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HomeMy WebLinkAbout350732 STURGEON ELECTRIC COMPANY - INSURANCE CERTIFICATE9/14/2012 21:14 Remote ID Imprint ID 2/2 ACORO® CERTIFICATE OF LIABILITY INSURANCE `�. UATEIMM,VWYYYYI 09/14/3a12 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 WANED, 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 1-313-704-0100 Arthur J. Gallagher Risk Management Services, Inc. : CONTACT Rate Ackert PHONE FAA C u�EA, 630-634-5167 Am No: 630-285-3922 300 South Rivaraide-Plaza Chita 1900 e+Rna kate ackertna ' ADDRESS: jg cam Chicago, IL 60605 - - . � INSURERS AFFORDING COVERAGE NNcs IPSURERA: Zurich American Ina Co IA XV) 16535 INSURED i sturgeon Electric Company, Inc. -,- - - INSURER a: St Paul Fire R Marine Ins Co (At XV) 24767 INSURER C : INSURER O: 12150 E. 112th Avenue INSUNERE: Mende raon, CO 80640 INSURER F: COVFRAGES CERTIFICATE NUMBER' 29a71a41 Rp%ISInN IJUIJ R• THIS IS TO CERTIFYTHATTHE 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 CONOTIONS OF SUCH POLICIES LIMITS SHOWN MAY RAVE BEEN REDUCED BY PAID CLAIMS, - '- ILTR LTR TYPEOFWSURANOE - ---- - - CP IM I 9 - - POLICY NUMBER POLGYETF MMma"ri POUCYEXP MMCOYYY - -LIMITS- ----- -- A- GENERALLIABRITY •- - -.-. CL0037415417 I 09/30/1 09/30/12 EACHENCE 5 2, 000, 000 IAIEflCIAL CEN-MIL OIRY _ CLAIMS tMDE �dLLUR 1:7011 - i ... UAMAUhl tallmnml 5 10°, 000 ne persm 510,300 DV INJURY 52,1300,000 - REGATE 5 4,000,000 GEM_ AGGREGATE LIMIT APPLIES PER ND'IOPAGG 54.000,000 X PCIJLY PRO- LCC - - 7 ECT - - - 5 A AUTOMOSILELASILITY BAPS37415515 CCMEIN M USnI Ee 2a1CDN 52, 000, 000 % Ali1'AUTO-- - - ECOILY INJURY (Pm pwnn) 5 A1�TT05 NEO AUTOS LEO ECOILY INJURY(P. nrdtlor0 5 _ NON GYVNED—" HIRED AlR09 AUTCS-: ,' --"" -' - j PROPER Perecdsenl $ X Comp Ded X Call Ded-- - - ---__ 5 B X UNDUE" LIAR % C UR OK01202915 a9/30/1 09/30/12 EALHCCCURRENCE 5 101000,CUO AGGREGATE 51°,000, coo EACESS LIAR CLAIM, MADE _ - CEO X RETENTION 510, 000 5 A A NVORRENS COMPENSATION AND EMPLOYER9'LJAMUTY' -,Mlil YIN ANY PROPRIETORIPARINERIEJCECNIVE OFFICERmIENSEP EALttluEoi N� NIA WC037415215 (A/0/9) WC837415315 (Wit - 09/30/1 o9/30/1 09/30/12 09/30/12 % WCSTAN 1 E.L EACH ACCIDENT 51,000,000 E.L DISEASE - EA EMPLOYE 51, 0001000 (MansdarylnNH) OEy-SCRI FTIONOFemOPERATONGEtiv E.L. DISEASE-PCIICY LIMB 51.Oa0,000 I i DESCRIPTION OF OPERATIONS l LOCATIONS I VEHICLES IADach ACORD 191, AddUDnd pcmmee 9chatlula 9 mom epece Is equlmdl - Description of Job: Fort Collins -Loveland Municipal Airport, 2012 Airport Improvements, - Inecalling Runway Weather Information System (RWI9) The following are-ahown-as additional' insureds wlth,reepeet to General Liability sad Automobile Liability coverage as evidenced herein an requiredbywritten Contract with .respect to work performed by the named innured. Cities of Loveland and Fort Collins i i I CERTIFICATE HOLDER CANCFI I ATION -- --: --- - -- - - -- - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE. 1542 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Cities of Loveland and Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. 4900 Earhart Road --- AUTNORI$°REPRESENTATIVE ' Loveland, CO 80538 USA , I m.�c..� 52. Pr4o! ©1988-2010 ACORD CORPORATION. All rights reserved. AC ORD 25 (2010(05) The ACORD name and logo are registered marks of ACORD joamencl 29071241 9/14/2012 15:56 Remote ID imprint ID ❑ 2/2111111 �,. �1 !l CERTIFICATE OF PROPERTY INSURANCE DATEINMi➢DMTYI 09/14/2012 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. It this ceril lcate Is being prepared for a partywho has an Insurable Interest In the property, do not use this form. Use ACORD 27 or ACORD 28. ER 1-312-704-0100: Arthur T. Gallagher Risk Management Services, Inc.- 300 South Riverside Plaza Suite 1900 Chicago, 'IL 60606 _ ... I c Rate Azkert NAME, , PHDNE FAr LA(C Nq Ect: 610-699-5167 AIL Nq: 630-285-3932 E'MAIt kaee_ackazeOaj4 tors ADDRESS: PRODUCER NONE ID, L95DRER5AFFORD No COVERAGE I NAICY INSURED Sturgeon Electric Company, Inc. 12150 E. 113th Avenue Sanderson, CO B6640 qINSURER INSURERA:AGCS MARINE INS CO IA XV) 22937 INSURERS: INSVnERG: INSURER O: E: INSURER F: COVERAGES p -- CERTIFICATE NUMBER' 290712BO REVISION NUMBER' LOCATION OF PREMISES I DESCRIPTION OF PROPERTY(AU.0 ACORD 151. Additional R..m Schadula, It mom open Iq Iequindl --THIS-IS-TO CERTIFY -THAT -THE. POLICIES. OF -INSURANCE LISTED BELOW HAVE BEEN ISSUED. TO THE.INSUREO NAMED ABOVE FOR THE -POLICY -PERIOD- -.INDICATEDa.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 IIEREIN IS SUBJECT TO ALL THE TERMS, - - EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR - -;TYPE OF INSURANCE _ .. POLICY NUMBER POLICY EFFECTIVE DATEINMMOfYYYII POLICY EXPIRATIONCOVERED DATEINNDDNYY1j PROPERTY - LIMITS; PROPERTY CAUSESOFLOSS - - DEDUCTIBLES _ - .___. _ - RUIMING PERSONALPROPERTY OUS'.NESS INCOME EXTRA EXPENSE RENTALVALUE BLANITETBUILDING BIAFMETPERS PROP BLANKET BLDG A PP - $ - 5 BASIC - BUILDING.,.-__ BROAD S CONTENi6 SPECIAL s EARTHwA _ 5 - -- " FLOOD $ 5 A %' CAUSES • % INLAND MARINE OF LOSS .. NAMED PERILS All Rick TYPE OF POLICY - - Property Floater-: 09/30/11 - 09/30/13 X % Ban Below Deductible - 53, 500,000 S 100,000 I'MICYNUMBER XXI93035221 S -- 5 CRIME TYPE OF POUCY 5 S S BED OILA MACHINERY I EONPASNT BREAK DOM 5 5 E 5 SPECmLCONDmONS I OTTIEN COVEMGE9 IANuch ACORD tat, Addlitand Remade Sr zdula, R mars span is MquInd) Covered Property - Materials of Others in the Care, Cu. Cody and Control of the Named Insured Description.. of Sob:.. Part Coll Ina -Loveland Municipal Ai cart, 2012 Airport Improvements -_Ina tall ing Runway Weather . Information System (RWIS) - --- CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1542 '- - - THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Clues of Loveland and FortCollinsACCORDANCE WITH THE POLICY PROVISIONS. - 4900 Barham Road IAUTHORIZED REPRESENTATIVE Loveland. CO 80539 USA ^•V�-s.ar lcamaocl -- - - V 1995-ZU09 AGORD OORPURAT ION. All rights reserved. ACORD 24 (2009109) The ACORD name and logo are registered marks of ACORD 29071330