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Home My WebLink AboutSTURGEON ELECTRIC - INSURANCE CERTIFICATE (6),6 ACORD. CERTIFICATE OF LIABILITY DATE(MMIDD/YYYY) INSURANCE 09/16/05 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 630-285-3931 INSURERS AFFORDING COVERAGE NAIC# INSURED Sturgeon Electric_ Company, Inc. INSURERA:Athena Assur Cc (A+ XV) 41769 INSURERB:Zurich American Ina Co -(A XV) - 16535 - - 12150 E. 112th Avenue INSURERC: INSURER D: Henderson, CO 80640 INSURER E: I 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 POLICY NUMBER POLICYEFFECTIVE DATE IMINDDIM POLICY EXPIRATION DATE IMMIDOrM LIMITS B GENERAL LIABILITY GLOS37415411 09/30/05 09/30/06 EACH OCCURRENCE $2,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO PREMISES RENT fence $ 100,000 MEDEXP(Anyonepen ) $5,000 CLAIMSMADE Fx ] OCCUR PERSONAL BADV INJURY $2,000,000 GENERAL AGGREGATE $4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG $4,000,000 X POLICY PRO-JECT 71 LOC B B AUTOMOBILE LIABILITY ANYAUTO TAP837415609 (TX) HAP837415509 (A/O/S) 09/30/05 09/30/05 09/30/06 09/30/06 COMBINED SINGLE LIMIT (E9 accident) $2,000,000 X BODILY INJURY (Per person) E ALL OWNED AUTOS SCHEDULEDAUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X PD Comp Ded $100,000 PROPERTY DAMAGE (Per accident) $ X PD Coll Ded $100,000 GARAGELUISNJTY - AUTO ONLY -EA ACCIDENT $. OTHER THAN EAACC $ ANYAUTO $ AUTOONLY: AGG A EXCESSNMBRELLA LIABILITY X I OCCUR CLAIMS MADE QK01201080 09/30/05 09/30/06 EACH OCCURRENCE $10, 000, 000 AGGREGATE $ 10, 000, 000 E DEDUCTIBLE X RETENTION $ 10,000 Is B WORKERS COMPENSATION AND iPC837415309 (WI) 09/30/05 09/30/06 - X WC STATU- OTHR FIR B EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVEX INC wC837415109 (CA) 09/30/05E.L. 09/30/06 EACH ACCIDENT $ 1,000, 000 E.L. DISEASE - EA EMPLOYEE $1,000,000 H OFFICERIMEMBER EXCLUDED? EXCL fyysss. desuibe undyr SPECIALPROVISIONS balm WC837415209 (A/O/S) 09/30/05 09/30/06 '-- - E.L. DISEASE -POLICY LIMIT $1,000, 000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Description of Job: SECO Job No. 821536 - Replace 8• & 12e LED's 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. 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. Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE USA 3396034 Powered ByCertificatesNow"N 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. M 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 Itasca, IL 60143 COMPANY 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/DDIYY) POLICY EXPIRATION DATE (MMIDD/YY) COVERED PROPERTY LIMITS PROPERTY BUILDING $ _ S CAUSES OF LOSS PERSONAL PROPERTY $ BASIC BUSINESS INCOME $ BROAD EXTRA EXPENSE $ SPECIAL BLANKET BUILDING S EARTHQUAKE BLANKET PERS PROP S FLOOD BLANKET BLDG 8 PP $ A X I INLAND MARINE D35938485002 09/30/05 09/30/06 X See Below $ 2,500,000 $ 100,000 TYPE OF POLICY X Deductible $ Property Floater $ CAUSES OF LOSS $ NAMED PERILS IX S OTHER All Risk CRIME $ $ TYPE OF POLICY $ BOILER 8 MACHINERY $ OTHER $ LOCATION OF PREMISES/DESCRIPTION OF PROPERTY SPECIAL CONDITIONS/OTHER 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 / Fort Collins, CO 60522 USA ACORD 24 (1195) michelel O ACORD CORPORATION 1995 3402543 Powered ByCertiticatesNow'..