HomeMy WebLinkAboutKELLY ELECTRICAL SERVICES - INSURANCE CERTIFICATEACM, CERTIFICATE OF LIABILITY INSURANCE op ID
DATE (MNV°D/YY
KELLY-1
08 21 03
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
CRS Insurance Brokerage
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
6600 E . Hampden Ave . , 2nd Flr.
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Denver CO 80224
Phone: 303-996-7800 Fax: 303-757-7719
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
INSURER A: Allied Group
INSURER B: Pinnacol Assurance
INSURER C:
Kellyy Electrical Services
221 Co orate Circle Ste. D
Golden 0 80401
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.
LTR
NSR
TYPE OF INSURANCE
POLICY NUMBER
DATE IDIEFFECTIVE
DATE MM/DD/1 EXPIRATION
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE X❑ OCCUR
ACP7510944032
-
08/05/03
08/05/04
EACH OCCURRENCE
$ 1 , 000 , 000
PREMISES (Ea occurence
$100,000
MED EXP (Any one person)
s5,000
PERSONAL S ADV INJURY
$ 1 , 000 , 000
-
GENERAL AGGREGATE
$2 000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
X JECT POLICY PRO- LOC
PRODUCTS - COMP/OP AGG
$ 2 , 000 , 000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULEDAUTOS
HIRED AUTOS
NON -OWNED AUTOS
ACP7510944032
08/05/03
08/05/04
COMBINED SINGLE LIMIT
(Ea accident)
$ 1OOOOOO
r r
X
BODILY INJURY
(Per person)
$
X
BODILY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY • EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGG
$
S
A
EXCESS/UMBRELLALIABILITY
X OCCUR �CLAIMSMADE
DEDUCTIBLE
X RETENTION $ 0
ACP7510944032
08/05/03
08/05/04
EACH OCCURRENCE
$1,000,000
AGGREGATE
$1,000,000
$
$
B
WORKERS COMPENSATION AND
EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICERIMEMBER EXCLUDED7
If yes, describe under
SPECIAL PROVISIONS below
4032682
07/01/03
07/01/04
X TORY LIMITS ER
E.L. EACH ACCIDENT
$100000
E.L. DISEASE - EA EMPLOYEE
$ 10 0000
E.L. DISEASE -POLICY LIMIT
I $ 5 0 0 0 0 0
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
CERTIFICATE HOLDER CANCELLATION
FTCOLLI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOI
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
Ft. Collins NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
281 N . College Ave. IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
P.O. Box 580
Ft. Collins CO 80522-0580 REPRESENTATIVES.
ACORD 25 (20011081