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Home My WebLink About114215 MERIT ELECTRIC INC - INSURANCE CERTIFICATE (3)Client#: 41061 MEREL ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE"""" 06112/2012 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 endomement(s). PRODUCER Flood & Peterson lns.,Inc. P. O. Box 578 CONTACT NAME: Jennifer Winter PNONE 970 506.3206 970 506-6846 AIC No Ext: A1X, No Jennifer.Winter@�1floodand eterson.com ADDRESS: ennifer.Winter@floodandpeterson.com Greeley, CO 80632 970356-0123 PRODUCER CUSTOMER ID p: INSURERS) AFFORDING COVERAGE NAICIs INSURED INSURER A: Travelers Insurance Company Merit Electric, Inc. 2643 Midpoint Drive, Suite F Fort Collins, CO 80525 INSURER BPinnacol Assurance INSURER C INSURER O 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. LT TYPE OF INSURANCE ILkDDL UB POLICY NUMBER POLICY EIYYYY MFF MIDDmVY LIMITS (� GENERALLIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 51OCCUR X PD Ded:5,000 4TC03532R691COF1 7/01/2012 07/01/201 EACHOCCURRENCE S1 000,000 PREMISES Ea occurrence $3DD DDD MED EXP (Any one Person) $10,000 PERSONAL B ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY FX1 PRO. 17 LOG PRODUCTS-COMPIOP AGG $2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS AUTOS Drive Other Car BA3532R69112CNS 7/01/2D12 07/0112013 COMBINED tl�SINGLE LIMIT $1.000.000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ 1XXX PROPERTY DAMAGE (Peracciden)NON-OWNED $ s A j( UMBRELLALIAB EXCESS LIAB X OCCUR CLAIMS -MADE 4TSMCUP3532R691T I 7/0112012 07/01/201 EACH OCCURRENCE $5,00g,0g0 AGGREGATE s5,000,000 DEDUCTIBLE RETENTION $ 10000 $ X $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNEWEXECUTIVEY/N OFFICEWMEMBER EXCLUDED? IMandatory in NH) If yes, desenbe under DESCRIPTION OF OPERATIONS below NIA 4070414 7/01/2012 07101/2013 OTH- X 11TWOCRSTLATIUhl E.L. EACH ACCIDENT $13000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Anach ACORD 101, Additional Remarks Schedule, if more space Is required) City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE PO Box SBO THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 80522-0580 AUTHORIZED REPRESENTATIVE Q6u ./�sL ®1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) 1 of 1 The ACORD name and logo are registered marks of ACORD #S701376/M701336 JZS