HomeMy WebLinkAboutMCBRIDE ELECTRIC - INSURANCE CERTIFICATE (3)ISSUE DATE (MM/DD/YY)
A"P RIP. CERTIFICATE OF INSURANCE _!10/30/03
MCB72307E No 24851
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
Barney & Barney, LLC-CA LiC0003950
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
Barney & Barney, Inc -CA LiCOC24310
AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
DOES NOTES
P.O. Box 85638
San Diego, CA 92186-5638
COMPANIES AFFORDING COVERAGE
(858) 457-3414
ZURICH - AMERICAN INSURANCE CO.
Mst#: 2204
COMPANY
(LETTER A
CHUBB-FEDERAL INSURANCE CO
INSURED MCBRIDE ELECTRIC, INC.LETTER
B
NO COVERAGE ON THIS DOCUMENT
COMPANY C
;LETTER
1860 WEST HAMILTON PLACE
NO COVERAGE ON THIS DOCUMENT
coMPANr
D
LETTER
ENGLEWOOD, CO 80110
NO COVERAGE ON THIS DOCUMENT
COMPANY
!LETTER
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE 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 PAID CLAIMS.
{ TYPE OF INSURANCE POLICY NUMBER
POLICY EFFECTIVE ,POLICY EXPIRATION(
TRr
DATE (MM/DD/YY) I DATE (MM/DD/YY) LIMITS
+,GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
GENERAL AGGREGATE
$ * 2 , O O 0,, 000
*
PRODUCTS-COMP/OP AGG.
$ 2 , O 00, 000
K
CLAIMS MADE{ }{� OCCUR.
GL03676604-01
11/01/031 11/01/04
PERSONAL&ADV.INJURY
$*1, 000,000
OWNERS & CONTRACTORS PROT.
EACH OCCURRENCE -
$ * 1 , 000, 000
(. _..._.... .__..___. _.. _._..___�..--.
FIRE DAMAGE (Any one fire)
$ * 1 , 000, 000
j MED. EXPENSE (Any one person)
$ * * * * * * * * * 0
AUTOMOBILE LIABILITY
I
X � ANY AUTO
� COMBINED SINGLE
LIMIT
$
*l,900,000
ALL OWNED AUTOS
a
BODILY INJURY
SCHEDULED AUTOS
(Per person)
$ * * * * * * * * * 0
A
HIRED AUTOS
BAP03675560-02
11/01/03i 11/01/04
- }
i NON -OWNED AUTOS
BODILY INJURY
(Per accident)
$ * * * * * * * * * 0
GARAGE LIABILITY
-
PROPERTY DAMAGE
$ * * * * * * * * * 0
EXCESS LIABILITY
EACH OCCURRENCE
$ * * * * * * * * * O
( UMBRELLA FORM
NO COVERAGE
!
AGGREGATE
t OTHER THAN UMBRELLA FORM
j
WORKER'S COMPENSATION
WC3675559-02
�
11/01/03 11/01/04(
X STATUTORY LIMITS
-
EACH ACCIDENT
-:----....
01,000,000
AND
I
( DISEASE - POLICY LIMIT
01 0 0 0, O O O
EMPLOYERS' LIABILITY
(DISEASE -EACH EMPLOYEE
$* 1, 0 0 0 ,0 0 0
OTHER LEASED OR
LIMIT $110, 000.
B�RENTED
EQUIPMENT
6626595
11/01/03{ 11/01/041
j
DEDUCTIBLES $1,000
I
i
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / SPECIAL ITEMS
CrAFMCATE HOLDER
CANOSULATM
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
CITY OF FORT COLLINS
MAIL -10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
P.O. BOX 580
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
FORT COLLINS, CO 8 0 52 2 — 0 5 8 O" AUTHORIZED REPRESENTATIVE y ,
ACORD 2S-S ftfio�tOCRDGItTWN:tOBB