No preview available
HomeMy WebLinkAbout114215 MERIT ELECTRIC INC - INSURANCE CERTIFICATE (2)Client#: 41061 MEREL ACORD.., CERTIFICATE OF LIABILITY INSURANCE DATE"' F 06/29/2011 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 endorsement(s). PRODUCER Flood &Peterson ins., Inc. P. 0. Box 578 Greeley, CO 80632 I'�PHUUUULK 970 356-0123 I I T ZI'S CONTACT NAME: Jennifer Winter vltoNE 970 266-7127 FAX aC, No: 970 506-6846 A C No EKt ADDRESS: Jennifer.Winter@fpinsurance.com CUSTOMER ID M: INSURER(S)AFFORDING COVERAGE NAICN INSURED Merit Electric, Inc. 2643 Midpoint Drive, Suite F Fort Collins, CO 80525 INSURER A: Travelers Insurance Company INSURERS Pinnacol Assurance : 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. LTIL TYPE OF INSURANCEAWL. daL POLICY NUMBER MM/DDNYYY MM/DDNYP LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 51 OCCUR X PD Ded:5,000 4TC03532R691COF1 7/01/2011 07/01/201 EACH OCCURRENCE $1000000 DAMAGE HEN I ED PREMISES Eaoccurre ve $300000 VIED EXP (Any one person) $10,000 PERSONAL B ADV INJURY $1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- LOC PRODUCTS-COMP/OP AGG $2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS Drive Other Car BA3532R69111CNS 7/01/2011 07/01/2012 (Ea aBINEDt'INGLE LIMIT IS1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY(Per accident) $ PROPERTY DAMAGE (Per accident) $ X X $ X $ A X UMBRELLA LIAR EXCESS LIAR X OCCUR CLAIMS -MADE 4TSMCUP3532R691T 7/01/2011 07/01/2012 EACH OCCURRENCE $5000000 AGGREGATE $5 000 000 DEDUCTIBLE RETENTION Is 10000 $ X $ ISWORKERS COMPENSATION AND EMPLOYERS' LIABILm' Y/N ANY PROPRIETORIPARTNER/EXECUTIVED OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yes. describe under DE SGRIPTION OF OPERATIONS below N/A 4070414 7/01/2011 07/01/201 X 1QBVTATUI- QTH FIR E.L EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT $1000000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) Fort Collins Light & Power 700 Wood Street Fort Collins, CO 80525 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. FlOoat '► O+t+felsOnJ rNt✓ra�nlcA i Tr.+C. ACORD 25 (2009/09) 1 of 1 #S625683/M625596 01988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD JZS