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Home My WebLink AboutPRODUCTIVE ELECTRIC - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE OPID D DATE (MM/DD/YY — PROEW-1 O1 30 04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Colling Insurance Services, In HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 777 S . Wadsworth Blvd., #1-100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Lakewood CO 80226 Phone:303-987-3331 Fax:303-987-2881 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Allied Insurance INSURER 8: Pinnacol Assurance INSURER C: Productive Electric, Inc. INSURER D: 2120 W. 7th Ave. Denver CO 80204 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 INQ TYPE OF INSURANCE POLICY NUMBER DATE (MMIDDIYY DATE MM/D LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE [K OCCUR ACP7511226946 02/01/04 02/01/05 EACH OCCURRENCE $1,000,000 tu PREMISE�S(Eaaoccurence) $100,000 MED EXP (Any one person) $ 5 , 000 PERSONAL B ADV INJURY $1,000,000 GENERAL AGGREGATE s2,000,000 GENT AGGREGATE LIMIT APPLIES PER: POLICY JE°T LOC PRODUCTS - COMP/OP AGG s2,000,000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS ACP7511226946 02/01/04 02/01/05 COMBINED SINGLE LIMIT (Ea accitlanl) $1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EAACC AUTO ONLY: AGG $ $ A EXCESSIUM13RELLA LIABILITY X7 OCCUR 1:1CLAIMSMADE DEDUCTIBLE X RETENTION $ O ACP7501226946 02/01/04 02/01/05 EACH OCCURRENCE $1,000,000 AGGREGATE $1,000,000 $ $ B WORKERS COMPENSATION AND EMPLOYERLITY ANY PROPRIETORIIETORIPARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? tt yes, describe under SPECIAL PROVISIONS below 4066399 02/01/04 02/01/05 x TORY LIMITS I ER E.L.EACHACCIDENT $100 000 � E.L. DISEASE - EA EMPLOYEE $ 100 , 000 ---'—---'----- E.L. DISEASE - POLICY LIMIT $ 500 00 000 OTHER DESCRIPTION OF OPERATIONS i LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT i SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION TOWFTCl SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WALL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Town of Ft. Collins IMPOSE NO OBLIGATION OR LIIABILRY OF ANY KIND UPON THE INSURER ITS AGENTS OR 281 N. College Ave. REPRESENTATIVES. AU E�PREs Ft. Collins CO 80522-0580 ACORD 26 (2001108) 0 ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. AGORO Z512001105)