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HomeMy WebLinkAboutEMPIRE ELECTRIC - INSURANCE CERTIFICATE (6)ACORLI CERTIFICATE OF LIABILITY INSURANCE 12/ziz 07 PRODUCER (303)889-5955 FAX (303)889-5945 Co West Professionals LLC 9025 E Kenyon, Suite 312 Y Denver, CO 80237 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 Empire �ric Inc., Eta 10575 W. 120th Ave Broomfield, CO 80021 INSURERF� pinnacol Assurance 41190 INSURER ALLIED INSURANCE INSURER 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 ADD L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (Mli POLICY EXPIRATION DATE IMMIDDNYL LIMITS B GENERAL I IABILITY X COMMERCIAL GENERAL LIABILITY CI AIMS MADE M OLCUR MCT07502483618 12/31/2007 12/31/2008 EACH OCCURRENCE S 1,000,000 DAMAGE TO RENTED PRFMIEPq IF, $ 300,000 MED EXP (Any ana person) S 5,000 PERSONAL 8 ADV INJURY S 1,000,000 GENERAL AGGREGATE S 2,000,000 GEN L AGGREGATE LIMIT APPLIES PER 17 POL IC IM JECT �RLOG PRODUCTS - COMPIOP AGG $ 2,000,000 B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON OWNED AUTOS ACP7502483618 12/31/2007 12/31/2008 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) S X PROPERTY DAMAGE (Per accident) S GARAGE LIABILITY ANY AUTO AUTOONLY EAACCIDENT $ OTHER THAN EA ACC AUTO ONLY AGO S $ B EXCESSIUMBRELLA LIABILITY X COOLIE ❑ CLAIMS MADE DEDUCTIBLE RETENTION $ MCT07502483618 12/31/2007 12/31/2008 EACH OCCURRENCE S 2,000,000 AGGREGATE S 2,000,000 S $ S A WORKERS COMPENSATION AND E^/PLOIERSJ_IA BILITY ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERMEMBER EXCLUDED? If yes describe under SPECIAL PROVISIONS below 4051499 07/01/2007 07/01/2008 X WCSTATIU OTH E L EACH ACCIDENT b SOU OOO EL DISEASE EA EMPLOYEE $ SOD, OOO EL DISEASE -POLICY LIMIT S 500,000 B OTHER ROrPERTY-SPECIAL FORM MCT07502483618 12/31/2007 12/31/2008 RENTED, LEASED $100,000 INSTALLATION FLOATER $100,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS City of Fort Collins 300 LAPORTE Fort Collins, CO 80521 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 / ACORD 25 (2001108) ©ACORD CORPORATION 1988