HomeMy WebLinkAboutGLANZ ELECTRICAL - INSURANCE CERTIFICATECOaRAGEs
THIS IS TO CERTIFY THAT 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,
EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBE0.
POLICY EFFECTIVE
DATE (MM DWYYI
POLICY EXPIRATION
DATE (MM/OONY)
LIMBS
A
GENERAL
X
LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE CI OCCUR
OWNER'S& CONTRACTOR'SPROT
04596 93 15
06/01/05
06/01/06
GENERAL AGGREGATE
$2 000 000
PRODUCTS - COMP/OPAGG
$2 000 000
PERSONAL &ACV INJURY
$1 000 000
EACH OCCURRENCE
$1 000 000
FIRE DAMAGE (Any one fire)
$ 100 000
MED EXP (Any one person)
$ 5 000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED ALTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
O4596 93 15
06/01/05
06/01/06
COMBINED SINGLE LIMIT
$ 1 000 000
BODILY INJURY
(Per person)
$
X
X
BODLY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EAACCIDENT
$
OTHER THAN AUTO ONLY
EACH ACCIDENT
$
AGGREGATE
$
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
EACH OCCURRENCE
$
AGGREGATE
$
$
A
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
THE PROPRIETOw wa
PARTNERS/NECUFIVE
OFFICERSARE X I EXCL
A0409 56 26
07/01/04
07/01/06
X TORY LIMITS ER
EL EACH ACCIDENT
$100 000
$500 000
EL DISEASE uMlr
ELDISEASE- EAEMPLOYEE
$100 000
OTNER
DESCRIPTION OF OPERATIONS4GCATIONSNEHICLE&SPECML ITEMS
The Certificate Holder below is listed as an Additional Insured with respects
to the above Liability policy regarding Job #5874.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
City of Fort Collins EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
PO Box 580 34_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
Ft Collins CO 80522 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
Attn : John Stephens OF ANY _KIND UPON E COMP NY, ITS ANTS OR REPRESENTATIVES.
Fax: 970-221-6707 AUTHORO ED RE 6fN ATNE