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HomeMy WebLinkAboutSIMPSON ELECTRIC INC - INSURANCE CERTIFICATEACORDe CERTIFICATE OF LIABILITY INSURANCE 02/14/20 8 PRODUCER (303)776-5122 FAX (303)776-549S THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION First Mai nStreet Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR 512 4th Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW P 0 Box 847 Longmont, CO 80502 INSURERS AFFORDING COVERAGE NAIC # INSURED Simpson Electric, inc DBA Simpson Electric of Colorado 1920 Glenview Court Berthoud, CO 80513 INSURERA Charter Oak Fire Insurance C INSURERS Progressive Financial Casual INSURERC Pinnacol Assurance INSURER D INSURER E 11770 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 D TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY DATE EXPIRATION LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE ff] OCCUR 6803299C359 02/20/2008 02/20/2009 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED $ 300 000 MED EXP (Any one person) $ 5,00 PERSONAL BADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN L AGGREGATE LIMIT APPLIES PER POLICY JECT-T LOC PRODUCTS COMP/OP AGG $ 2,000,000 B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULEDAUTOS HIRED AUTOS NON -OWNED AUTOS SS36212-1 11/24/2007 11/24/2008 COMBINED SINGLE LIMIT (Ea accident) $ 1 000 0D BODILY INJURY (Per person) $ X X BODILY INJURY (Per amident) $ X PROPERTY DAMAGE (Per awdenl) $ GARAGE LIABILITY ANY AUTO AUTOONLY EAACCIDENT $ OTHER THAN EA ACC AUTO ONLY AGG $ $ EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ $ C WORKERS COMPENSATION AND EMPLOYERS LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? Dee deecnbe under SPECIAL PROVISIONS below 1495820 04/01/2007 04/01/2008 X I WCSTATU I I OTH E L EACH ACCIDENT $ 1,000,000 E L DISEASE EA EMPLOYE $ 1,000,00 E L DISEASE POLICY LIMIT $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS rAunol A"^U SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS wRrrTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT City of Fort Collins BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY P D Box S80 OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE Fort Collins CO 80522 Debbie Brickha DBRICK ACORD 25 (2001108) FAX (970)224-6134 ©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 ACORD 25 (2001108)