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Home My WebLink AboutDIVERSIFIED ELECTRIC & CONTROLS LLC - INSURANCE CERTIFICATEA� o® CERTIFICATE OF LIABILITY INSURANCE 03-3i 2012 THIS CERTIFICATEIS 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 SUBROGATIONIS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statementon this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER INTUIT INSURANCE SERVICES INC 250822 P: O- F: (888)443-6112 NAME: PHONE FAX A/C, No E.11: IAc, Nol: (888)443-6112 E MAIL PO BOX 33015 ADORESS PHODUCER SAN ANTONIO TX 78265 CUSTOMER ID #: INSURER(SI AFFORDING COVERAGE NAIC # INSURED INSURERA: Hartford Ins Co of the Midwest INSURER B: DIVERSIFIED ELECTRIC & CONTROLS, LLC 6100 W 56TH AVE INSURER C: ARVADA CO 80002 INSURER D: ' INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS 15 TO CERTIFY THAT '(HE POLICIES OF INSURANCE LISPED 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 LTfl TYPE OF INSURANCE IAUU4b VD POLICY NUMBER IMUHK OLICY EFF I (oPCy YYY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE 11 OCCUR I EACH OCCURRENCE S PRREMAI SES IEa occurrence) 5 VIED EXP (AnY one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEWL AGGREGATE LIMIT APPLIES PER: _I POLICY _I LE& LOG PRODUCTS - COMP/OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS Ea accident)BI DSINGLE LIMIT $ BODILY INJURY !Per person) S BODILY INJURY (Per accident) S PROPERTY DAMAGE !Per accident) S $ $ UMBRELLA LIAB OCCUR EXCESS LIAB CLAIMS MADE EACH OCCURRENCE S AGGREGATE $ DEDUCTIBLE I RETENTION $ $ $ A WORRfRS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETO"PARTNERIEXECUTIVEY/N OFFICEoE%CLUDED7 u If es, descri DESCRIPT ON OFdOPERATI0N8 below N/AMEMBEF 76 WEG DE3184 04/13/2012 04/13/2013 X TORY LMUS OER E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE -EA EMPLOYE $ 500, 000 E.L. DISEASE POLICY LIMIT a 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Anteh ACORD 101. Addilpna) Ramer Xa ScUadnla. II more space is rappilad) Those usual to the Insured's Operations. vurr1. w,-r,L,,vr 11 VHIYV CLLHI IUIY City of Fort Collins PO 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, AUTHORIZE R PRESENTATIVE -/� 7eLe� CORPORATION. All rights rasarvad ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD APR-25-2012 WED 11:33 AM FEDERATED CPU FAX NO. 5074444852 P. 16 I E' Y T ,�, b Ap 31 F �s rA{y,7,$g s 3`,'"�" I k" WY. k I Y'dY�d�"offpg 5f� GATE IMMIOWYYI ACORI 'd 7k�qq%G ae Kp2 li w,3.r ksxa4L,...aas ensctt..'k)'u _.,,. ,sa4>pa,llti�e,h4.,SAE1sr`skc O4125/12 ! PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION FEDERATED MUTUAL INSURANCE COMPANY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Home Office: P.O. Box 328 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Owatonna, MN 55060 COMPANIES AFFORDING COVERAGE Phone:1-888.333-4949 COMPANY FEDERATED MUTUAL INSURANCE COMPANY OR A FEDERATED SERVICE INSURANCE COMPANY INSURED 34B-383-B COMPANY DIVERSIFIED ELECTRIC & CONTROLS LLC B 6100 W 567H AVE COMPANY ARVADA CO 80002 C COMPANY vl�'H^QVLnS�-n:. f,v„if x5,.:.k.l� ,fin §f. 3.A!T..+ in330r I��Zs� i )� rl I �S •..JY$4IbiLEA3�wb.J.J'm3x.n ISHSSI .. N .Tw..+��AZI''ft3 �,SeEM08 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 70 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. CO LTR TYPE OF INSURANCE Policy NUMBER POLICY EFFCCTIVE PDUCY EXPIRATION MTE[MM/DDA'YI DATEIMMAIO/Yyl YMRS DENERAL UARIuTY GENERAL AGGREGATE 0 2000000 X COMMERCIAL GENERAL LIABILITY PRODUCTS • COANDP AGO 0 2 000 ODO A :, CLAIMS MADE ]OCCUR 9061600 n� D4/20/12 n� 04/20/13 PERSONAL A ADV INJURY 0 1r000,WO OWNER'S S CONTRACTOR'S PROT EACH OCCURRENCE 0 1 ODO,000 FIRE DAMAGE [Any one N01 0 100 COO MED EXP IAAy one poronl 0 AUTOMORIIE LIA&UTY X ANY AUTO COMBINED SINCE LIMIT 0 1 ODD 000 ALL OWNED AUTOS A SCHEDULED AUTOS 9061600 04/20/12 04/20/13 BODILY INJURY IPor pwwnl X HIRED AUTOS X NON -OWNED AUTOS DOOLY INJURY IPor eeeWenN 0 PROPERTY DAMAGE B OARACE UANLITY AUTO ONLY - EA ACCIDENT 0 ANY AUTO OTHER THAN AUTO ONLY EACH ACCIDENT AGGREGATE 4 EXCESS LLARIIffY EACH OCCURRENCE 0 2 000 ODO A X UMBRELLA FDRM 9061601 04/20/12 04/20/13 AGGREGATE F 2 000 000 OTHER THAN UMBRELLA FORM e WORROIS COMPENSATION AND DTH :-�•;•+::..:,:e..:v..<.,,. EMPLOYERS' UABILY EL EACH ACCIDENT0 THE PROPRIETOR/ EL DISEASE -PDUCY LIMIT 0 PARTNERBrf%ECUPINCLVf OFFICERS ARE: EXCL EL DISEASE EA EMPLOYEE Is OTHER IESCRIP710N OF OPEMMONSILOCATIONSIVEHICLESISP IAL RENTS •, �R �ET3Jnrl lAy.R..;':,+J��,i.ra.B�F.^..4i.ae£6fs�d}ai,'J'P�if£�iisl:x.IJr 2.x4L:.x,. 33.C)�b0..�'`,J,reA.'•e, OWN �c�' iif iYAAYaa.Ii3:fnxTvtl3e'xssaTi i3.ssnnin, i�8., CITY OF FORT COLLINS 14 ��.a.,•kcNA' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES DE CANCEUID BEFORE THE PO BOX 580 EXPII1RATION DATE THEREOF, THE ISSUING COMPANY HALL FNDEAVOR TO MAIL FORT COLLINS CO 80526 ir y_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAIWRF TO MAIL SUCH NOTICE SHALL IMPOSE NO ORUOAnON OR UA ILRy OF ANY KIND UPON THE COMPANY, 17 A0ENT3 OR REPTIDiFMATT/ES. ~I"umZ® R6 HNTATIVE e 1°Ir' "n"Mid+