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HomeMy WebLinkAboutMARKS ELECTRIC - INSURANCE CERTIFICATE (2)ACORD, CERTIFICATE OF LIABILITY INSURANCE 07/31I08D/rYYY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Flood & Peterson Insurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 2000 South Colorado Blvd HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR Tower One Suite 14000 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Denver CO 80222 INSURERS AFFORDING COVERAGE NAIC # INSURED Marks Electric Inc INSURER A Travelers Insurance Company INSURER B Pmnacol Assurance 12295 W 48th Avenue INSURER C Wheat Ridge CO 80033 INSURER INSURER E 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 INSK LTR OD NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DDIYY POLICY EXPIRATION DATE MM/DDIYY LIMITS A GENERAL LIABILITY 6803488A9911ND07 09/30/07 09/30/08 EACH OCCURRENCE $1 QQQ 000 X DAMAGE TO RENTED $300Q00 COMMERCIAL GENERAL LIABILITY CLAIMS MADE 7 OCCUR MED EXP (Any one person) $5 000 PERSONAL& ADV INJURY $1 0Q0 QQQ GENERAL AGGREGATE s2,000,000 GEN L AGGREGATE LIMIT APPLIES PER POLICY 7 PED LOG PRODUCTS COMP/OP AGG $2 OOO OQO A AUTOMOBILE X LIABILITY ANY AUTO BA3821A35007SEL 09/30/07 09/30/08 COMBINED SINGLE LIMIT (Ea acmdent) $1 000 000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ X HIREDAUTOS NON OWNED AUTOS BODILY INJURY (Per (Per acc dent) X PROPERTY DAMAGE (Peraccde t) $ GARAGE LIABILITY AUTOONLV EAACCIDENT $ ANY AUTO OTHER THAN EA ACC $ $ $1000000 A EXCESS/UMBRELLA LIABILITY X OCCUR ❑ CLAIMS MADE ISMCUP5074W9831ND0 69/30/07 09/30/08 AUTO ONLY AGO EACH —OCCURRENCE AGGREGATE $1 QQQ 000 XIX RETENTION $ 10000 $ B WORKERS COMPENSATION AND EMPLOYERS LIABILITY 4062306 08/01/08 08/01/09 X WC STATU OTH IQRYLIMIIS PH EL EACH ACCIDENT $1 000,000 ANY PROPR ETORIPARTNER EXECUTIVE OFFICERIMEMBER EXCLUDED' If y s descr be under E L DISEASE EA EMPLOYEE $1 000 000 EL DISEASE POLICY LIMIT $1000000 SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Certificate Holder is listed as an Additional Insured as their Interest may appear City of Fort Collins PO Box 580 Fort Collins CO 80522 0580 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL I_ 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 ACORD 25 (2001108) 1 of 2 1fMd21R17 AUTHORIZED REPRESENTATIVE ��4GN[7� T 0•t..�1Sds..1 .L Aii✓%&-.J A ,L;,Jc 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 25S (20011081 0 -so u...�.e.-,