HomeMy WebLinkAboutFRESCO ELECTRIC INC - INSURANCE CERTIFICATECERTIFICATE OF LIABILITY INSURANCE
DATE (MM/W/YYYVI
11/05/2013
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 endorsements .
PRODUCER
CDNTAMEAIT
CLIEN CONTACT CENTER
FEDERATED MUTUAL INSURANCE COMPANY
HOME OFFICE: P.O. BOX 328
A CNNo Ext : B88-333-4949
--
a/c N.I: 507-446-4664
ADDRESS: CLIENTCONTACTCENTERaFEDINS.COM
OWATONNA, MN 55060
INSURERS AFFORDING COVERAGE
NAIC If
INSURER A: FEDERATED MUTUAL INSURANCE COMPANY
13935
INSURED 267-334-1
INSURER B:
FRESCO ELECTRIC INC
INSURER C:
7230 W 118TH PL UNIT C
BROOMFIELD, CO 8=0
INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 8 REVISION NUMBER: 0
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
TR
TYPE OF INSURANCE
DL
INS
SUBR
POLICY NUMBER
POLICY EFF
I I V
POLICY EXP
MMID IYYVY
LIMITS
A
GENERAL
X
LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE ❑X OCCUR
N
N
9030232
11/01/2013
11/01/2014
EACH OCCURRENCE
$1,000.000
DAMAGE TO RENTED
f ocm ran
$1OO DDD
MED EXP IAy one P...)
EXCLUDED
PERSONA. S ADV INJURY
$1,000,000
GENERA. AGGREGATE
S2,000,000
GEN'L
X
AGGREGATE
POLICY
LIMIT APPUES
JECT
PER:
LOC
PRODUCTS - COMPIOP AGO
$2,000,000
A
AUTOMOBILE
X
LIABILITY
AV AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
NON -OWNED
HIRED AUTOS AUTOS
N
N
9030232
11/01/2013
11/01/2014
COMBINED SINGLE LIMIT
$1,000,000
BODILY INJURY (Per Person)
BODILY INJURY(P cidmil
PROPERTY DAMAGE
nt
A
X
UMBRELLA LIAB
EXCESS LIAB
X
OCCUR
CLAMS -MADE
N
N
9030233
11/01/2013
11/01/2014
EACH OCCURRENCE
S510001000
AGGREGATE
S5,000,000
II
DED RETENTION
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
MY PROPRIETOR/PARTNERIEXECUTWT
OFFICERIMEMBER E%CLUD--
(ManCetory in NHI
If yes, OescriM un4r
DESCRIPTION OF OPERATIONS Mllw
N / A
WCSTATU-
TORY LIMITS
OTH-
ER
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE
E.L DISEASE -POLICY OMIT
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Afttl ACORD 101, AEdib.1 Remerts RJMeule, it more flea is reeuimd)
KRTIFICGTF NOLDFR CANCELLATION
267-334-1 80
CITY OF FORT COLLINS
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
PO BOX 580
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
FORT COLLINS, CO 80522-0580
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
O 1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010I05) The ACORD name and logo are registered marks of ACORD