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HomeMy WebLinkAboutCORE ELECTRIC INC - INSURANCE CERTIFICATEACORA CERTIFICATE OF LIABILITY INSURANCE I 09ivi2 ox' Keller -Lowry Insurance Inc 1777 S Harrison St #700 Denver, CO 80210 INSURED 197 South 104th St., Suite A Louisville, CO 80027 COVFRAC,FS HOLDER. THIS AS A MATTER OF INFORMATIO iTS UPON THE CERTIFICATE )OES NOT AMEND, EXTEND OR INSURERS AFFORDING COVERAGE INSURERA: Continental Western INSURERS: Pinnacol Assurance INSURER C: INSURER D. INSURER E: NAIC # 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 DD' INSURANCE TYPE OFBATEMMjDD1YYIDATE POLICY NUMBER POLICY EFFECTIVE EX POLICY IRATION MMIDDNYI LIMITS GENERAL LIABILITY CWP2712447-23 10/01/2008 10/01/2009 EACHOCCURRENCE $ 1,000,000 DAMAGE TO RENM ED S 100,00 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE a OCCUR MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY S 1,000,000 A X Blanket Add'l Insd GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY PRO LOC ECT AUTOMOBILE LIABILITY ANY AUTO CWP2712447-23 10/01/2008 10/01/2009 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per person) 5 A ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) S _ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S ANY AUTO OTHER THAN EA ACC S AUTO ONLY: AGG S EXCESS/UMBRELLA LIABILITY CU2712448-22 10/01/2009 10/01/2009 EACH OCCURRENCE $ 1,000,000 X OCCUR CLAIMS MADE AGGREGATE $ 1,000,000 A S $ DEDUCTIBLE X RETENTION S S WORKERS COMPENSATION AND 4126423 10/01/2008 10/01/2009 X WC STATU- OTH- IQS B EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNFWEXECUTIVE E.L. EACH ACCIDENT S 1 ,000,,000 __-_.__.._.__ E.L. DISEASE -EA EMPLOYE 5 1,000,000 OFFICEWMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT I S 1,000,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS "Except for 10 Days Notice for Non -Payment of Premium r FRTIPIr ATF Hind IIFR rANIr GI I ATInId 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, City of Fort Collins BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY P.O. Box 580 OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Fort Collins, CO 80522-0580 AUTHORIZED REPRESENTATIVE 9 Troy Sibelius, CIC/CELIAx ACORD 25 (2001/08) ©ACORD CORPORATION 1988