HomeMy WebLinkAbout109881 DICKINSON ELECTRIC - INSURANCE CERTIFICATE (4)10/29/2008 13:55 PAS 19706636801 ALBRECHT INS
1?1 001
ACOW�?,n CERTIFICATE F LIABILITY INSURANCE :1DATE(MWDDIYY)
.0/29/2008
A'MATTER^OF INFORMATION
ALBRECHT INSURANCE AGENCY HOLDER.
AND CONFERS NO RIGHTS UPON '(HE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
525 N DENVER AVE, ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
LOVELAND, CO 90537 INSURERS AFFORDING COVERAGE
-.,970 669-4469
INSURED g)SCSC:)rb s6N ELEC'PRIC ...._. INSURERA TRTICkGf INSURANCE EXCHANGE
wsunom MILT CENTURY LNUSURANCE COMPANY -.
1175 E 2ND ST INSURER c ._. _.. -.._ .I
LOVE;LAND, CO $05:37 �INSURER 1)
THE
POLICIES OF INSURANCE LISTED
P,ELOVI/ FIFlVIi 9CGN INSRED TO i}IhINS(IRLD
NAMED ABOVE
FOR'7HE POLICY
PERIOD INDICATED. NO'IWITHS7ANDING
ANY
REQUIREMENT, 'TERM OR CDAID
lLON OF ANY CONTRACT OR OMER
DOCUM13h17-WITII
RESPECT "TO WHICH
IMS CERTIFICA7"E MAY
BE ISSUED OR
MAY
PERTAIN. 1HE 1NSLIRAIVCE AFFORDED
0Y THE POLICIES OESCRII)ED I IEREIN
IS S1.ISJEC7"TO
ALL ME TERMS,
EXCLUSIONS AND CONDITIONS
OF .SUCH
POLICIES,
AGGREGATE LIMITS SHOWN
MAY HAVE BEEN REDUCED BY PAID
CLAIMS.
INSR
..--.
TYPE OF INSURANCE
- .,..
POLICY NUMBER,+D1TFfn7j1%p,
i POLICY F.FFECTVE�.f
1�IVYf_y
POLICY EXPIRATION
DATE INAMgDIVJV
�---
LIMITS__
Ti51
-
DEFIER LLARILITY
EAC410CCUHfiCNCC
ODD , {) 00
COMMEiRCIAL GENERAL LIABII.Iiy
Hftr DAMAGE fA^V aIo 10
1100,000 ..
ICLAIMS MADE .gOCCUR
MLOLAI'(Anynneye,Ton)
s5,000
04597 82 25
11-;L5-07
11--15--08
PrRsnuAl&ADVINJURY
s1,000,000
CENOIMAGORC'GAR
s2,000,000
l EN'LAGGREpAII lIMITAPT'LIESIrP
14RODbCIS COMP/OFAGG
s2,000,000
IP, POLICY Z TLOf
AOTOMOBILE LIABILITY
COARRINLD rINGU LIMB
g1
ANYAUI'O
1
(En TCaJsnO
_..
OOD DDD
_.' T _.. _..
ALL OPoNED AUTOS
OODILYINJURY
i
SCHEDULEDAUTOS
!
-_..__.-I
A
_.....
❑IREDAUrOS
O4597 82 25
11,-1.5--07
.11' 15-08
800I1YINIUR
%
(Pc amtlL'0
PROPERTY DAMAGE
s
GARAGFLIATLI
.. ANYAUIO
A(LTOONII-EAACIOFVT
OTUER I}TAN- fAACC
A(II0ONI1 AGC
R
I.
E%CESSIIABILITY
hACH OCCURRF.'NLL
Y
OCCUR_ (:I AIMS MAIN?
AGGREGATE.-..
? _.
RETENTION S
'�YAI ��
5--
_
)
. W-OTH
WORKERS COMPENSATION ANT
fORvl fMl)S, fR
ENM'LOYERW LIABILITY
N040E3 75 16
04-07-09
04-0109
Clrntlinumr.Nr
T100 000
B
CL DISEASE LAFAIROYCC
1100,000
_..
L..____._._.�_.�_.._._,__.._.....,...-.
ELDIEASEPOLf6YLIMIT
$500,000
OTHER
pESCPoPTiON
OF OPERATONSILOCATONSNENICLESIE%CLUSIGNS
ADDED BY [NLH)RBE�Nt'fSPECIAL
PROVISIONS
CERTIFICATE
HOLDER
IS AN ADDITIONAL INSE3REIJ
.A.S PER
ENDORSEMENT
#BP 04 50 01 97
ATTACHED
TO POLICY
NUMBER 04597 82 25.
HOLDER i IL ADDITIONAL
CITY OF FT COLLINS
P.O, BOX 580 BUILDING DEPT
FT COLLINS, CO 80522--0580
PAX 224-6134
SHOULD ANY OF THE PROVE DESCRIBED POLICIES BE CANCELLED OEFORE THE. EXPIRATION
DATE. THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 15 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, OUT FAILURE TO DO SO SHALL
IMPOSE NO ODLIGATION OR LIABILITY OP ANY KIND ORION THE INSURER, HE AGENTS OR