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HomeMy WebLinkAboutPARKER ELECTRIC - INSURANCE CERTIFICATE (3)ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID C PARKS-3 11 DATE(MMIDDIYYYY) 11 25 03 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Henderson Insurance Agency Inc HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 7395 E Orchard Rd -Ste A100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Greenwood Village CO 80111 Phone: 303-706-1000 Fax:303-799-1228 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA: Truck Insurance Exchange INSURER B: INSURER C: Parker Electric, Inc PO BOX 3273 Parker CO 80134 INSURER D: 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 NSR TYPE OF INSURANCE POLICY NUMBER POLI E ID TIVE DATE MFFECTY P LI Y EXPIRATI ON M DATE MIRATI LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE [X] OCCUR X Per Project Aggre 04597-15-99 12/01/03 12/01/04 EACH OCCURRENCE s2,000,000 PREMISES Eaoccurence $ 100,000 MED EXP (Any one person) $ 5 , 000 PERSONAL B ADV INJURY $2,000,000 GENERAL AGGREGATE $4,000,000 GENT AGGREGATE LIMIT APPLIES PER: POLICY PRO JECT LOC PRODUCTS -COMP/OP AGG $4,000,000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULEDAUTOS HIRED AUTOS NON -OWNED AUTOS 04597-15-99 12/01/03 12/01/04 COMBINED SINGLE LIMIT (Ea accident) $2 000 000 , , X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GAR AGE LIABILITY ANY AUTO 1OTHER AUTO ONLY - EA ACCIDENT $ THAN EA ACC AUTO ONLY: AGG $ $ EXCESSIUMSRELLA LIABILITY OCCUR F_ICLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ $ A COMPENSATION AND ANY PROPRIETORIETOREMPLOYERILITYIPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below A0409-85-07 I 12/01/03 12/01/04 TATIWORKERS TORY LIMITS JOTH ER E.L. EACH ACCIDENT s500000 E.L. DISEASE - EA EMPLOYEE $ 500000 E.L. DISEASE -POLICY LIMIT $500000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS City of Fort Collins PO Box 580 Fort Collins CO 80523 CITYOFF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOI DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Awvmu za (cuUmal © ACORD CORPORATION 1988