The URL can be used to link to this page

Home My WebLink AboutTEPA EC LLC - INSURANCE CERTIFICATE (2)30305 ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE 12/24/224/2I009 PRODUCER Commercial Lines - (719) 592-1177 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Wells Fargo Insurance Services Mountain West Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 5755 Mark Dabling Blvd., Suite 300 Colorado Springs, CO 80919-2228 INSURED TEPA EC,LLC, 5045 List Drive . Colorado Springs, CO 80919 COVERAGES INSURERS AFFORDING COVERAGE NAIC # INSURER A: Travelers Property Casualty Insurance Company. 36161 INSURER B: Travelers Property Casualty Company of America 25674 INSURER C: INSURER D: 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. LTR ADD'LTYPE NSR OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MMIDD/YY LIMITS A GENERAL LIABILITY C00243B5471ND10 01/01/2010 01/01/2011 EACH OCCURRENCE $ 1.000.000. DAMAGE TO RENTED PREMISES Ea occurrence $ 300.000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE I A I OCCUR MED EXP (Any one person) $ 5.000 PERSONAL & ADV INJURY $ 1.000,000 X Blanket AI/WOS GENERAL AGGREGATE $ 2.000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2.000,000 POLICY X PROT LOC JEC Employee Benefits 1.000,000 A AUTOMOBILE LIABILITY ANY AUTO C00243B5471ND10 01/01/2010 01/01/2011 COMBINED SINGLE LIMIT (Ea accident) S 1,000.000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) - S HIRED AUTOS NON -OWNED AUTOS - X Hired Physical Damage PROPERTY DAMAGE (Per accident) $ 1.000 x $500 Comp/$500 Coll GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC S ANY AUTO S AUTO ONLY: AGG A EXCESS/UMBRELLA LIABILITY CUP0243B547TIL10 01/01/2010 01/01/2011 EACH OCCURRENCE S 4.000.000 X - OCCUR ❑ CLAIMS MADE AGGREGATE $ 4.000,000 5 $ DEDUCTIBLE 1XI $ RETENTION $ 10.000 B --:—=EM WORKERS COMPENSATION AND P LOYER S':LIA.BILITY� — _ :_--�-s.: - ANY PROPRIETOR/PARTNER/EXECUTIVE DTACRU_B0243B54710 - .. _. _ —_ - 01/01/2010___ _ _ 01/01/2011 _ X WC STATU- OTH- TORY LIMITS ER _ _- E.L. EACH ACCIDENT S 1.000.000 E.L. DISEASE - EA EMPLOYEE $ 1.000.000 OFFICER/MEMBER EXCLUDED? If yes.. describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT S 1,000,000 OTHER A Leased/Rented Equipment OT6600536BO18TIL10 01/01/2010 01/01/2011 $150.000 Installation $250.000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Evidence of Insurance. CERTIFICATE HOLDER CANCELLATION I en uay Notice for Non-rayment City of Ft Collins PO Box 580 Ft Collins CO 80522 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, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25 (2001/08) 1 of 2 ID/eu/i O 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). --DISCLAIME_R---..__-_ .-- --- -----_ 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 25-S (2001/08) 2 of 2 #S915260/M915043