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HomeMy WebLinkAboutPREFERRED ELECTRIC - INSURANCE CERTIFICATEOP ID JL ACORD CERTIFICATE OF LIABILITY INSURANCE PREFE-2 DATE (MM/DD/YYYY) 05 05 09 PRODUCER LBN Insurance Agcy-Johnstown 4848 Thompson Pkwy, Ste 200 Johnstown CO 80534 Phone: 970-635-9400 Fax: 970-635-9401 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Preferred Electric, Inc. PO BOx -898-• Berthoud CO 80513 INSURERA: Acuity INSURER B: Pinnacol Assurance 41190 INSURERC: INSURERD: INSURER E: COVERAGES 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. LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 PREMISES (Ea occurence) $250,000 A X COMMERCIAL GENERAL LIABILITY L84906 06/01/09 06/01/10 CLAIMS MADE X� OCCUR MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1, 000, 000 X Blanket Add' 1 Iris X Blanket Wvr Subro GENERAL AGGREGATE $3,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s3,000,000 JECT LOC POLICY X PRO El A AUTOMOBILE LIABILITY ANY AUTO L84906 06/01/09 06/01/10 COMBINED SINGLE LIMIT (Ea accident) $1,000,U00 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ A A HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO N/A $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 2 , 000 , 000 A X OCCUR F__1CLAIMSMADE L84906 06/01/09 06/01/10 AGGREGATE $2,000,000 $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND X TORY LIMITS ER B EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE 4018470 06/01/09 06/01/10 E.L. EACH ACCIDENT $ 100,000 E:L—DISYCSE EA EMFLOYEL" E $ 10O , 0.0�0__ OFFICER/MEMBER EXCLUDED? _ _ It yes, describe under SPECIAL PROVISIONS below .-- SI�RT WAIVER OF STI9RO^_ATIO =-- Z. -------- -- — E.L. DISEASE - POLICY LIMIT 1 $ 50U 000 OTHER A Lease/Rent Equip L84906 06/01/09 06/01/10 L&R Equip 25,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS All Operations - All Locations CERTIFICATE HOLDER CANCELLATION CTYFTCO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL City of Ft. Collins IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR P.O. BOX 580 REPRESENTATIVES. Ft. Collins CO 80522 AUT IWAEjRESE?7,TI j, _ �I Aim A J ACORD 25 (2001/08) ©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 oaalte�t e�oveeage afforded br, and the y theepolicies listed thereon. er, nor does it affirmatively or negatively amend, ex ACORD 25 (20OV08)