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HomeMy WebLinkAboutFISKE INC DBA FISKE ELECTRIC - INSURANCE CERTIFICATE (3)Client#: 52372 FISELI ACORD.. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDYY 11/14/2013 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: N the certificate holder Is an ADDITIONAL INSURED, the poliey(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 CONTANONE; Amanda Thompson Flood & Peterson Ins., Inc. PM Est:970 266-7138 No) 970 506-6846 Corporate Mailing Address: E.DIAARIES AThompson@FloodPeterson.eom P. O. BOX 578 INSURER(S) AFFORDING COVERAGE MCI INSURER A: P Greeley, CO 80632 The Cincinnati Insurance Com an INSURED ,.,.,,..... Pinnacol Assurance Fiske, Inc. dba Fiske Electric 6766 E. County Road 18 Johnstown, CO 80534 rnvcoeccc CFRTIFICATF NIIYRFR- RPVIRION 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 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. I" LTR TYPE OF INSURANCE BIIB POLICY NUYBER NPOLICY EFF POLICY31 EXP UNITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 51OCCUR X PDDed:1,000 EPP0168559 1/1512013 11115/2014 EACH OCCURRENCE $1000000 PR EMISE boo Emnce $300000 APED EXP (Anyone person) $10 000 PERSONAL &ADVINJURY $1000000 GENERALAGGREGATE 12,000 .0 GEN'L AGGREGATE UNIT APPLIES PER: POLICY X PRO- LOC PRODUCTS-COMPIOPAGG $2,000000 $ /� AUTOMOBILE LIABILITY X ANV AUTO ALL OWNED SCHEDULED AUTOS TOS X HIREDAUTOSX NON-OWNED EPP0166559 11151201311/15/201 COMBINED LIMIT 1,000r000 BODILY INJURY(Per parer) $ BODILY INJURY(Per ecddenl) $ PROPERTY DAMAGE Per°ccld°nl $ $ A UMBRELLA LIAB EXCESS LIAR X OCCUR CLAIMS -MADE EPP016S559 1111512013 1111512014 EACH OCCURRENCE $3 000 000 AGGREGATE s3 000 00O DED I X RETENTION 0 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIEORIPARTNERIE%ECUTIVE YIN T OFFICEMMEMBER E%CLUDEDT 51 (Mandatary In NN) p yea, describe under DESCRIPTION OF OPERATIONS below NIA 4066524 3/0'1/2013 03/01/2014 X I WCSTATU- OTH- E.L. EACH ACCIDENT $1 00O 000 E.L. DISEASE - EA EMPLOYEE $1000000 E.L. DISEASE -POLICY LIMB 10,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remmius Schedule, If more apace Is required) City of Fort Collins is named as Additional Insured with respects to General Liability if required by written contract. Cityof Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P.O. BOX 580 ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE V 19Ud-ZU1U AUUKU UUKVVKAI IUR. All rignis reserveo. ACORD 25 (2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S842552/M842508 ALT