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Home My WebLink About104571 GREGORY ELECTRIC INC - INSURANCE CERTIFICATE (8)Client#: 34521 GREELI AUUMUn CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 9/1912013 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 & Peterson Ins., Inc. P. O. Box 578 Greeley, CO 80632 1 NIT CT AME, Nikki Mosbrucker, CIC, CISR PHONE A/C. No EMI: : 970 266-7123 arc No : 970 506-6823 E-MAIL eterson.com NMosbrucker flood ADDRESS: NMosbrucker@floodpeterson.com INSURER(S) AFFORDING COVERAGE INSURER A: Travelers Insurance Company INSURER B: PLnrlacOI Assurance NAIC# 970 356 0123 I O I INSURED I Gregory Electric, Inc. INSURER C: PO Box 2373 I ! INSURERD: Loveland, CO 80539 jINSURER E: I INSURER F -- -- "-'----- MMVIJIUIN INUMCttt: 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 CONTRACTOR 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 ADDL SUBRI LTR TYPE OF INSURANCE INSR D I POLICY NUMBER MM/0�(Yl'YYV MM/DD/YYVV LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR X X 14TC05D974152- COF13 - 0/01/2013 10/01/201 EDACHOCTC7URRENCE S1000000 X FR MISE9°aEoccu°nce 5300,000 `JED EXP (Any one person) 510,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE 52,000,000 GEN'L AGGREGATE LIMIT APPLIES X PER: OLICY PPRO- T LOC PRODUCTS - COMP/OP AGG 52,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED I SCHEDULED AUTOS AUTOS HIRED )AUTOSIX NON -OWNED AUTOS I X X BA5D97415213CNS 10/01/2013 10/01/201 EOhac",dEen)IswGLEUMIT 51,000,000 X BODILY INJURY (Per person) S BODILY INJURY (Per accicent) S X PROPERTY DAMAGE Per accident 5 A B A X UMBRELLA LIAR EXCESS LIAR X OCCUR CLAIh15-MADE X NIA X 14TSMCUP5D974152- I X TIL13 4014736 QT6660367M1606- TIL13 0/01/2013 7/01/2013 10/01/2013 10/01/201 07/01/201 10/01/201 EACH OCCURRENCE 55000000 AGGREGATE S5,000,000 DED I X RETENTION SIO 000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ' NY PP.OPRIETOR/PARTNDED? CUTI`JE OFFICER/lAEMBER EXCLUDED? (Mandatory m NH) - Ityes.descnbeunner DESCRIPTION OF OPERATIONS below Installation Floater WC STATU- OTH- X $ E.L. EACH ACCIDENT 511000,000 E.L. DISEASE - EA EMPLOYEE S1,000,000 E.L. DISEASE -POLICY LIMIT 51,000,000 $2,000,000 Limit $ 500 Deductible DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if mom space is m,quired) The City of Fort Collins, its officers, agents and employees are included as Additional Insured as required by written contract with respects to liability arising out of work performed by the named insured. CFRTIFICATF Nr11 nCo City of Fort Collins Attn: Purchasing Dept. PO 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 (2010/05) 1 of I #S827528/M827522 u 1y0a-zD1D ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD NIK Client#: 34521 GREELI AGURDa CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DOIYYYY) 9/19/2013 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 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 &Peterson Ins., Inc. P. O. BOX 576 Greeley, CO 80632 i CT NAMe Nikki Mosbrucker, CIC,-CISR PHONE 970 266-7123 " 970 506-6823 A/C. No Ext : A/C No E-MAIL NMosbrucker flood ADDRESS: @ eterson.com p INSURERS) AFFORDING COVERAGE NAIL# 970356-0123 INSURER A: Travelers Insurance Company INSURED Gregory Electric, Inc. PO Box 2373 Loveland, CO 80539 INSURER B: Plnnacol Assurance INSURER C INSURER D: INSURER E: INSURER F: rr1V F17Al:GC rcor,orarc . " "-----"'----- MCVIOIUIN INUmCCK: 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 CONTRACTOR 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 TYPE OF INSURANCE ADDL SUBRI POLICY EFF POLICY EXP LTR INSR WV I POLICY NUMBER imminruy"vi nucunnryyyy)LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X X 4TC05D974152- COF13 0/01/2013 10/0112014 EACH OCCURRENCE 51000000 X QREMISESIOE1ociurrDence $300,000 MED EXP (Any one person) S 10,000 .. PERSONAL B ADV INJURY S1,000,000 GENERAL AGGREGATE - 52,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PR0. J T LOC PRODUCTS - COMPIOP AGG- S2 OOO,OOO I 5 A LIABILITY ANY AUTO OWNED SCHEDULEDAUTOSAUTOSBODILY I X NON -OWNED AUTOS X X BA5D97415213CNS 0/01/2013 10/01/201 a accident /COMBINED SINGLEr55000,000 BODILY INJURY (PeALL POMOBILE INJURY (PeHIREIEDS PROPERTY DAMAG (PeraccidewLIA A B A �( EXCESSUMBRELLAaka EXCESS LIAR X OCCUR CLAIMS -MADE X NIA X X i I I 4TSMCUP5D974152- TIL13 4014L1717 QT66$2,000,000 TIL1 10/01/201310/01/201 EACH OCCURRENC AGGREGATE s5,000,000 DED I X RETENTIONSIOOOO WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN NX ANY PROPRIETOR/ PARTNER/EXECUTIVE EXCLUDED? OFFICER/MEMBER .. NH) puanoatory is Nnd - - - 11 yes. desaihe under DESCRIPTION OFOPERATIONS helow Installation Floater WC STATU- OTH- LQEY LIMITS PR 5 E.L. EACH ACCIDENT $1 00O 000 E.L. DISEASE - EA EMPLOYEE S1 ,000,000 E.L. DISEASE -POLICY LIMIT 31,000,000 Limit $ 500 Deductible DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if mom space is required) RE: Exhibit Lighting for Fort Collins Museum of Discovery. The City of Fort Collins, its officers, agents and employees are included as Additional Insured as required by written contract with respects to liability arising out of work performed by the named insured. CFwTICIr Arc Unl non City of Fort Collins Attn: Purchasing Dept. PO 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 (2010/05) 1 of 1 #S827527/M827522 W IUGO-ZUIV A-UKLI GUKPOKATION. All rights reserved. The ACORD name and logo are registered marks of ACORD NIK