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Home My WebLink AboutSTURGEON ELECTRIC - INSURANCE CERTIFICATE (5).4 ACORD. CERTIFICATE OF LIABILITY INSURANCEDATE 1 09/1 MIDDIYYYQ 9/16/OS PRODUCER 1-630-773-3800 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Arthur J. Gallagher Risk Management Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Two Pierce Place ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Itasca, IL 60143 Michele Moore 630-265-3931 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA:Athena Assur CO (A+ XV) 41769 Sturgeon Electric Company, Inc. INSURERB:Zurich American Ins Cc (A XV) 16535 12150 E. 112th Avenue INSURERC: Henderson, CO 80640 INSURER D: OVERAGES 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. INSR ADDI TYPE OF INSURANCE POLICY NUMBER POLICYEFFECTIVE POLICY EXPIRATIONh= LIMITS B GENERAL LIABILITY GLOS37415411 09/30/05 09/30/06 EACHOCCURRENCE $2,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea accurenoa $100,000 CLAIMS MADE OOCCUR MEDEXP(Anywepenron) $5,000 PERSONAL& ADV INJURY $2,000,000 GENERALAGGREGATE $4,000,000 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OPAGG $4,000,000 X I POLICY I IPRO- LOC B B AUTOMOBILE LIABILITY ANVAUTO TAPS37415609 (TX) RAPS37415509 (A/O/S) 09/30/05 09/30/05 09/30/06 09/30/06 COMBINED (EaaawideSINGLE LIMIT ccident) $2,000,000 X BODILY INJURY (Per parson) $ ALL OWNED AUTOS SCHEDULEDAUTOS BODILY INJURY (Per awident) $ HIREDAUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Peramidenl) $ 11 PD Comp Ded $100,000 X PD Coll Ded $100,000 GARAGELUIBILITY AUTO ONLY -EAACCIDENT $. OTHERTHAN EAACC $ ANY AUTO $ AUTO ONLY: AGG A EXCESSIUMBRELLA LIABILITY QX01201080 09/30/05 09/30/06 EACH OCCURRENCE $10,000,000 X I OCCUR CLAIMSMADE AGGREGATE $ 10, 000, 000 $ HXDEDUCTIBLE $ RETENTION $ 10,000 WORKERS COMPENSATION AND WC837415309 (WI) 09/30/05 09/30/06 TATUB TH- X WCSLIMIT OEEL B EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVEX INC ART WC837415109 (CA) 09/30/05 09/30/06 E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 B OFFICER/MEMBER EXCLUDED? EXCL WC837415209 (A/O/S) 09/30/05 09/30/06 lfyss. describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Description of Job: SECO Job No. 821536 - Replace 8" & 120 LED'9 from Traffic Signal heads at various locations determined by the City of Fort Collins Traffic Operations Department City of Fort Collins, Colorado is shown as an additional insured solely with respect to general liability and automobile liability coverage as evidenced herein as required by written contract with respect to work performed by the named insured. CFRTIFICATF NM nFR CANCFI I ATHIN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 1556 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN City of Fort Collins, Colorado NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Attn: John Stephen P.O. Box 580 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522 USA ACORD 25 (2001/08)michelel ©ACORD CORPORATION 1988 3396034 Powered ByCertificatesNowie 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. ACORD 25 (2001108) ACORD CERTIFICATE' OF PROPERTY INSURANCE °ATE,MM/D°""' 09/20/OS PRODUCER 1-630-773-3800 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Arthur J. Gallagher Risk Management Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Two Pierce Place COMPANIES AFFORDING COVERAGE COMPANY Itasca, IL 60143 Michele Moore 630-285-3931 A Ace Fire Underwriters Ins Co (A+ XV) INSURED COMPANY Sturgeon Electric Company, Inc. B COMPANY C 12150 E. 112th Avenue COMPANY Henderson, CO 80640 D COVERAGES 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DDNY) COVERED PROPERTY LIMITS PROPERTY BUILDING $ $ CAUSES OF LOSS PERSONAL PROPERTY $ BASIC BUSINESS INCOME $ BROAD EXTRA EXPENSE $ SPECIAL BLANKET BUILDING $ EARTHQUAKE BLANKET PERS PROP $ FLOOD BLANKET BLDG 8 PP A X INLAND MARINE D35938485002 09/30/05 09/30/06 X See Below $ 2,500,000 TYPE $ 100, 000 OF POLICY X Deductible $ Property Floater $ CAUSES OF LOSS $ NAMED PERILS X $ OTHER All Risk CRIME $ $ TYPE OF POLICY BOILER 8 MACHINERY $ $ OTHER $ LOCATION OF PREMISES/DESCRIPTION OF PROPERTY SPECIAL CONDITIONSIOTHER COVERAGES Covered Property - Materials of Others in the Care, Custody and Control of the Named Insured Description of Job: SECO Job No. 821536 - Replace 8" & 12" LED's from Traffic Signal heads at various locations determined by the City of Fort Collins Traffic Operations Department CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 1556 EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL City of Fort Collins, Colorado 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Attn: John Stephen BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY P.O. Box 580 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE 3;� `-,. /M / / a / 'd�'^ Fort Collins, CO 80522 I USA ACORD 24 (1/95) michelel O ACORD CORPORATION 1995 3402543 PowereD ByCertificatesNow'm