HomeMy WebLinkAboutGLANZ - INSURANCE CERTIFICATE6/4/2007 9:47 AM FROM: Fax TO: 19702216707 PAGE: 001 OF 001
I ACORLTN
PRODUCER
Gregory Insurance Group, LLC
5765 Olde Wadsworth Blvd #18
Arvada, CO 80002
720-941-6556
INSURED
Glanz Electrical Contractors Inc
1713 E. Lincoln Ave #A-1
Ft Collins,CO 80524
(970)482-5218
DATE IMM/D"YI
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.
COMPANY
A
COMPANY
B
COMPANY
C
COMPANY
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 MAYHAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POUCY NUMBER POLICY EFFECTIVE POLICY EXPIRATON
LTR DATE (MM/DD/YY) DATE (MM/DO/YY) LIMITS
p,
GENERAL
LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE C OCCUR
OWNER'S & CONTRACTORS PROT
04596 93 15
06/01/07
06/01/08
GENERAL AGGREGATE
$2 000 000
]{
PRODUCTS - COMP/OPAGG
$2 000 000
PERSONAL &ADV INJURY
$1 000 000
EACH OCCURRENCE
$1 000 000
FIRE DAMAGE (Any one fire)
$ 100,000
MED EXP (Any one person)
$ 5,000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
04596 93 15
06/01/07
06/01/08
COMBINED SINGLE LIMIT
$
1,000,000
BODILY qr person)
(Per person)
$
X
X
BODILYINJURY
(Per accident)
$
X
PROPERTY DAMAGE
$
CARAOE
LIABILITY
AUTO ONLY - EAACCIDENT
$
ANY AUTO
OTHER THAN AUTO ONLY
EACH ACCIDENT
$
AGGREGATE
$
EXCESS LIABILITY
EACH OCCURRENCE
$
UMBRELLA FORM
AGGREGATE
$
OTHER THAN UMBRELLA FORM
$
WORKERS COMPENSATION AND
X I TORY LIMITS ER
EMPLOYERS' LIABILITY
EL EACH ACCIDENT
$100 000
THEPROPRIETOR/
EL DISEASE -POLICY LIMIT
$500 000
A
PARTNERS/EXECUTIVE INCL
A0409 56 26
07/01/06
07/01/08
OFFICERS ARE X EXCL
EL DISEASE - EA EMPLOYEE $100 000
OTHER
A
Installation
Floater
04596 93 15
06/01/07
06/01/08
$300,000
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
The Certificate Holder below is listed as an Additional Insured with respects
to the above Liability policy regarding Job #5874.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
City of Fort Collins EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
PO Box 580 3Q DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
Ft Collins CO 80522 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
Attn : John Stephens OF ANY HIND UPON THE COMP ITS AGENTS 0 REPRESENTATIVES,
Fax: 97 0— 2 2 1- 6 7 0 7 AUTHORDEO REPRESENTATIVE