HomeMy WebLinkAboutFISKE ELECTRIC INC - INSURANCE CERTIFICATE (2)ACORD'" CERTIFICATE OF LIABILITY INSURANCE
DATE IMM021,712012 VY)
,20,2
PRODUCER
Pinnacol Assurance
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
7501 E Lowry Blvd
AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
Denver, CO 80230-7006
CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE
COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE NAIC#
INSURED
Fiske Electric Inc
INSURERA: Pinnacol Assurance
41190
INSURER B:
6766 E County Rd 18
Johnstown, CO 80534
INSURER C
INSURER D.
INSURER E'.
COVERAGES
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 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
ADDi
POLICY EFFECTIVE
POLICY EXPIRATION
LTR
INSRD
TYPE OF INSURANCE
POLICYNUMBER
DATE(MMIODHYYY)
DATEIMMIDDyYYYYI
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
DAMAGE TO RENTED
COMMERCIAL GENERAL LIABILITY
CLMNSMADE OCCUR
PREMISES
MEDEXPAn arreparean)
PERSONAL B ADV INJURY
GEN'L AGGREGATE LIMIT APPLIERS PER:
GENERAL AGGREGATE
PRODUCTS -COMPIOP AGO
POLICY Ll PROJECT7 USE
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
ANY AUTO
(Ea Accident)
BODILY INJURY
ALLOWNEDAUTOS
SCHEDULED AUTOS
(Pur person)
BODILY INJURY
HIREDAUTOB
NON-OWNEDAUTOS
(Peraccidenl)
PROPERTY DAMAGE
(Per accManl)
GARAGE LIABILITY
AUTOONLY-EAACCIDENT
OTHER THAN EA ACC
ANY AUTO
AUTO ONLY: AG
fXCESSNYBRELLA LIABILITY
OCCUR CIAIMS MADE
EACH OCCUERENCE
AGGREGATE
DEDUCTIBLE
RETENTION $
WORKERS COMPENSATION AND
X WC STATLL OTHER
A
EMPLOYER'S LIABILITY
ANY PROPRIETOR/PARTNER/E%ECUTIVE
OFFICERIMEMRER EXCLUDED'
406E524
03/01,2012
03/01/2013
ORT LIMITS
EL EACH ACCIDENT
$1, 000,000
E.L DISEASE - EA EMPLOYEE
1 $1,000,000
Il yes, pleasedescribeunder SPECIAL PROVISIONS bolaw
E L DI SE ACE � POLICY LIMIT $1000000
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICATE HOLDER
CANCELLATION
1364173
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Fort Collins
THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
P O 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
Ryan Lan ter
ACORD 25(2001108)
Underwriter ACORD CORPORATION 1988