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HomeMy WebLinkAboutFISKE INC DBA FISKE ELECTRIC - INSURANCE CERTIFICATE (2)Clientht: 52372 FISEL1 ACORD,., CERTIFICATE OF LIABILITY INSURANCE DATE 212612IDDIYYYY) 1/2snola 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(les) 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 and Peterson Corporate Mailing Address: P.O. BOX 578 N MEAcT Brianne Danielson Pu"c°"FAX Na Eat): 970 266-7118 A/c No), 970 506-6846 Au%RE : BDanielson@FloodPeterson.com INSURERIS) AFFORDING COVERAGE NAICX Greeley, CO 80632 INSURER A: The Cincinnati Insurance Compan INSURED Fiske, Inc. dba Fiske Electric 6766 E. County Road 18 Johnstown, CO 80534 INSURER B : Pinnacol Assurance INSURER C INSURER D : INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 RED��UyyC��E��D� BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE A DL SUB POLICY NUMBER MMIDD/Y1'W MM/UDV/YEYYV DMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE E� OCCUR X PDDed:1,000 EPP0168559 1115/2013 11115/2014 EACH OCCURRENCE $1000000 PREMISES E.=I.ce s3000OO MED EXP (Any we person) $1 O 000 PERSONAL SADVINJURY $1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POX PRO- LOC JECI PRODUCTS-COMP/OPAGG E2,000,000 E A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS OS NON -OWNED HIRED AUTOS X AUTOS IX EBA0168559 11/151201311/15/201 Es accident SINGLE LIMIT 1,000,000 BODILY INJURY(Per person) $ BODILY INJURY(Per accident) $ PROPERTY DAMAGE Poraccldent $ E A X UMBRELLA Ma EXCESS DAB X OCCUR CLAIMS4AADE EPP0168559 1/15/2013 111115/2014 EACH OCCURRENCE s3000000 AGGREGATE s3,000,000 OEO I X RETENT10N$0 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR(PARTNERIEXECUTIVE YIN OFFICERIMEMBER EXCLUDEO4 (Mandatory In NMI If yes describe under DESCRIPTION OF OPERATIONS below NIA 4066524 D31011120114 03/01/201 X WCSTATU- OTH- E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE- POLICY LIMIT $1,000,000 A Leased/Rented Equipment EPP016B559 11/15/2013 11115/2014 $50,000 Limit $1,000 Deductible DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) City of Fort Collins is named as Additional Insured with respects to General Liability if required by written contract. City of Fort Collins P.O. 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 © 1988-201D ACORD CORPORA I ION. All rights reservea. ACORD 25 (2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD wnoeeo