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HomeMy WebLinkAboutTEAM ELECTRIC INC - INSURANCE CERTIFICATECERTIFICATE OF LIABILITY INSURANCE 03/07/201YYY 03/07/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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 endorsemend s . PRODUCER 1-303-534-4567 CONTACT NAME: INA of Colorado, Inc. PHONE FAX INC. No. Erfl-AC No: E-MAIL ADDRESS: 1550 17th Street Suite 600 PRODUCER Denver, CO 80202 INSURERS AFFORDING COVERAGE WAR INSURED INSURER A: CONTINENTAL WESTERN INS CO 10804 Team Electric, Inc. INSURER 8: PINNACOL ASSUR 41190 INSURER C: 1158 South Lipan Street INSURER D: Denver, CO 80223 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 20053583 REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LR OF INSURANCE ADDLTYPE INSR MD SUER POLICY NUMBER MMIODY EFF MMMOYEXP LIMITS A GENERAL LIABILITY CNP250475628 03/01/1 03/01/12 EACHOCCURRENCE f 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES(Ea omunenm f 300,000 CLAIMS -MADE OCCUR MED EXP(A, one Person) $ 10,000 PERSONAL 4 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY X PRO- LOC S A AUTOMOBILE X LIABILITY ANY AUTO CWP250475628 03 Ol 1 03/01/12 COMBINED SINGLE LIMIT (Ea a en0 $ 11000,000 BODILY INJURY (Per Peron) S ALL OWNED AUTOS BODILY INJURY(%ra¢derd) f XI SCHEDULED AUTOS HIRED AUTOS PROPERTY DAMAGE (Peres .rU $ X $ NON -OWNED AUTOS S A X UMBRELLA LIAR X OCCUR CU251264627 03/01/11 03/01/12 EACH OCCURRENCE S 1,000,000 AGGREGATE S 1,000,000 EXCESS LIAB ZMS-MADE DEDUCTIBLE f $ RETENTION i 0 R WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNEEMEXECUTIVE OFFICERIMEMBER EXCLUDED? F (Mandatory.. NH) N/A 4078043 03/01/lp 03/01/12 % I WC STANS I OTH- E.L. EACH ACCIDENT f 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 fa des.Hln under DESCRIPTION OF OPERATIONS bel. E.L. DISEASE - POLICY LIMIT f 1, 000, 000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarlrs F.Mdale, if more spew Is re9ulnd) Re: All Operations. City of Fort Collins is included as Additional Insured on the General Liability policy if required by written contract or agreement and with respect to work performed by Insured subject to the policy terms and conditions. City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. PO Boa 580 AUTHORIZED REPRESENTATIVE ,T Fort Collina, CO 80522-0000 / //& USA /✓Y jweir85 © 1988-2009 ACORD CORPORATION. All rights reserve) ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD 20053583 3:4