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HomeMy WebLinkAbout109881 DICKINSON ELECTRIC - INSURANCE CERTIFICATE (10)02/11/2013 10:01 FAX 19706636801 ALBRECHT INS a 001 Policy Number: Date Entered: 08/08/2012 acCERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) �,,.. 2/11/2013 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 polmy(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 ICONTACT TERIj1 Northern Co Loraflo Insurance Services L7.0 525 N DENVER LOVELAND CO 80537 INSURED DICKINSON ELECTRIC INC 11.75 E 2ND ST LOVEhAND, CC 80537 NAME i+HONL 970) 622-9734 FAz 970) 663-6801 ADDRESS: terri.ncis@gmail.com INSURERRa AFFORDING COVERAGE NAIC U HARPER AUTO -OWNERS INSURANCE COMPANY INSURER B INSURER C INSURER D._ INSURER ! INSURER F COVERAGES CERTIFICATE NUMBER_ REVISION NUMBER: THIS IS TO CEP.TIPY THAT Tor POLICIES OF INSURANCI ISIED BFIOVV HAVE HH-N ISSUED 10 LHE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUIREMF_N'r, TERM OR CONDITION Of ANY CONTRACT OR OTHtR DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PENIAIN, THE INSURANCI AFI OHDED BY HIT POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDIITONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR --- ADDL SUER-- POLICY Err POLICYEXP LTP TYPE OF INSURANCE INSR WVD. POLICY NUMBER MMIDDNYYY MMIDOIYYYYt LIMITS _._ ____.___ GENERAL. LIABILITY _.... _— I nLllocwRlu Nn $1,000, 000 A �COMMER4IA UINIIF,I L IABILITY ,104632-74505986-11 19AMI I O7 I N I I D I8/04/2012 8/04/2011 PRI MISLS (I a...... ) �$ 300, DDD CLAIMS MARL _ OCCUR MUD L XP (Ay one person) I $ 10,000 PERSONALS ADV INJURY $1,000,000 Of NI RAL!(GRI GA II I$2,000,000 1 00 GI N I AGCRFGATF I IMI 1 APILit SPtRPRODUCTS � COMPIOPAGf $2,000,13 1 $ POLICY J 01 LOC AUTOMOBILE LIABILITY COMBINED SINGI E LIMIT (Ea scu0anll P A ANY Al1T0 I.48-505-986-00 8/04/2012 6/04/2011 KINK Y INIPRY Ur prison 1 $1,000,000 nLl.owMu `scar wlID IYUH YINn1EY(Ior aaaldo"N $1,000,000 '\ AUTOS BOLUS - NEo PRoredrnnnA $1,000,000 HIRED ALTOS iUTO6 . (For acge) UMBRELLA LIAR IH (Ur, LAU I OCI'URRI NI'I $ EXCESS LIAS I,IIMSARM SLOW :GA11 $ DEC RETENTION $ WORKERS COMPENSATION _------�---_ WC START : OIL ICRY t Of TS 1 R AND EMPLOYERSLIABILITY YIN I Ali -..-.. ANf1'ROPRIETURIPAPNIRT Lt IRA 11 LALHACCRANI Of I IGk MetMDI P 1 M IIDI 1= NIA (Mandatory In NH) [I UINASF EArMPLOYI If Ye L , l,No antler DLSCROPI AN OF OPERATIONS helow I L I DAFASF POI ICY LIMIT .I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IA11W11 ACORD 10t. Additional Remarka Srhrsdule, if more space ie required) CERTIFICATE HOLDER 7:S ALSO ADDITIONAL INSURED CERTIFICATE CITY OF FORT CCLLINS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE FINANCIAL. SERVICES PURCHASING DIVISION THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN 215 N MAIN SECCND FLOOR ACCORDANCE WITH THE POLICY PROVISIONS. PO BOX 580 AUTHORIZED REPRESENTATIVE FORT COLLINS CC B0522 J ALBRECHT ... ' O- 1988-2010 ACORD CORPORATION. All rights ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD Produced i,,in _ Fo,ms D - FI —tP-t e. P ms9o1s ImP—sI", P N11h,ng 800-Zw 1 W]