HomeMy WebLinkAbout345637 C & R ELECTRICAL CONTRACTORS - INSURANCE CERTIFICATE (3)Client#: 17183
30CRELECT
ACORDc. CERTIFICATE OF LIABILITY INSURANCE
DATE 6115/2011 i
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 endorsement(s).
PRODUCER
BBVA Compass Ins. Agency, Inc.
Denver Office
8100 E Arapahoe Road, Ste 300
Centennial, CO 80112
CON AC
NAME:
PHONE 303 761-0085 FA't 303 788-1817
AIC, No:
Ea AILJ-- —Ext).
ADDRESS:
PRODUCE
CUSTOMEID#:
R
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURED
C & R Electrical Contractors, Inc.
P.O. Box 33448
INSURER A: Plnnacol Assurance
41190
INSURER B:
Northglenn, CO 80233
.
INSURER C
INSURER D
INSURER E
INSURER F
COVERAGES CERTIFICATE NUMBER: 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
LTR
TYPE OF INSURANCE
(tDDL
NSR
UBR
D
POLICY NUMBER
POLICY EFF
MMIDDIYYYY
POLICY EXP
MMIDDIYYYY
LIMITS
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
EACH OCCURRENCE
$
DAMAGE TO RENTED
PREMISES Eacenunence
S
MED EXP(Any one person)
$
PERSONAL B ADV INJURY
5
GENERAL AGGREGATE
$
GENL AGGREGATE LIMIT APPLIES PER:
RO LOC
POLICY PIFCT
PRODUCTS - COMPIOP AGG
$
$
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
COMBINED SINGLE LIMIT
(Ea accident)
$
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
$
$
UMBRELLA LIAR
EXCESS LIAB
OCCUR
CLAIMSMADEAGGREGATE
EACH OCCURRENCE
$
$
DEDUCTIBLE
RETENTION $
$
_
$
A
WORKERS COMPENSATION
AND EMPLOYERS LIABILITY
ANY PROPRIETORIPARTNERIEXECUTIVEYIN
OFFIC ELUMEMBER E%CLUDED? FNI
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
NIA
4058262
�07/01/2011
07/01/201
X TCSTATT OTH-
E.L. EACH ACC I DENT
$100,000
EL DISEASE -EA EMPLOYEE
$100,000
E.L. DISEASE- POLICY LIMIT
$500,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
City of Ft. Collins
P.O. Box 580
Fort Collins. CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
ACORD 25 (2009109) 1 of 1
#S7382571M738239
11988-2009 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
30BAR