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Home My WebLink AboutFISKE INC DBA FISKE ELECTRIC - INSURANCE CERTIFICATEClient#: 52372 FISELI ACORD. CERTIFICATE OF LIABILITY INSURANCE D11/14ATE /2012YYI 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 endorsement(s). PRODUCER Flood and Peterson Corporate Mailing Address: P.O. Box 578 Greeley, COB0632 CONTACT NAME: Brlanne Danielson PHONE Exl : 970 266-7118 Mc, No): 970 506-6846 E-MAIL ADDRESS: BDanielsonOFloodPeterson.com CUSTOMER,,#: FISELI INSURER(S) AFFORDING COVERAGE NAIC# INSURED INSURER A: The Cincinnati Insurance Compan Fiske, Inc. dba Fiske Electric 6766 E. County Road 18 Johnstown, CO 80534 INSURER BPinnacol Assurance INSURER C INSURER D: 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. INSR LUL TYPE OF INSURANCE kDDY 21L UBfl POLICY NUMBER BEE MWDDNYYY) POLICY EXP (MWDDNYYYI LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F OCCUR X PD Ded:1,000 EPP0168559 11/15/201211/15/201 EACH OCCURRENCE $1000000 PREMISES Eaoccurrance $300000 MED EXP (Anyone person) $10,000 PERSONAL B ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE 1-1 POLICY LIMIT APPLIES PER: PRO LOG PRODUCTS - COMP/OP AGG $2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NONOWNEDAUTOS EPP0168559 11/15/2012 11/15/2013 COMBINED SINGLE LIMIT $1000000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accitlent) $ X X $ $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE EPP0168559 11/15/2012 11 A 5/201 EACH OCCURRENCE $3000000 AGGREGATE s3,000,000 DEDUCTIBLE RETENTION 0 $ X $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOWPARTNER/EXECUTIVEIMITS YF OFFICEWMEMBER EXCLUDED? (Mandalory in NH) If yes, describe under DE SCRIPTION OF OPERATIONS below WA 4066524 3/01/2012 I 03/01/201 X WCSTATU- OTH- ER E.L. EACH ACCIDENT $1,000,000 EL DISEASE - EA EMPLOYEE $1,000,000 I EL.DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Aaach ACORD 101, Additional Remarks Schedule, if more space is required) City of Fort Collins is named as Additional Insured with respects to General Liability if required by written contract. City of Fort Collins P.O. 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. AUTHORIZED REPRESENTATIVE ACORD 25 (2009/09) 1 of I #S746870/M746848 01988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD BXD