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CORE ELECTRIC - INSURANCE CERTIFICATE
ACORD, CERTIFICATE OF LIABILITY INSURANCE 09/29/zoo' PRODUCER (303) 756-9909 FAX (303) 756-8818 Keller -Lowry Insurance Inc 1777 S Harrison St #700 Denver, CO 90210 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 CORE ELECTRIC INC 169 CTC BLVD SUITE B LOUISVILLE, CO 80027 INSURER Continental Western Group INSURERB EmployersCompensation Ins CO 11512 INSURERC INSURER D 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 TR DD rypE OFINSURANCE POLICY NUMBER POLICY EFFECTIVE MM Y POLICY EXPIRATION M LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE T OCCUR X Blanket Add'l Insd CWP2712447 10/01/2007 10/01/2008 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL BADVINJURY $ 1,000,00 GENERAL AGGREGATE S 2,000,0001 GEN'L AGGREGATE LIMIT APPLIES PER _X1 POLICY F PRO- JECT LOC PRODUCTS COMPIDPAGG $ 2,000,000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS CWP2712447 10/01/2007 10/01/2008 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per person) $ X BODILY INJURY (Per acatlent) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY AGG $ $ A EXCESSIUMBRELLA LIABILITY X OCCUR ❑ CLAIMS MADE DEDUCTIBLE RETENTION $ CU2712448 10/01/2007 10/01/2008 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 $ $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED' if yes describe unper SPECIAL PROVISIONS below FN32483904 10/01/2007 10/01/2008 X WC STATu- OTH E L EACH ACCIDENT $ 1, OOO r OOO EL DISEASE EA EMPILOYEq $ 1,000,000 EL DISEASE -POLICY LIMIT I $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Except for 10 Days Notice for Non -Payment of Premium City of Fort Collins P.O. Box 580 Fort Collins, CO 80522-0580 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 INSURER ITS AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE -o O Trnv hhal Tuc rTr/rFI TA B ACORD 25 (200110B) ©ACORD CORPORATION '1988