HomeMy WebLinkAboutEGGERS ELECTRIC, INC. - INSURANCE CERTIFICATE�► �p�®
CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
EGGER --1
12/31/09
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Front Range Insurance Group
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1100 Haxton Drive Suite 100
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Fort Collins CO 80525
Phone: 970-223-1804
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
INSURER A: Allied Insurance
INSURER B: Pinnacol Assurance
Eggers Electric, Inc.
Keith and Dawn Eggers
INSURER C:
3520 W. Eisenhower Blvd.
INSURERD:
Loveland CO 80537
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
DATE MM/DD FFTI E
DATE MPOLM/DD ATI N
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$1,000,000
PREMISES (Ea occurence)
$ 100, 000
A"-
X COMMERCIALGENERALLIABIUTY
ACP7502223955
01/01/10
01/01/11
CLAIMS MADE Fx] OCCUR
MED EXP (Any one person)
$ 5,000
PERSONAL & ADV INJURY
$1,000,000
GENERAL AGGREGATE
s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OPAGG
$ 2,000,000
X I POLICY PROJECT LOC
AUTOMOBILE
LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT
(Ea accident)
$
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
EXCESS/UMBRELLA LIABILITY
EACH OCCURRENCE
$ 2,000,000
A
X OCCUR ❑ CLAIMS MADE
ACP7502223955
01/01/10
01/01/11
AGGREGATE
s2,000,000
$
DEDUCTIBLE
$
X RETENTION $10,000
B
WORKERS COMPENSATION
- AND EMPLOYERS' LIABILITY Y/ N
ANY PROPRIETOR/PARTNER/EXECUTIVE,
OFFICER/MEMBER EXCLUDED? u
(Mandatory in NH)
4076793,
06/01/09
06/01/10
-JOTH
X TORY LIMITS _I ER
E.L. EACH ACCIDENT
$ 100, 000
E.L. DISEASE - EA EMPLOYEE
$ 100, 000
If yes, describe under
SPECIAL PROVISIONS below
E.L. DISEASE -POLICY LIMIT
$500,000
OTHER
A
Commercial Applica
ACP7502223955
01/01/10
01/01/11
A
Inland Marine IACP7502223955
1
01/01/10 1
01/01/11 1
Lsd & Rnt $50,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
CITY OF 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 Fort Collins IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
PO. BOX 580 REPRESENTATIVES.
Fort Collins CO 80522
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