HomeMy WebLinkAboutGLANZ ELECTRICAL CONTRACTORS - INSURANCE CERTIFICATE05/2WO08 14 44 PAGE 1/1
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THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
PRODUCER
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR
Gregory Insurance Group, LLC
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
COMPANIES AFFORDING COVERAGE
5765 Olde Wadsworth Blvd #18
COMPANY
Arvada, CO 80002
7 0-941-6556
A Farmers Insurance Exchange
INSURED
COMPANY
Glanz Electrical Contractors Inc
B
COMPAN+
1713 E Lincoln Ave #A-1
Ft Collins,CO 80524
C
COMPANY
(970) 482-5218
D
K4. i4JSI-1-7
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
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MMTO/YY)
POLICY EXPIRATION
DATE (MMNONY)
BASIS
A
GENERAL
LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE nxOCCUR
OWNER sCONTRACTORSPROT
04596 93 15
06/01/07
06/01/09
GENERAL AGGREGATE
$2 000 000
X
PRODUCTS COMP/OP AGO
$2 000 000
PERSONAL B ADV 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 AUTO2...000,000
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON OWNED AUTOS
O4596 93 15
06/01/07
06/01/09
COMBINED SINGLE LIMIT
$
BODILY INJURY
(Per person)
$
X
X
BODILY INJURY
(Per Sccldenl)
$
X
PROPERTY DANWbE
$
GARAGE LIABILITY
ANY AUTO
AUTOONLY EAACCIDENT
$
OTHER THAN AUTO ONLY
EACHAOCIDENT
$
AGGREGATE
$
A
EXCESS LIABILITY
X UMBRELLA FORM
OTHER THAN UMBRELLA FORM
04596 93 16
06/01/07
06/01/09
EACH OCCURRENCE
$
AGGREGATE
$ 00
$
A
WORKERS COMPENSATION AND
EMPLOYERS WHILRY
HE PRO ARTNE S1EXERIETOUTIVE R/ INCL
P
OFFICERS ARE X EXCL
A0409 56 26
07/01/07
07/01/09
A
X TORY OMITS ER
EL EACH ACCIDENT
$100 000
EL DISEASE POLICY LIMIT
$500 000
ELDISEASE EAEMPLOYEE
$100 000
OTHER
DESCRIPTION OF OPERATIONUIOCATIONWVEHICLENPECWL ITEMS
The Certificate Holder below is listed as an Additional Insured with respects
to the above Liability policy regarding Job #5874
CERT"CATI» HGL6IER
City of Fort Collins
PO Box 580
Ft Collins CO 80522
Attn John Stephens
Fax 970-221-6707
ACOR"" (NAG)
CANCELLATION `
SHOULD ANY OF THE MOW DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF THE 16BUING COMPANY WILL ENDEAVOR TO MAIL
1D DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT
BIT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LNBILT'
OF ANY KIND UPON jl(E COMPANY_ I9f AGENTS OR REPRESENTATIVES