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Home My WebLink AboutSTURGEON ELECTRIC - INSURANCE CERTIFICATEACORO. CERTIFICATE OF LIABILITY INSURANCE 09/17M/07" "' 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 INSURERS AFFORDING COVERAGE NAIC# Itasca, IL 60143 Kate Ackert (630) 694-5167 INSURED INSURERA Zurich American Ins Co (A XV) 16535 Sturgeon Electric Company, Iic INSURERS St Paul Fire & Marine Ina Co (A+ XV) 24767 12150 E. 112th Avenue INSURERC INSURER Renders.., CO 80640 INSURER E COVERAGFS 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 ADD L POLICY NUMBER POLICY EFFECTIVE MM POLICYEXPIRATION MM LIMITS A GENERAL LIABILITY GLO837415413 09/30/07 09/30/08 EACH OCCURRENCE $2,000,000 -TAPAGEPREMSETORE TED urence $100, 000 X COMMERCIALGENERAL LIABILITY MEDEX-(Anyo1^-1e5ce) $5,000 CLAIMS MADF �OCCUft PERSONALS ADV INJURY $ 2,000,000 GENERALAGGREGATE $4,000,000 GEN L AGGREGATE LIMIT APPLIES PER PRODUCTS -COMP/OP AGE $4,000,000 PRO LOC X I POLICY F7 A AUTOMOBILE X LIABILITY ANYAUTO BAP837415511 09/30/07 09/30/08 COMBINED SINGLE LIMIT (Ea acmaem) $2, 000, D00 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Peraceident) $ HIREOAUTOS NON-OWNEDAUTOS X PROPERTY DAMAGE (Peracmdenp $ Comp Ded $100,000 X Coll Ded $100,000 GARAGE LIABILITY AUTO ONLY -EAACCIDENT $ QTHERTHAN Fi1ACC $ ANYAUTO $ AUTO ONLY AGG B EXCESSIUMBRELLA LIABILITY QK01201664 09/30/07 09/30/08 EACH OCCURRENCE $10,000,000 X OCCUR ❑ CLAIMS MADE AGGREGATE $ 10, 000, 000 $ $ RXDEDUCTIBLE S RETENTION S10,000 A WORKERS COMPENSATION AND WC837415311 (WI) 09/30/07 09/30/08 X WCSTATU- GTH- RYLIMI ER EL EACH ACCIDENT $1,000,000 A EMPLOYERS LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE WC837415211 (A/0/5) 09/30/07 09/30/08 EL DISEASE -EA EMPLOYEE $1,000,000 OFFICERIMEMBER EXCLUDED? Ifyes descnbe under SPECIAL PROVISIONS below I EL DISEASE -POLICY LIMIT $1,000,000 OTHER DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Description of Job SECO Job No 821536 - Replace 8" 6 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 Att. P.O. John Stephen Box 590 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522 USA 7" ' ^ 7 ACORD 25 (2001108) katloh © ACORD CORPORATION 1988 7004143 ACORD ' Al Ru!v•a• rniv t' ` ht S 'CERTIFICATE OFym' INSURAN`CE'' '- 0—, '' I'`' GATE (MM DD YY) PROPERTY,' ;4',,., ;;',+a ra',I„°' D9/17/87 �,,,.... 6',..,v M. t,u4smm "„ ', 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 Itasca, IL 60143 COMPANY Kate Ackert (630) 694-5167 A Frremans Fund Ins CO (A XV) INSURED COMPANY Sturgeon Electric Company, Inc. B COMPANY C 12150 E 112th Avenue COMPANY Henderson, CO 80640 D .,yv "'TJw� v ' v[{ ;;,Y ?I'v "n�'I, �t i'I. vnl �.l nn, v I dv�i. •t ktt n t,vyP-, u!t np gyp, ,CO VERAGES,,, t t,�, t„)"o N `ate , �,;, r ,.:,. ,+.7,'�^ `;1t 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 (MMIDDfIY) POLICY EXPIRATION DATE (MMIDn YY) COVERED PROPERTY LIMITS PROPERTY BUILDING $ $ CAUSES OF LOSS PERSONAL PROPERTY $ BASIC BUSINESS INCOME $ BROAD EXTRA EXPENSE $ SPECIAL BLANKET BUILDING $ EARTHQUAKE BLANKET PERS PROP S FLOOD BLANKET BLDG 8 PP 8 S A XI INLAND MARINE MXI97909437 09/30/07 09/30/08 X See Below $2,500,000 TYPE $100,000 OF POLICY X Deductible $ Property Floater $ CAUSES OF LOSS S NAMED PERILS $ X OTHER All Risk CRIME $ $ E OF POLICY r BOILERS MACHINERY $ OTHER LOCATION OF PREMISESMESCRIPTION OF PROPERTY SPECIAL CONDITIONSfOTHER COVERAGES Covered Property - Materials of Others in the Care, Custody and Control of the Named Insured Description of Job SEGO Job No 821536 - Replace 8" & 12" LED-s from Traffic Signal heads at various locations determined by the City of Fort Collins Traffic Operations Department CERTIFICATE HOLDER,0';'.,„i+t;,'.,;6Fi�.,?.,,,dii?;.';'s 51::s,;;,,�',',I "rL J-,-x;'r6,J;2rCCANCELL:ATION �I�..t �';�'.rni,� i,-SM`:2a�`,�'- »'a..3.11.:;,`�''> 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 .yy� � � (, {y � I /•�A.�/yyIAJ �. rbKT. -mm . -o_.-.--, - ;,,�g{te '§., h5,,'„'`',tp,,,,lt,.',�;"�`�,4p,`LI',i„'ACORD„CORPORATION 1995` Fort Collins, CO 80522 ). TT' iY,.�USA,. q. v^r>; v�'vh I"R�u'�P't.I°F,ss„iI'ti �`-,e t,:' T'I �5f- Sa'`-4B, ', Y,!�,•, ACORD 24 1I95 i`katlohl' ;B'L'( t i; 6,� Ur' 7001167 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