HomeMy WebLinkAbout109881 DICKINSON ELECTRIC - INSURANCE CERTIFICATE (8)ACORD,M CERTIFICATE OF LIABILITY INSURANCE
DATE (MMVV)
2,0212011
PRODUCER
Pinnacol Assurance
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
7501 E Lowry Blvd
Denver, CO 80230-7006
AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE
COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE NAIC#
INSURED
Dickinson Electnc Inc
INSURER A:
Pinnacol Assurance
41190
INSURER B'.
1175 E 2nd St
INSUflER C'.
Loveland, CO 80537
vuSURER D'.
INSURER E'.
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDNG
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMMENT 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
ADD IT
POT ICY EFFECTIVE
POLICY EXPIRATION
LTR
INSRD
TYPE OF INSURANCE
POLICY NUMBER
CATE(MMIOO/YYYY)
DATE(MM/OONYYY)
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
DAMAGE TO RENTED
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
PREMISES
MEDEXPIAn onepersen
PERSONAL B ADV INJURY
GENL AGGREGATE LIMITAPPLIERS PER
GENERALAGGREGATE
PRODUCTS. COMPIOP AGG
POLICY PROJECT LOG
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
ANY AUTO
(Ea Aca enl)
BODILY INJURY
ALL OWNED AUTOS
SCHEDULEDAUTOS
(Per person)
BODILY INJURY
HIREDAUTOS
NON OWNED AUTOS
(Per ec ,d..l
PROPERTY DAMAGE
(Para-d.nl)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
OTHER THAN EA ACC
ANYAUTO
AUTO ONLY: AG
EXCESSIUMBRELLA LIABILITY
EACH OCCURRENCE
AGGREGATE
OCCUR CLAIMSMADE
DEDUCTIBLE
RETENTION S
WORKERS COMPENSATION AND
WCBTATU OTHER
A
EMPLOYER'S LIABILRT
ANY PROPRIETOR/PARTNERIEXECUTIVE
4130620
04/01/2011
04/01/2012
TORY LIMITS
EL EACH ACCIDENT
$100.000
OFFICERJMEMBER EXCLUDED?
E.L05EASE EA EMPLOYEE
$100.000
Ilyee, Measadescri"uMerSPECIAL PROVISIONS G low
E.L DISEASE -POLICY LIMIT
$$00000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICATE HOLDER
CANCELLATION
1348388
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Fort Collins
THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
PO Box 580
MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
Fort Collins, CO 80522
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
Jeff Bunn
ACORD 25(2001/08)
Underwriter ACORD CORPORATION 1988