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Home My WebLink AboutSIMPSON ELECTRIC INC - INSURANCE CERTIFICATE (8)SIMPELE-01 MMATHEWS , 11. R CERTIFICATE OF LIABILITY INSURANCE oA3/10/2014 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 PRODUCER INSURED CO 80502 776-5122 Charter Oak Fire Insurance Simpson Electric, Inc " "�"""� """"""' �""' "" 1920 Glenview Court lNsuRER D: Pinnacol Assurance Coma 41190 Berthoud, CO 80513 C . rnvice A r__oc r=DTICICATO an Mill RSIVIRICIN NIIMRFR- 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 TYPE OF INSURANCE AUDL R POLICY NUMBER MM DDNYYY LICYEXP P ID NYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FXI OCCUR 6803299C359 02/20/2014 02/20/2015 EACH OCCURRENCE 8 1,000,00 PREMISES Eeorcummoo $ 300,0010 MED EXP(Any a" person) $ 5,00 PERSONAL A ADV INJURY E 1,000,00 GEN-L X AGGREGATE LIMIT APPLIES PER: POLICY ❑ JECT LOC OTHER: GENERAL AGGREGATE $ 2,000,00 PRODUCTS-COMP/OP AGG $ 2,000,00 $ B AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED AUTOS NOSWWNED X HIRED AUTOS X AUTOS 4268565900 11/2412013 11/24/2014 COMBINED SINGLE LIMIT Me accident S 1,000,0 BODILY INJURY (Per person) S BODILY INJURY (PW accklem) $ PxaErnDAMA E S S C J( UMBRELLA D EXCESSUA9 XAB OCCUR CLNMSMADE CUP8126C181 02/20/2014 02/20/2015 EACH OCCURRENCE B 1,000,0 AGGREGATE S 1,000,0 DED I X I RETENTIONS 5,000 $ ID WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE Y� OFFICERlME NH) E %CI-VDED7 tMantlxory In NH) It yes describe under DESCRIPTION OF OPERATIONS babes NIA 1496820 04l01/2014 OU01/2015 H PTA E ER E.L.EACH ACCIDENT $ 1,000,00( E.L. DISEASE -EA EMPLOYEE S 1,000,0 E.L DISEASE - POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) !`ANCFI I ATInN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Laurie P.O. Box 580 AUTHO'RIZED REPRESENTATIVE A 0aw" Fort Collins, CO 80522 v IBBD-LV 14 Al umu l vrnrvrnA I Ium An nynu rucerveu. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD