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HomeMy WebLinkAboutEMPIRE ELECTRIC - INSURANCE CERTIFICATE (4)""'VO`tlN (303)889-5955 FAX ' 'Im`w R/11YI,,rC UATE(MWDDAYYY (303) 8B9-5945 C/17/2008 o West Professionals LLC SL THIS CERTIFICATE IS ISSUED AS A MATTER OF 6NFORMATION ONLY AND 9025 E Kenyon Suite 312 CONFERS RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Denver CO 80237 INSURED INSURERS AFFORDING COVERAGE EMPIRE ELECTRIC INC NAIC # INSURER AMCO 19100 10575 W 120TH AVE INSURER Nationwide Mutual 23787 INSURER c Allied Insurance Group 00035 BROOMEIELD CO 80021-3404 INSURERD P1nnaCol Assurance 41190 INSURER E — RE POLICIES T INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE REQUIREMENT TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN AG R GAT POLICY PERIOD INDICATED NOTWITHSTANDING ANl WITH RESPECT TO WHICH THIS CERTIFICATE MAY IS LIMITS SH WN MAY HAVE B E REDUCED V PAID LAIMS NSR ADD L BE ISSUED OR MAY PERTAIN SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF TYPE OF INSURANCE POLICY NUMBER SUCH POLICIES POLICY EFFECTIVE POLICY EXPIRATION GENERAL LIABILITY DATE MM/DO DATE MWDD/YY LIMITS X COMMERCIAL GENERAL LIABILITY EA H RR N E $ 1 000 DO( A CLAIMS DAM AGE TO RENTED MADE X OCCUR ACPMCT07512483618 12/31/2007 12/31/2008 R MIE n $ lOO OO( MED EXP An one erson $ 5 OOC ERS N ADVIN RV $ 1 000 000 GEN L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2 000 00-0 X POLICY PRO OC PR T M / A $ 2 000 000 AUTOMOBILE LIABILITY — X ANYAUTO COMBINED SINGLE LIMIT B ALL OWNED AUTOS ACFBA7512483618 (Ea accident) $ 1 000 000 12/31/2007 12/31/2008 SCHEDULED AUTOS BODILY INJURY X HIREDAUTOS (Per person) $ X NON OWNED AUTOS BODILY INJURY (Per ace dent) $ PROPERTY DAMAGE GARAGE LIABILITY (Per accident) $ ANY AUTO — AUTO ONLY EA ACCIDENT $ OTHER THAN A A $ EXCESS/UMBRELLA LIABILITY AUTO ONLY X OCCUR CLAIMS MADE AGG $ $ 2 000 000 C AGGREGATE $ 2 000 000 DEDLCTIBLE MC' 07502483618 X $ 12/31/2007 12/31/2008 R TENTI N 10 000 D WORKERS COMPENSATION AND EMPLOYERS LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE X WC STATU OTH EXCLUDED If Yes describe 4051499 SPE descnb SPE EL EACH ACCIDENT $ SOO OOO 7/1/2008 7/1/2009 PROVISIONS IAL PROVISIONS below E L DISEASE EA EMPLOYEE $ 500 000 OTHER E L DISEASE POLICY LIMIT $ 500 000 DESCRIPTION OF OPERA710N5/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS City of Fort Collins 300 LAPORTE Fort Collins, CO 80521 ACORD 25 (2001/08) INS025 (ofos) BBa SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES AUTHORMED REPRESENTATIVE Ann Pasque/AP © ACORD CORPORATION 1988 Page 1 of 2