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HomeMy WebLinkAboutSHELLENBARGER ELECTRIC - INSURANCE CERTIFICATEACORD. CERTIFICATE OF ID DATE (MMIODY YY) LIABILITY INSURANCE OP SHELL-1 12/11/07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Brown 6 Brown Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 125 S Howes, 5th Floor HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P O Box 2226 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW j Fort Collins CO 80522-2,226 Phon®:970-482-7747 Fax 970-484-4165 FORDING COVERAGE NAIC# INSURED INSURERA Pinnacol Assurance INSURER B t--- Shellenbarger E Lectric Co r - Jean A. Shellenbarger dba INSURER c-._-____"—_----_-_I_-- 1306 Harlow Lane Loveland CO 80537 INSURER -----------,-- - COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT PERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAYPERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE I ERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGA FE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR ADD'L` POLICY EFFECTIVE (POLICY EXPIRATION'( LTR NiITYPE OF INSURANCE POLICY NUMBER DATE IMMIDONY IDDIYY I DATE MMLIMITS GENERALLIABILITY LEACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY I DAMAGE TO RENTED ---— PREMISES (Ee occurence(- _ (� CI -AIMS MADE �� OCCUR __$_ MEO EXP (Any one person) $ I PERSONALS ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGAATTIE LIMIT APPLIES PER PRODUCTS-COMPIOP AGG $ —_ PELT 7 __---_..— --- POLICY IOC AUTOMOBILE —� LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO 1 acatlent) ALL OWNED AUTOS f'Ea BODILY INJURY — $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ L NON-C WNED AUTOS I (Per accident) — PROPERTY DAMAGE $ -� — (Per accident) GARAGE LIABILITY AUTO ONLY EA ACCIDENTANY AUTO OTHE_EA ACC $ AUTO ONLY _ AUTO ONAGG I $ EXCESSIUNIBRELLA LIABILITY EACH OCCURRENCE $ I_.�___-_- I OCCUR CLAIMS MADE _ __- AGGREGATE $ _-- —i $ —�— 1 DEDUCTIBLE $ -—_— RETENTION $ $--- WORKERS COMPENSATION AND X_'TORYLIMITS l i ER I___ EMPLOYERS'LIABILITY A gNVPROPRIETOFUPARTNERIEXECUTIVE 3070581 01/O1/08III -- 01/01/09 ELEACH ACCIDENT _ $1000000 _ —' ---- OFFICER/MEMBER EXCLUDED'+----- EL DISEASE EA EMPLOYEE $ 100 OO OO IIy 6 describe under !I I SPECIALPROVISIONSbece, -- — EL DISEASE POLICY-IMIT I $ 1000000 OTHER BE SCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCI USIO NS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS GtK I IYIV /'• 1 � IiUTAtK I.AKIaLIA 1IV R FTCCITY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN City of Fort Co Llins NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL Purchasing Department IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR PO Box 580 Fort Collins CO 80522 REPRESENTATIVES ACORD 25 (2001108) © ACORD CORPORATION 1988