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Home My WebLink AboutBENCHMARK ELECTRICAL SOLUTIONS INC - INSURANCE CERTIFICATE`�`� �® CERTIFICATE OF LIABILITY INSURANCE 1/7/2014YYI 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 endorsement(s). PRODUCER Milestone Insurance Group LLC PO Box 268 Windsor CO 80550 CONTACTJeff Krebs FHONE (970) 631-7900 FAXArc (966)594-6478 E-MAIL .Jeff@USAMIG. com INSURERS AFFORDING COVERAGE NAIC # INSURERA:Hart£ord Insurance Group INSURED Benchmark Electrical Solutions Inc 5739 Bueno Drive Fort Collins CO 80525 INSURERB:Pinnacol Assurance 41190 INSURER C: INSURER D: INSURER E: 1 INSURER F: COVERAGES CERTIFICATE NUMBER:CL141703749 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. INSR LTR TYPEOFINSURANCE POLICY NUMBER POLICY EFF MMIDDIYVY POLICY EXP MM/DD/YYY LIMITS A GENERAL LIABILITY $ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 7X OCCUR 34SBAPN7767 1/14/2014 1/14/2015 EACH OCCURRENCE $ 1,000,000 PREMISES Ea occurrence S 300,000 MED EXP(Any one person) $ 10,000 PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 21000,000 GEN'L AGGREGATE LIMIT APPLIES PER: RO, LOC T POLICYFI PECT PRODUCTS - COMP/OP AGG $ $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOSAUTOS HIRED AUTOS X AU7ONOS-OWNED 4UECKW7983 1/14/2014 1/14/2015 COMBINED Ea accident N L LI 1,000,000 BODILY INJURY (Per person) $ Ix BODILY INJURY(Per acolderd) $ PReOe EG0ent0AMAGE $ 8 A X UMBRELLA LIAB EXCESS LIAB :: OCCUR CLAIMS -MADE 34SEAPN7767 1/14/2014 1/14/2015 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 DED X RETENTIONS 10,000 $ B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORRARTNEWEXECUTIVE OFFICEWMEMBER EXCLUDED? ❑ (Mandatory in NH) If Yes, describe under DESCRIPTION OF OPERATIONS below NIA 124201 6/1/2013 6/1/2014 X WC STATU- OTH, E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE- POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) City of Fort Collins, Colorado 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 ACORD 25 (2010105) INS025 po Gos).o1 Krebs/JK 01988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD