HomeMy WebLinkAboutDIVERSIFIED ELECTRIC & CONTROLS LLC - INSURANCE CERTIFICATE (2)ACORbP
CERTIFICATE OF LIABILITY INSURANCE
DATE IMWD0NYYY)
I 03N72D14
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
FEDERATED MUTUAL INSURANCE COMPANY
HOME OFFICE: P.O. BOX 328
CONTACT
N CLIENT CONTACT CENTER
E.
A CNNort E: 888-333-4949
NC Nor: 507446-4664
E-MAIL
ADDRESS: CLIENTCONTACTCENTEROFEDINS.COM
OWATONNA, MN 55060
INSURERS AFFORDING COVERAGE
NAIC S
INSURER A: FEDERATED MUTUAL INSURANCE COMPANY
13935
INSURED 348-383-1
INSURER B:
DIVERSIFIED ELECTRIC & CONTROLS LLC
INSURER C:
4191 INCA ST
INSURER D:
DENVER, CO $0211
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 13 REVISION NUMBER: 0
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.
_11.TINSR
TYPE OF INSURANCE
INSR ADOLSVIVD
SIR
POLICY NUMBER
MUCIYVVY
MOLICY EXP
LIMITS
A
GENERAL
X
LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE ❑X OCCUR
N
N
9061600
04/20/2014
04/20/2015
EACH OCCURRENCE
$1,000,000
DAMAGE TO RENTED
$100,000
ACED EXP (Any one person)
EXCLUDED
PERSONAL 4 ADV INJURY
$1,000,000
GENERAL AGGREGATE
$2,000,000
OEN-L
X
AGGREGATE LIMIT APPLIES
RI-
POLICY JECT
PER:
LOC
PRODUCTS -COMP/OP MO
S2,000,000
AAAU
rMOMOSINLE
LIABILITY
AUTOBODILY
OSED AUTOSULED
HIRED AUTOS NON -OWNED
AUTOS
N
N
9061600
04/20/2014
04/20/2015
COMBINED 31NOLE LIMIT
Me accidimll
$1,000,000
INJURY (Par penon)
BODILY INJURY (Paraaleent
PROPERTY DAMAGE
flid
A
X
UMBRELLA LIAB
EXCESS LIAB
X
OCCUR
cLmms-MADE
N
N
9061601
04/20/2014
04/20/2015
EACH OCCURRENCE
S2,000,ODO
AOOREOAIE
$2.000,000
DED I I RETENTION
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y y N
ANY PROPRIETORIPARTNERIEXECUTIVE
OFFICERIMEMBER EXCLUDED±
(Mandatory in NH)
It yes, describe under
DESCRIPTION OF OPERATIONS below
NIA
N
9910328
04/13/2014
04/13/2015
X
TORY WC STATII-
LIMITS
OT N-
ER
E.L.EACH ACCIDENT
$500,000
E.L. DISEASE - EA EMPLOYEE
M,000
E.L DISEASE - POLICY LIMIT
M,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Affich ACORD 101, Additonal Remar%s Schedule, it more space is required)
CERTIFICATE HOLDER CANCELLATION
348-383-1 130
CITY OF FORT COLLINS
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
PO BOX 580
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEUVERED IN
FORT COLLINS, CO 80522-0580
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
O 1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
EEDEI MU,
INSURANCE
To Whom It May Concern,
RE: DIVERSIFIED ELECTRIC & CONTROLS LLC
Enclosed is a certificate of insurance that has been renewed for a new policy term. If a copy
of an additional insured or policy endorsement was requested, the document will be sent in a
separate envelope.
If you have any questions regarding this please contact: the Federated Insurance Client
Contact Center at:
Phone: 1-888-333-4949
Fax: 507-446-4664
E-mail: clientcontactcenter@fedins.com
Thank you,
Client Contact Center
Federated Insurance Companies
Enclosed:
Certificate of Insurance
MISC-0974 (04-13)