HomeMy WebLinkAbout109881 DICKINSON ELECTRIC - INSURANCE CERTIFICATE (2)04/04/2008 10:33 FAX 1,9706636801 ALBRECHT INS
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ACORCERTIFICATE OF INSURANCE
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THIS OF INFORMATION
ALBRECHT INSURANCE AGENCY HOLDER.
AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
525 N DENV'ER AVE. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
_._��__.....,...._..__..._..._________....____.____.__._..._._
LOVEL.A'.ND, CO 30537
970 "- 6 6 9 -4 4 6 9 INSURERS AFFORDING COVERAGE
INSURED 1'DICKIN'SON ELECTRIC ....... ...... INSUIURn 11RUCK INSURANCE EXCHANGE _.
wsul+(x6 MID CENTURY INUSURANCE COMPANY
1175 E 2.ND ST. rNsufrErrc
LOVELAND, C O 80537
A'Y!1-9GU.„1 "dR LI mlcl mcrz l-
A^nVPPAf:FS
T'HL POI_(CICS Or INSURANCE LIS?ED BF -LOW HA11L BEEN lSSUr0 f 0 7?-it- 011S(JRF.0 NAM1,U.1BOVF. FOR 711C' POLICY PERIOD INDICATED, NOTWR IIrST71N(71NG
ANY REQUIREMENT, TERM OR CONDITION OF ANY COAI7RACT OR 0T7"IER DOCUMENT' Willi RESPECT TO WHICH 'THIS CFRTIFICA7'E MAY BE ISSUED OR
MAY PLR7AIN, THE INSURANCE AFFOROLD BY 114E POLICIES DESORIPIF_D I-ILREIN IS SUBAC7' MAIL R IF' TPRMS, EXCLUSIONS AND CON011IONS OF SUCH
POLICIES. AGGREGATE UM17S SHO WAI WAY PTA VE BEEN REDUCED OY £ AID CLAIMS.
INSR. _ — ..._.. . NU.. ....._ POLICY EFFECTIVE. POLICY( XPIRATIOM1i ._. - --. _-. _. _........
LiR TYPE OF IN9URANCE POLiCt NUMOER bATE 1Mh90DNYf._ 04TE MM1VODIYV,�._ IIRATS
GENERALLIAS1111Y f/cHUIcuRmNC'r fa,000,000
1 C A MERCIAI ! ENEVAL Lll Bll p'Y FIRE OAMAOV IM,y Ml e) d (.I D , D 6 o
CINM1OS bAOE i, OCCUR 04597 S2 25 i.(•..j1J_.0'Y-1..L"1.5-08 huRSY)N11ll ADVIN11HY 'T1,000 ....
aoo,o00
,000,000
!KI FloucrcunlcoROra n�`IEs�I Loc_ T.2., 000,000 ..
J LL
AUTOVIOBILELIZILITV
I
GOMiJINriI SYOIGLfi 1JM(r k
ANY AUTO I
/f n [Irci<InIX; 1, 0 () 0, O R O
ALL OHMEOAPOS
BOpiLY INJURY ly,
X SCHFOUI.FDAUTOS
(P(.'rpMson)
A HIREGA(IRJS 104597 82 25
11 ".15-07 .1.1 15-0a 00))ILYINIURY
P10N-0WNEO AUTOS
(Penul'Wlgnp b _
5
(Pormw�Ao q
GARAGE IJABILDY
�AOTO ONLY HA ACCIDFN7 S.
1AN1AMO
..
OMN211AN FAN( _.....
AUTO OBI.Y AGG t
EXCPSSUMEHLUFY
-.-_�OL`CUR .,
EACII OCCURRENrE S
.. CUVnaS'MADE
.ANCRECATE
)EDUCYIRI�
RETENTION A
WORI(ENS COMFf:NS1111ON AND
_
WY'>lA�liT�'10711
TORYIIMW ER..
ENWI.OYERS' LIABILITY
i kYTD40,i 75 ;1. 6
_ --
(i 4""01.'_(1i 1, 04^'01 '09 L.l IMIl A(`lYOE'N FIOD, ODD
" tt OISIA E FAFMP/0)(E $100, 000
I EL DISEASE P0LICY(.107 S 5 0 0 000._..._....
DESCRIPTION OF OPEAHoNll-OCAiONSNEHGI.ESIEXfLUSroNSADDEDBY EAIOORSEMENP/SPECIAL PROUISION.S
CERTIFICATE HOLDER .IS AN ADDITIONAL INSURED AS PER ENDORSEMENT tap 04500197
ATTACHED TO POLICY NiBMBER. 04597 82 25
CERTIFICATE H01-13ER 1 X 1 ADOIRONAL
C'3T7. OF FT C"LLN£S,
PO BOX 580
FT. 4COLLILNS, CO
FAX 970-221-6107
SHOULD ANY OF 1'14E ABOVE DENCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
PTIRCHA:SINC DEPT DAM THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRvrwB
NO'RCF. TO THE. CEM INCAIT: HOLDER NAMED TO THE I.EFf, I Ui' FAILURE TO DO SO SHALL.
B 0522 NPOSE NO OBLIGATION OR 0A6IDAY OF ANY RIND UPON THE INSURER. ITS AGENTS OR
04/04/2008 10:17 FAX 19706636801 ALBRECHT INS
-- INSURANCE
._...__ nova w ICCII
BATE (MMIDO)YYI
4/03/201
PLBRECHT INSURNUCE AGENCY
525 N D'ENVER AVE,
LO`U'ELAND, CO 80537
esullm Dic-KINSON E'LvGnvidc
A
A
53
1175 E 2ND ST
LOVELkND, Co 80.537
;ES
ICi_r 01 INSURALHOT IISiFDBF.LOWHAVI FE P
IUAREMENT, TL7RM OLRCONDI R0N Ol ANY CON
t'IAIA THE INSURANCE ATFORDEID 3Y THE POLL
i AGGRGOATE LIMI AS SHOWN MAY HAVE BE'FAI I
GENLTV L LIARtLBY
1i
GI NEAALLIABILITY
ICOMMERCIAI
_. (:LNM M1NOC .EK..�
OCCfIR
.....
04597 82 2l
GEN'1. AGGREGATE LIMIT Ar PI.IE
S PER-
_
ABMOMOSUC UABIUTY
i
ANYA(ITG
ALL OWNED AUTOS
eK..
SGIIEOVI CUFlUTO+
IBVS DA(IIOS
; 04.5 8. 75
..
NON-01NVL AUTOS
GARAGE LIABILITY
{ANYAUIO
iSS LIABILITY
OCCUR �_ CLAIMS MADE
_ DEnucnaLr
t?ETENTION A _
WORKERS COMPENSA"IION AND
FMVLOYFRB'LIABILITY
HOT.!?E€Y: 74115 C[RTIFICR'rE DOES NOT AMhNI), tzAl CNIJ I'll
Ai..l'ER THE COVERAGE AFFORDED 13Y THE PQI...iCii=.S BELUUU._.
.--_.....✓._�'.T... INSURERS AFFORDING COVERAGE
...............
INSURFRFl 1TRIU.CX INSURANCE E.XgHANGE .... ..._.. _
INsuan;E MID CEN`1'URY. SNUSURANCE COMPANY
II DTO TI IE INRUNLD )NAMED ABOVE- FOR T7tl_" pot 1Cy P f\
'T OR 07'1-10-1 UOCOMGN I" WI ill RESPC(. T 10 WI 1101d ll'llb C ER7IFICATE MAY LIE ISSUED OR
D,,''SCRIFJFC HEROIN IS SIAB,IFCI, TO ALL I'tif TERMS, CxCLU$1 Al FlND CONU/l'fONS Oi" SU(:II
C(iO BY PALO CLAIMS. ... _. _.._.. ._......._.
„c l -1I' I FYPIR/111NN .1 .. i rn,rcc
�Inurt>r(uw(uvat
A1,OU , 000
FIHr DAMAGh (411Y 011olun)
v1.00 , 000
MI IJl XP(AAV one lR1W)
s5,(1DQ
11. 15-'O8
P(aSONAL,XADViNIURY
I11.,000,000
clNnhn AGORICA7E
2,000,000
�IRtODU(.IS
COMI /Ol A(.Y)
%2 000,000
C@dOlyd0 SWALII LIMIT �y-
Ira"w'm) 1,000,000
i Li0Ul1 Y INJURY g
(11 fOCL540)
L :1 •-X5-07 :11"-:i 5...0$ aonrlvlNJURv s
PROh''VVY DAWAOI l
. ... (I-br occldenU I,
' AIIl00Nl.vE44CGDENT � S
011IIRTINN 01 AG I -
__.__ AUIOOMI' nrC
...�_�..L�. —� •_
LACIIOCCURItEN6E
ASCIRFGAM
� TORYLIMli1 I R .,_
N0406 75 '6£i 04-01-08 04-•01.-09 II In(Ilnrr,¢nNI Ir::100,000
(I DISIASH-LAFMP10Yct 1100,000
eneF_ 1)11llUMfT Ia500.006
NSURED;
CITY OF FT COLLINS
215 N MASON SIT
FT. COLLa:NS, f;() 80522
970--221.6707
PURCHASING DEi:T
SHOULD ANY OF Tf1E ABOVE DESCRIBED POLICIES HE CANCELLED BEFORE ME EXPIRATION
DAME THEREOF, 'IHE ISSUING WHORLS, LS, WILL ENDEAVOR TO MAIL 1.5 DAYS WRL(M
NOTICE TO THL. CERTIFICATE HOLDER NAMEOTO'BIE LEFT, 901 FAILURE TO DO $O SHAM.
IMPOSE NG OHLJDATION OR LIABILITY OF ANY KIND UPON JNF INSURER, ITS AGENTS OR