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HomeMy WebLinkAboutTEPA EC LLC - INSURANCE CERTIFICATE (6)ACOR& CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDNYYY) 2/28/2014 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(les) must be endorsed. If SUBROGATION IS WANED, 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 CONTACT NAME: Jennifer Walker Commercial Lines - (719) 592-1177 PHONE FAX Wells Fargo Insurance Services USA, Inc. eANua�� 719 785_81.19 11VCC Net, 877405 jennifer.j.walker@wellsfargo.com 5755 Mark Dabling Blvd., Suite 300 NBUREpB) AFFORDING COVERAGE __ NAIC0 Colorado Springs, CO 80919-2228 wsuRER A: Old Republic Insurance Company 24147 INSURED INSURER e: Travelers Property Casualty Cc of America 25674 TEPA EC, LLC INSURER C 5045 List Drive INSURER D : INSURER E : Colorado Springs, CO 80919 INSURER F COVERAGES CERTIFICATE NUMBER: 7390190 REVISION NUMBER- See hate 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. INTORR TYPE OF WBURANCE L n BUBR VIVO POLICY NUMBER POLICYM1EFF POLICY EXP LMIf3 A X COMMERCIAL GENERAL LWLLRY CLAIMS -MADE lxl OCCUR PrYeery/Mcn.,uri Wuy MWZY 301755 3!1/2014 3/1I2015 EACH OCCURRENCE $ 1,000,000 PREMISEESS JES Ea_Dcp_urre�111 'e S 500,000 X MED EXP (AM 0rw person) S 10,000 PERSONAL A ADV INJURY S 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: POLICY [X]JECaT LOC OTHER: GENERAL AGGREGATE S 2.000.000 PRODUCTS-COMP/OP AGG S 2,000.000 Employee BeneflN S 1,000,000 A AUTOMOBILE % LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS % NON OMED AUTOS MWTB 301M 3/1/2014 3/1/2015 COMBINED SINGLE LIMIT Es acOlde�_ _ _ BODILY INJURY (Per Person) S 1,000,000 S BODILY INJURY (Per acciden) S % PROPERTY DAMAGE acklem S S B x UMBRELLALIAB EXCESS LIAR % OCCUR CLAIMS -MADE ZUP-14T80862-14-NF 3/l/2014 3/1/2015 EACH OCCURRENCE S 5,000,000 AGGREGATE S 5.000,000 DIED I % I RETENTION$ 10,000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITYrNN ANY PROPRIETORMARTNER/E%ECUTIVE ❑N OFRCERANEMSER EXCLUDED? plandn"In NH) 1 demrlbe umer DESCRIPTION OF OPERATIONS below NIA MWC 3014B900 3/1l2014 3I1/2015 PER % STAT1lZl T�F_I IER E.L. EACH ACCIDENT S 1,000,000 E.L. DISEASE - EA EMPLOYEE S 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000p00 B Leased/Rented Equipment Installation Floater 66036711 311=14 3/1/2015 $250,000 $2W000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, AddlUorel Remark, Schedule, may he aeaohed It mre apace Is rpulreo) Certificate issued as proof of Coverage. FAX: 970.224.6134 CERTIFICATE HOLDER CANCELLATION Fort Collins Contractor SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE PO Box 580 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins CO 805220580 AUTHORIZED REPRESENTATIVE The ACORD name and logo are registered marks of ACORD © 19BB-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) 1111111111111111111111111111111 I I 11111111111111111111111111111111111 t 111111111111 'c v ep5A81epp W 5N2N20W49'