HomeMy WebLinkAbout103811 GLANZ ELECTRICAL CONTRACTING INC - INSURANCE CERTIFICATE (3)MAY-31-2013 13:13 From:
To:19702216707 Pa9e:1�1
Commercial Certificate of Insurance
F R M E s
Agency DOUG DRAPER AGENCY
Name 1858 S WADSWORTH BLVD #325
Issue Date (MM/DD/Ii7f) OS/29/13
& LAUWOOD CO 80232
Address (303) 985-8800
This certificate is issued as a matter of information only and confers no rights
upon the certificate holder. This certificate does not amend. extend or alter the
07 28 ent gent 95
Dist Ag
coverage afforded by the policies shown below.
y
Companies Providing Coverage:
Irtsured
Glan2 Electrical Contracting Inc
Company A Truck Insurance Exchange
Lruer
Name 1713 E Lincoln Ave, Unit A 1
Company B Farmers Insurance Exchange
& Fop Collins CO 80524
teeter
Company C Mid -Century Insurance Company
Address (970) 482-5218
Later
Company
Lever
Coverages
This is to certify that the policies orinsurmce 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 whtch 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'
Lu.
Type of Insurance
Policy Number
Policy Effective
Date (MxvDom)
Policy Expiration
Date (MMrDD/yy)
Policy Limits
X
General Liability
General Aggregate
$ 4,000,000
X
Commercial General
Products-Comp/OPS
Liability
Aggregate
$ 4,000,000
C
X
- OccurrenceVersion
04596-93-15
06/01/13
06/01/14
Personal &
Advertising Injury
$2,000,000
Contractual - Incidental
Each Occurrence
S 2000000
Only
Fire Damage
, ,
Owners &Contractors Pre[.
(Any one fire)
s [00,000
Medical Expense
(Any one person)
$5,000
x
Automobile Liability
Combined Single
All Owned Commercial
Limit
S 2,000,000
Autos
Bodily In1jury
(Pe
C
X
Scheduled Autos
04596-93-15
06/01/13
00/01/14
person)
S
Hired Autos
Bodily Injury
$
Non•OwnedAutos
(Per accident)
Garage Liability
Property Damage
$
Garage Aggregate
$
A
x
Umbrella Liability
04596-93-16
06/01/13
06/01114
Limit
$ 2,000.000
Workers' Compensation
Statutory
and
Each Accident
$
Employers' Liability
Disease - Each Employee
Disease - Policy Limit
$
$
Description of Operations/Vehicles/Restrictions/Special items:
The Certificate Holder is named as additional insured with respects to policy number 04596-93-15,
Certificate Holder
Cancellation
City of Fort Collins
Should any of the above described policies be cancelled before the expiration date
Nance PO Box 580
thereof, the issuing company will endeavor to mail 30 days written notice to the
& Ft Collins CO 80522
certificate bolder named to the left, but failure to mail such notice shall impose no
Address Attn: John Stephens Fax: 970-221-6707
obligation or liahi' • farryi �company, its agents or representatives.
Au a epresenta ve
se z4s2 4-94 Copy Distribution: Service Center Copy and Agent's Copy H.m