HomeMy WebLinkAboutTHE ELECTRIC SHOP - INSURANCE CERTIFICATE (2)ACORDCERTIFICATE OF LIABILITY INSURANCE °"'�"
12/19/20'
/2003
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ALBRECHT INSURANCE AGENCY ONLY AND CONFERS NO RKaHTS UPON THE CERTIFICATE
HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
525 N DENVER AVE. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
CO 80537
970-669-4469 INSURERS AFFORDING COVERAGE
970-669—
INSURED THE ELECTRIC SHOP INSURERA MID CENTURY INSURANCE COMPANY
INSURER B:
1218 HOFFMAN MILL ROAD INSURERc:
FT COLLINS, CO 80524 INSURER D:
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAND 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.
1LT R
I TYPE OF INSURANCE
POLICY NUMBER
POLICY EfFECl1VE
POLICY EXPIRATION IMMIDDIM
Vim$
GENERAL LIABILITY
EACH OCCURRENCE
s2,000,000
X COMMERGAL GENERAL LIABILITY
CLAIMS MADE ® OCCUR
FIRE DAMAGE (Nry ane kB)
$100, 000
MED EXP (Arty a pelWon)
s5,000
A
04592 35 37
06-15-03
06-15-04
PERSONAL aAmiNIURY
s2,000,000
GENERAL AGGREGATE
s4,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY JpE" LOc
PRODUCTS-COMPAOPAGG
$4, 000, 000
AUTOMOBILE
LIABILITY
ANY AUTO
(WMBINED t'INGLE LIMIT
$2,000,000
X
BODILY INJURY
(Per Pe )
$
ALL OVVNED AUTOS
SCHEDULED AUTOS
A
HIREDAUTOS
NON-ONNED AUTOS
O4592 35 37
06-15-03
06-15-04
BODILY INJURY
er
(Peomdwo)
$
PROPERTY DAMAGE
(Per eoddm)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
ANY AUTO
OTHER THAN EA ACC
$
$
AUTO ONLY: AGG
EXCESS LIABILITY
OCCUR F--MAIMS MADE
EACH OCCURRENCE
$
AGGREGATE
s
S
DEDUCTIBLE
$
RETENTION $
$
WORKERS COMPENSATION AND
EwL°'rEnsuABILITY
A0408 22 22
01-01-04
01-01-05
X TOR UM — ER
E.L.EACHACCIDENT
$1,000,000
A
E.L. DISEASE -EA EMPLOYEE
$1,000,000
El- DISEASE -POLICY LIMIT
$1,000,000
OTHER
DESCPoPTION OF oPERA71ONMiDrA7ION MHICLESIERCLUMONS AWM BY DpORSBEMrMIEML PRWI&ONS
ELECTRIC INSTALLATION CONTRACTOR
f�C�TICIn�T� uN w�� _
CITY OF FT COLLINS
P.O. BOX 580 BUILDING DEPT
FT COLLINS, CO 80522-0580
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 71E EXPIRATION
DATE TIEIMM, THE ISSUING INSURER VRLL ENDEAVOR TO MAIL 10 DAYS WRITTEN
NOTICE TO THE CERLIFM.ATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY WND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
R