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HomeMy WebLinkAboutHAMILTON ELECTRIC CONSTRUCTION - INSURANCE CERTIFICATETHIS 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_. CO TYPE OF INSURANCE POLICY NUMBER 1 POLICY DATE (MM1DbEFFECTIV1YYE, PpATE IMryyPIpRpA PION _ LIMITS LTR GENERAL LIABILITY GENERAL AGGREGATE S 2 OOO OOO COMMERCIAL GENERAL LIABILITY I PRODUCTS - COMPlOP AGG S 2,000,000 A CLAIMS MADE X OCCUR 9809933 01/01/08 01/01/09 PERSONAL & A D V INJURY s, 1,000,000— ......... OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE S 1,0001000 X BUSINESSOWNEA'S POLICY _ .. .. FIRE DAMAGE IAny one tire) _. .. $ 50,000 MED EXP (Any one person) S AUTOMOBILE LIABILITY 1,000,000 X ANY AUTO COMBINED SINGLE LIMIT S _ _..................-- . ......_. ALL OWNED AUTOS --- BODILY INJURY 5 A SCHEDULED AUTOS 9809934 01/01/08 01/01/09 (Per person) X HIRED AUTOS BODILY INJURY S X NON -OWNED AUTOS (Per acddenO PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S OTHER THAN AUTO ONLY: ANY AUTO EACH ACCIDENT------------- S AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ 1,000,000 A X UMBRELLA FORM 9809935 01/01/08 01/01/09 AGGREGATE _ $ 1 r.0001000 OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND WC STATU - OTH- X TORY LIMB'S ER EMPLOYERS' LIABILITY ..___._..._..._ ._._........._ EACH _.._,.__.--_..___..__...._._._.... A THE PROPRIFTOR/ I WCL 9809936 01/01/08 01 /0 I /09 ..EL ,ACCIDENT ,__.___..._...__...$500,000- £L ISEASE -POLICY LIMIT D S SOO 000 PARTNERS/EXECUTIVE ..._. _._�—.._._._�...__..........._.__....__.......__._..__...t___..._._.__... OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE $ 500,000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES/SPECIAL ITEMS alalsaa CITY OF FT COLLINS PO BOX 580 FT COLLINS CO 80522-0580 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Of ANY KIND UPON THE COMP , ITS AGE TS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIV ,/2 ,/ , Federated Mutual Insurance Company. Federated Service Insurance Company P.O. Box 328 CST 801 Owatonna, MN 55060 Certificateholder CITY OF FT COLLINS PO BOX 580 FT COLLINS CO 80522-0580 Insured 319-195-4 9 HAMILTON ELECTRIC CONSTRUCTION COMPANY 10855 IRMA DR NORTHGLENN CO 80233 CANCELLATION NOTICE CANCELLATION of each policy listed below was requested by the insured. We will continue to protect your interest as a mortgagee, Certificateholder, additional insured, or loss payee through the date and time of day shown below. Policy Number Coverage 9809933 BUSINESS OWNERS PACKAGE 9809934 COMMERCIAL PACKAGE POLICY 9809935 UMBRELLA 9809936 WORKERS COMPENSATION Standard time at the designated business premises. This Notice was mailed on January 28, 2009. Policy Certificateholder Time of Cancellation Cancellation Policy Date Date Cancellation 01/01/09 01/01/09 12:01 A.M. 01/01/09 01/01/09 12:01 A.M. 01/01/09 01/01/09 12:01 A.M. 01/01/09 01/01/09 12:01 A. M. MFO.40 (11-92 C) Federated Mutual Insurance Company. Federated Service Insurance Company P.O. Box 328 CST 801 Owatonna, MN 55060 Certificateholder CITY OF FT COLLINS PO BOX 580 FT COLLINS CO 80522-0580 Insured 319-195-4 9 HAMILTON ELECTRIC CONSTRUCTION COMPANY 10855 IRMA DR NORTHGLENN CO 80233 CANCELLATION NOTICE CANCELLATION of each policy listed below was requested by the insured. We will continue to protect your interest as a mortgagee, Certificateholder, additional insured, or loss payee through the date and time of day shown below. Policy Number Coverage 9809933 BUSINESS OWNERS PACKAGE 9809934 COMMERCIAL PACKAGE POLICY 9809935 UMBRELLA 9809936 WORKERS COMPENSATION Standard time at the designated business premises. This Notice was mailed on January 28, 2009. Policy Certificateholder Time of Cancellation Cancellation Policy Date Date Cancellation 01/01/09 01/01/09 12:01 A.M. 01/01/09 01/01/09 12:01 A.M. 01/01/09 01/01/09 12:01 A.M. 01/01/09 01/01/09 12:01 A. M. MFO.40 (11-92 C)