HomeMy WebLinkAboutLIND BRUG ELECTRIC - INSURANCE CERTIFICATE1
DATE(MWXVM
�EWEEW
10/24 /2003
PROBER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
David Parker Insurance Agency
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
7828 Vance Dr, Suite 201
COMPANY
Arvada, CO, 80003
303-431-9490
A TRUCK INSURANCE EXCHANGE
INSURED
COMPANY
Lind-Brug Electric, Inc.
B
COMPANY
8392 CONTINENTAL DIVIDE RD, #100
8392 CONTINENTAL DIVIDE RD #100
C
Littleton, CO 80127
COMPANY
303-971-0880
D
THIS IS TO CERTIFY THAT THE POLICES 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAD CLAIMS.
CO
TIME OF EpURANCE
POLICY MEEFR
POLICY EFPECTNE
POLICY EXPIRATION
IAM'DD/YYI
UNITS
SEMINALDATE
MEAL
LIABILITY
GENERAL AGGREGATE
22,000,000
PRODUCTS-COMP/OP AGG
S
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE Fx—] OCCUR
PERSONAL & ADV INJURY
$1 000 000
EACH OCCURRENCE
$1.000.000
A
OWNERS&CDNTRACTORSPROT
4593 80 90
11/01/03
11/01/04
FIRE DAMAGE (Anyone fife)
$ 100000
'
MED EXP(Any one person)
$ 5,000
AUTOIDELE UM{JTY
ANY AUTO
COMBINED SINGLE UMIT
$
1 O O OO
BODILYINJURY$
(Per Person)
ALL OWNED AUTOS
y SCHEDULED AUTOS
A
X HIRED AUTOS
X NON -OWNED AUTOS
4593 80 90
11/01/03
11/01/04
BmLYTNJuRY
(Pw accident)
$
PROPERTY DAMAGE
$
GARAGE
LLAI LEIY
AUTO ONLY - EA ACCIDENT
S
OTHER THAN AUTO ONLY:
ANY AUTO
EACH ACCIDENT
$
AGGREGATE
$
IXCEBB UARlTY
EACH OCCURRENCE
$
UMBRELLA FORM
AGGREGATE
$
OTHER THAN UMBRELLA FORM
$
MIDIEEBE CONPEIMITON AND
MMId/ER! LatlNIY
-
TORV UMITS ER
EL EACH ACCIDENT
$ O O
A
THE PROPRIETOR/
PARTNERSfiD(ECUTIVE MCL
407 90 45
11 O1/03
/
11 Ol 04
/ /
EL DISEASE -POLICY LIMIT
$ 500 000
OFFICERS ARE: EXCL
EL DISEASE - EA EMPLOYEE
$
OTHER
PHYSICAL DAMAGE 4593 80 90 11/01/03 11/01/04 $25.00 ded S.P.
A $250. COLLISION
--BIZ PERS PRORZRT 14593 80 90 Ill/01/03 1 041$150-000-00RC/250.DED
DHCIEFIIONOP DFERATIO/QILOCATKN WDECLESIRFECNL ITEMS
SHOULD ANY OF THE ABOVE DESCRIBED POUCH BE CANCELLED BEFORE THE
CITY OF FORT COLLINS
EXPIRATION DATE TIEREW, THE MEMO COMPANY VE.L ENDEAVOR TO OW
PO BOX 580
30— DAYS YMDTTr NOTICE TO THE CERTIFICATE HOLDER EASED TO THE LEFT,
FORT COLLINS, CO 80522
BUT PAILURE TO MAIL Wex NOTICE Eau REPOSES ND OBLIB&TEON OR LaEUTV
OF ANY RED = THE COWANY. OE AGENTS OR RQREEFMATNEt
AVIIIDIIOEO REPRESTft
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