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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