HomeMy WebLinkAboutT AND T ELECTRIC - INSURANCE CERTIFICATEACOR CERTIFICATE OF
LIABILITY INSURANCE DA"(1/1912/
11n�/zo08
PHooucrrz
PINNACOL ASSURANCE
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
7501 E Lowry Blvd
AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
Denver, CO 80230-7006
CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE
COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE, NAIC#
INSURED
_
INSDRERA PINNACOL ASSURANCE 41190
T & T ELECTRIC COMPANY INC
1824 ASPEN CIRCLE
-
INSURERS
PUEBLO, C081006
INSURE Rc _
IN$_URIRD
INSURERI'
COVERAGES
IHE POLICIES OF INSURANCELISTEDBELOW HAVE BEEN ISSUED 10111E INSURED NAMED ABOVE FOR H IL POLICY PERIOD INDICATED. NOTWITI ISIANDNG
ANY REQUIRFMI:iNI'. TERM OR CONDITION OF: ANY CONTRACT OR OTI-Ir-R DOCUMMENT
WITH RESPECT 10 WI IICH I -ITS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, Il[ INSURANCE AFFORDED BY 111E POLICIES DESCRIBED Iil`RE IN IS SUBJECT '10 ALL 'I'I E'ITRMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSRI AODI
POLICYEFFECTIVE POIICYEXPIRATION
LTR INSRD IYPEOFINSURANCE POLICYNUMBER
OATL(Mldlpp/YYYY) DATE(MM/DDNYYY) LIMITS
"
LIABIUIY
1-I—OURR1NCI
IGEMPAL
CIIOMMERCIAL GENERAL LIABILITY
DAMAGE DO RENT LD
�.J CIAIMSMADE __. OCCUR
PROMISES
MCD EXP(A y nepersan)
PERSONAL AADVINJURY
GEN L AGGREGATE LIMIT APPLIERSPER
GENERAL AGGREGATE
/_.POLICY Li PROJECTL I LOC
PRODUOTS COMP(OP AGG
AUTOMOBILE LIABILITY
COMBINED SINGLELIMIT
ANYAUTO
(Ea Acatlen0
ALL OWNED AUTOS
(BODILY INJURY
_ SCHEDULEDAUTOS
Pm Icon)
HIRED AUTOS
BODILY INJURY
NON OWNED AUTOS
PROPERTY DAMAGE
(P sooidenp
GARAGE LIABILITY
AUTO ONLYEA ACCIDENT
ANYAUTO
�OTHERTHAN EA ACCI
AUTO ONLY AGO
EXC[SSIUMBRELLA LIABILITY
EACHOCCURRENCE
OCCUR f CLAIMSMADE
I AGGREGATE
RrI LNTION $.
WOR RERS COMPS NSATION AND
" xWC STATU I OTHER
A EMPLOYER'S LIABILITY
OR_V_LIMIiS
ANY PROPRIE101LPARTNE MRXECUr EVE 4007696
01/01/2008 01/01/2009 - ""--'-"'- ---- --------
L L EACHACCIDENr_ 51 000,000
OFFICER/MEMBER EXCLUDE -Di
_
""""-- ----- ----- —'""'
E L DISEASE EA [MPLOYEE $1,000.000
If yes, plen.edecUbcunderSPECIAL PROVISIONS below
---- '----- —'-- ----
_.
_.OTHER
El POLICY LIMIT $1,000000
..-_....
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/E%CLNSIONS ADDED BY ENDORSEMENTISPECIALPRDVISIONS
CERTIFICATE HOLDER
CANCELLATION
.--------
1113965
- ABOVE
SHOULD ANY O— f-THE ABOVE DL=SCRIBED POLICIES BE CANCELLED BEFORE
City of Fort Collins
THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
P.O Box 580
MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
Fort Collins CO 80522
LEFT, BUT FAILURE TO MAR SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON l'HE COMPANY, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
Lee Oliver
ACORD 25(2001/08) _
Underwriter ACORD CORPORATION 1988
CERTIFICATE HOLDER COPY
City of Fort Collins
P.O Box 580
Fort Collins CO 80522
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.