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HomeMy WebLinkAbout233503 ADVANCED ELECTRONIC SYSTEMS - INSURANCE CERTIFICATE40OR_D,. CERTIFICATE OF LIABILITY INSURANCE OPID PR DATE(MMIDD/YYYY) ADVAN-8 06 11 08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE LBN Insurance Agency-EP HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 533 Big Thompson Ave, Stel02 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Estes Park CO 7 Phone:970-586 5368Fax:970-586-9533 INSURERS AFFORDING COVERAGE NAIC# INSURER A: LINBAdvanced Electrical Services C: Eric Da huff345 Wes 12th St. D: Loveland CO 80537 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 lR1 —'_- "-- --__-'-- POLIOYEFFECTIVE- POLICY EXPIRATION LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MMIDDIYY DATE MM/DDIYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY 0 RENTED____ PREMISES (Ea occurence)_ $ CLAIMS MADE l_$.1000UR MED EXP(Any one person) s0 PERSONAL &ADV INJURY $ GENERAL AGGREGATE $ GEN'LAGGREGATE LIMITAPPLIES PER: PRODUCTS COMP/OPAGG $ POLICY 71 PRCTO- LOC JE _ -— AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ - ALL OWNED AUTOS BODILY INJURY _ SCHEDULED AUTOS (Per person) J - $ HIREDAUTOS BODILY INJURY NON -OWNED AUTOS (Per accident) § PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC b ANY AUTO AUTO ONLY. AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE § OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE § RETENTION $ $ WORKERS COMPENSATION AND TORY LIMITS ER A EMPLOYERS' LIABILITY 4019199 05/01/08 05/01/09 EL EACH ACCIDENT $100000 ANY PROPRIETORIPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE -EA EA4PLOYEF $SO0000 If yes, describe under EL DISEASE -POLICY LIMIT $5DD000 SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Electrical Work - Within Buildings a.cm I ll-la Al C nvLUCK 4AINUCLLA I RUN FORT-04 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 SD SHALL City of Fort Collins IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR PO Box 580 REPRESENTATIVES. Fort Collins CO 80522 AUT l*AEjRESEffArTIV€ Aim © 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 (2001/08)