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