HomeMy WebLinkAboutTHE ELECTRIC SHOP - INSURANCE CERTIFICATEACORD. CERTIFICATE OF LIABILITY INSURANCE
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05/26/2004
PRODUCER
ALBRECHT INSURANCE AGENCY
525 N DEN"R AVE.
LOVELAND, CO 80537
970-669-4469
THIS CEIRT ICATE IS ISSUED AS A MATTER OF PFORMKTION
ONLY AND CONFERS NO RIGHTS UPON THE CERT14CATE
HOLDER THIS CE RTFICATE DOES NOT AME30 EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICES BELOW.
INSURERS AFFORDING COVERAGE
INSURED THE ELECTRIC SHOP
1218 HOFFMAN MILL ROAD
FT COLLINS, CO 80524
INSURERA: MID CENTURY INSURANCE COMPANY
INSURER B:
INSURER C:
INSURERD:
INSURER E:
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.
INW
TYPEOFDBURANCE
POLICY NLOOM
POUCYE iBCIME
DBIUl10N
m
A
GEHERAI. LIABRITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE ® OCCUR
04592 35 37
06-15-04
06-15-05
EACH OCCURRENCE
s2,000,000
FIRE DAMAGE WWom Ye)
$100 000
ICED EXP (" One pwe )
$5 , 000
PERsom&ADvIwuRY
s2,000,000
GENERAL AGGREGATE
s4,000,000
GENL AGGREGATE LIMIT APPLIES PER:
POLICY PRO -SET F-1 LOC
PRODUCTS -COMp/OP AGO
s4,000,000
A
AUYOMDSRE
UMI RITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIREDAUTOS
NON-ONNEDAUTOS
O4592 35 37
06-15-04
06-15-05
COMBINED
(E*S=fttSINGLE LIMB
s2,000,000
E
BODILY INJURY
(Pw pmm)
s
BODILY INJURY
(Iw BOmI)
$
(PeresRTY (
s
GARAGE LIAORM
ANY AUTO
AUTO ONLY -EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGG
t
$
EXCESS LIABILITY
OCCUR CdAHMS MADE
DEDUCTIBLE
RETENTION $
EACH OCCURRENCE
$
AGGREGATE
$
s_
$
$
A
SORRERSCOMPENSATONAND
A0408 22 22
01-01-04
01-01-05
MW
g TORY ATU- ERESPL°YERSLuIeIUTY
El. EACH ACCIDENT
$1,000 000
E.L. DISEASE - EA EMPLOYEE
s 1 , 000 , 000
E.L. DISEASE-POLICYLIMIT 1112,000,000
OTHER
DESCRIPTION OF OPERAIIONBILOCl1 ADDED BY E DORSE EI TISPUdAL PROVISIONS
ELECTRIC INSTALLATION CONTRACTOR
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES W CANCER® BEFORE THE E%NRATRON
CITY OF FT COLLINS DATE THEREOF. THE MISUNO INSURER VAL EDEAYOR TO MAN. 10 DAYS WRITTEN
P.O. BOX 580 BUILDING DE PT NOTICE TO THE CERTIFICATE HOLDER NIUED TO THE LEFT, BUT FAHLUETO DO SO S NAM
FT COLLINS, CO 80522-0580 1 IMPOSE RID OBLIGATION OR URAIILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR