HomeMy WebLinkAboutEGGERS ELECTRIC INC - INSURANCE CERTIFICATEOP ID: KE
14i4cOf2IX CERTIFICATE OF LIABILITY INSURANCE
DAM 1(2123/ 3�)
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 970-223-1804
VolkBell PropeM 8 Casualty
1100 Haxton Dr. Suite #100
Fort Collins, CO 80525
Steven G. Smith
CONTACT
PHONE FAX
_LAIC, o Can, AIe Ne: -
E-MAIL
ADDRESS:
CRODLIC .EDGER-1
INSURE 8) AFFORDING COVERAGE
NAIC0
INSURED Eggers Electric, Inc.
Keith and Dawn Eggers
3520 W. Eisenhower Blvd.
Loveland, CO $0537
INSURER A:S000rS Insurance Companies
22543
INSURER e:Plnnacol Assurance
41190
INSURERC:
INSURER 0:
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 REDUCED BY PAID CLAIMS.
Ll
TYPE OF INSURANCE
"i
sum
POLICY NUMBER
POLICY E FF
MM
MMNOINNYY
L rrs
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE FKOCCUR
TC0031719163
01/01/14
01/01/15
EACH OCCURRENCE
s 1,000,0
PREMISES Eaowartrass
S 100,0
MED EXP (Any one person)
$ 5,0
PERSONAL S ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
X1 POLICY 7 JFC• LOC
PRODUCTS-COMP/OPAGG
S i'000,000
$
AUTOMOBILE
LMBI81rY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
COMBINED SINGLE LIMIT
(Ea scdde"
f
BODILY INJURY (Pat parson)
S
BODILY INJURY(Perecdtlae)
S
PROPERTY DAMAGE
(Per ariJdmO
f
S
$
B
X
UMBRELLA LUIB
EXCESS UAB
X
OCCUR
CWMS-MADE
00031719183
01I01/+4
0tro1Ha
EACH OCCURRENCE
S 2,000,00
AGGREGATE
$ 2,000,00
DEDUCTIBLE
RETENTION S 10,000
$
X
S
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETORRARTNERIEXECUTIVEY/N
OFRCERIMEMBER EXCLUDED? ❑
(Mandatory In NH)
It Yes, describe undo
DESCRIPTION OF OPERATIONS below
NIA
76793
Oaro1113
06/01/14
X STATU- I TH.
EL. EACH ACCIDENT
s 500,001
EL. DISEASE - EA EMPLOYEE
EL_21SEASE-POLICY LIMIT
S 500,00
$ 500,00
A
Equipment Floater
T 0031719163
01101/14
01/01/15 ased 8
Le
.Rented 25,00
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Romance Schedule, N mom space to required)
CITY OF
City of Fort Collins
PO. 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
U 1988-ZU09 ACORD CORPURA I IUN. All rights reserved.
ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD