The URL can be used to link to this page

Home My WebLink AboutTEAM ELECTRIC INC - INSURANCE CERTIFICATE (4)ACORO® 141 CERTIFICATE OF LIABILITY INSURANCE DATE("°uDivYYYY) 02/272014 1 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 CONTACT CLIENT CONTACT CENTER FEDERATED MUTUAL INSURANCE COMPANY HOME OFFICE: P.O. BOX 328 n/cane EXI : 888-333.4949 a/c No : 507416-4664 ADDRESS: CLIENTCONTACTCENTER FEDINS.COM OWATONNA, MN 55060 INSURERS AFFORDING COVERAGE Sul If INSURER AI FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 355-776-6 INSURER B: TEAM ELECTRIC INC 1154 S LI PAN ST INSURER C: INSURER D: DENVER, CO 80223 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 21 REVISION NUMBER:0 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED A80VE 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 RAVE BEEN REDUCED BY PAID CLAIMS. INBR T TYPE OF INSURANCE DL VOL POLICY NUMBER POLICY EFF MMlLI POLICY EXP MLIC OYYYY LIMITS A GENERAL X LIABILITY COMMERCIALGENERALUABWTY CLAIMS -MADE x OCCUR N N 9030550 03/01/2014 03/01/2015 EACH OCCURRENCE $1,ODO,000 DAMAGE TO RENTED $100,000 MED EXP (my one yenon) EXCLUDED PERSONAL S ADV INJURY $1,000,000 GENERAL AGGREGATE S2,000.000 OEN'L X AGOREOATE POUCY LIMIT APPLIES IRI PER: LOC PRODUCTS - COMP/OP AGO $2,000,000 rMOIRMOINLOE LIABILITY YABODILY OS AUTODULEDN HEDTOS NON-OY/NED AUTOS N 9030550 03/01/2014 03/01/2015 COMBINED SINGLE LIMIT as cndan $1,000000 INJURY (Per person)AAU BODILY INJURY(Pair acdlarro PROPERTY DAMAGE A X UMBRELLA LIAB EXCESS LIPS X OCCUR CLAIMS -MADE N N 9030551 03/01/2014 03/01/2015 EACH OCCURRENCE $5,000,000 AGGREGATE $5,000,000 DIED RETENTION A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNER/EXECUTIVE E OFFICERIMEMBER EXCLUDED' (ManCalury in NH) It yes, describe under DESCRIPTION OF OPERATIONS below NIA N 9030553 03/01/2014 03/01/2015 X WC STATU- TORY LIMITS OTH- ER E.L. EACH ACCIDENT $500,000 E.L. DISEASE - EA EMPLOYEE S500I000 E.L.DISEASE • PoLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IAttacl, ACORD 101. Additional Remarks Schedule, it more space is required) CERTIFICATE HOLDER CANCELLATION 355-776-6 CITY OF FORT COLLINS PO BOX 580 FORT COLLINS, CO 80522-0580 21 0 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 O 1980-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD BWNDHBS 355-776-621 XWXW0021XXXXXXX5t R5002-04-0079 ITY OF FORT COLLINS PO BOX 580 FORT COLLINS CO 80522-0580