HomeMy WebLinkAbout103811 GLANZ ELECTRICAL CONTRACTING INC - INSURANCE CERTIFICATECommercial Certificate of Insurance
FARM E R S
Agency • DOUG DRAPER AGENCY
Name . 1858 S WADSWORTH BLVD #325
Issue Date (MM/DD/YY) 06/01/I I
& • LAKEWOOD CO 80232
Address • (303) 985-8800
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
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Dist.. Agent 95
coverage afforded by the policies shown below.
Companies Providing Coverage:
Insured
. Glanz Electrical Contracting Inc
Company n
Leuery„ Truck Insuraocc Exchange
Name . 1713 E Lincoln Ave, Unit A I
Company
t y B Farmers Insurance Exchange
& • Fort Collins CO 80524
Low
Cnpany C Mid -Century Insurance Company
mLetter
Address (970) 482-5218
Company D
Letter
Coverages
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.
Co.
Lb.
Type of Insurance
YP
Policy Number
Policy Effective
Date (MM/DDnY)
Policy Expiration
Date (MM/DD/YY)
Policy Limits
X
General Liability
General Aggregate
$ 41000,000
X
Commercial General
Products-Comp/OPS
Liability
Aggregate
$ 4,000,000
C
X
- OccurrenceVersion
04596-93-15
06/01/11
06/01/12
Personal &
Advertising Injury
$2,000,000
Contractual - Incidental
Each Occurrence
$ 21000,000
Only
Fire Damage
(Any one Ore)
$ 100,000
Owners & Contractors Prot.
Medical Expense
(Any one person)
$ 5,000
x
Automobile Liability
Combined Single
All Owned Commercial
Limit
$ 2,000,000
Autos
Bodily In'ury
(Perpe on�
C
X
Scheduled Autos
04596-93-15
06/01/11
06/01/12
$
Hired Autos
Bodily Injury
$
Non -Owned Autos
(Per accident)
Garage Liability
I
Property Damage
$
Garage Aggregate
$
A
x
Umbrella Liability
04596-93-16
06/01/11
06/01/12
Limit
$ 2,OOQ000
A
x
Workers' Compensation
AB0409-56-26
07/01/11
07/01/12
Statutory
and
Each Accident
$ 1,000,000
Employers' Liability
Disease - EachEmpiny°C
$ 1,000000
Disease Policy Limit
$ I,000,000
Description of Operations/Vehicles/Restrictions/Special items:
The Certificate Holder is named as additional insured with respects to policy number 04596-93-15.
Certificate Holder
Cancellation
. City of Fort Collins
Should any of the above described policies be cancelled before the expiration date
Name . PO Box 580
thereof, the issuing company will endeavor to mail 30 days written notice to the
& . Ft Collins CO 80522
certificate holder named to eft, but failure to mail such notice shall impose no
Address • Attn: John Stephens Fax: 970-221-6707
obligatio liability any ki upon the company, its agents or representatives.
uthorized sent tive
56-2492 4-94 Copy Distribution: Service Center Copy and Agent's Copy it 01
