EQUIPMENT FLOATER 74969155 04/01/07 04/01/08 RENTAL EQUIPMEN 25,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Auto Owners form 55202-no products or completed operations provided to additional insured Equipment rental subject to $1000 ded all perils CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL City of Fort Collins 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO Attn: Purchasing PO Box 580 THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Fort Collins, CO 80522 1 AUTHORIZED REPRESENTATIVE ACORD 25 (2001/08) TION 1998 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. a AGURO 25 (Z001/08)