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HomeMy WebLinkAbout112903 BRIAN'S ELECTRIC CO LLC - INSURANCE CERTIFICATEBRIANSI OP ID: KH a►coRO CERTIFICATE OF LIABILITY INSURANCE DATUM/201ATE YYI 03/13/2014 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 PFS Insurance Group -JT 4848 Thompson Pkwy, Ste 200 NAME, PHONE FAx ---- UUC, No, Ex )- _ WC NoI: Johnstown, CO 80534 Tad Borrett E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC e INSURER A: Auto -Owners Insurance Co. 18988 INSURED Brlan's Electric Co, LLC o INSURERS: I (n 1410 Webster Avenue L 1 o� Fort Collins, CO 80524 INSURER C : INSURER D : INSURER E : INSURER F rf1VF1OAGFB rPOTIFir ATF NI IRAI QFVLQInu NIIYRFR- 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 LT TYPE OF INSURANCE POLICY NUMBER MIA DONY F NMIGO P LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OOCCUR 74416486 03/03/2014 03/03/2016 EACH OCCURRENCE S 1,000,00 PREMISES fEaomurenoo $ 300,0010 MED EXP(" ale parson) $ 10,00 PERSONAL S ADV INJURY $ 1,000,00 GENERALAGGREGATE $ 2,000,00 GENL AGGREGATE LIMIT APPLIES PER: POLICY FXI PRO LOC PRODUCTS-COMP/OP AGG S 2,000,00 E A AUTOMOBILE LIABILITY X ANY AUTO AUTOS NED AUTOSULED X HIRED AUTOS X NON4)WNED AUTOS Hired Car phys Dams 4941BU000 03103/2014 03/03/2015 COMBINED SINGLE LIMIT Ea accldeM 11000100 BODILY INJURY (Per person) $ BODILY INJURY (Per ecddml) $ PROPERTY DAMAGE PER A CIOE $ $ A j( UMO"LLA LIAR EXCIE 879 N OCCUR AD CLAIMS -ME 4941BM200 0310=14 03/03/20'15 EACH OCCURRENCE $ 1,000,00 AGGREGATE $ 1,000,000 LIED RETENTION S WORKERS COMPENSATION AND EMPLOYERS' LIABILITYMAT ANY PROPRIETOWARTNERIEXECUTNE YIN OFFICERIMEMBER EXCLUDED? (Mendetory In NH) If yea desaiba under DESCRIPTION OF OPERATIONS below N/A N/A WC STATU- OTH- E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE S E.L. DISEASE - POLICY LIMIT $ A Rented Equipment 74418486 03/03I2014 03/03/2015 Spacial f 50,000 Dad 500 DESCNPTION OF OPERATIONS I LOCATIONS I VEHICLES (AAMM ACORO 101, Addltlonal Remarks SchoEule, Naea apaoe Ia ngelrad) r FRTIFIr ATP W1H nFR rANr FI I ATInN CITYFC1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City Of FOR Collins P.O. BOX 580 AUTHORIZED REPRESENTATNE Fort Collins, CO 80522 ©1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD