HomeMy WebLinkAboutT'S ELECTRIC LTD - INSURANCE CERTIFICATE (2)/ 1 ®
Acc o CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD/yYYY)
04/01/2014
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
certificate holder in lieu of such endorsement(s).
PRODUCER
RONNY BUSHISTATE FARM INSURANCE
State Farm 1090 E ELIZABETH ST
�2 FORT COLLINS, CO 80524
•�•J -
CONTACT RONNY BUSH
NONE:
_
PHONE 970-484-3993 XX No :970 484 4011
O.He. ExN• __
pODaREgg;
INSURERS AFFORDING COVERAGE
NAIC0
—
msuaeaa:State Farm Fire and Casualty Company
26143
_
INSURED T'S ELECTRIC LTD
1420 BLUE SPRUCE DR STE I
FORT COLLINS CO 80524-5426
INSURER8:
INSURER C:
INSURERD:
INSURER E: -
INSURER F
nnsaeewnee r:FRTIFIt-ATE NI IMRFR• REVISION NUMBLK:
v 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
TYPE OF INSURANCEAOM
POLICY NilaffliF-UMBER
MMIDor EFF
MMMD EXP
LIMITS
x
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
96-B2-PO64-7
03/2812014
0312812015
EACHOCCURRENCE
$ 1,000,000
N
PREMISES Ea o¢unence
$
MED EXP JAny one )
$ 5.000
PERSONAL$ AOV INJURY
$ _
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY[:1 JECTPER- ❑LOC
OTHER:
GENERAL AGGREGATE
$ 2,000.000
PRODUCTS-COMP/OP AGG
$
AUTOMOBILE IUABILRY
ANY AUTO
ALL ONINED SCHEDULED
AUTOS AUTOS
NON -OWNED
HIRED AUTOS AUTOS
COMBINED IN L LIMIT
Es sodden
$
BODILY INJURY (Par peracn)
$
BODILY INJURY (Per accident)
$
-- -
$
PROPERTYDAMAGE
Per accidary
$
UMBRELLALIAB OCCUR
EXCESS UAS CLAIMS -MADE
DIED FTRETENTION$
EACH OCCURRENCE
$
AGGREGATE
3
$
WORKERS COMPENSATION
AND EMPLOYERVUABIUTY YIN
ANY PROPRIETOR/PARTNER,EXECUTIVE ❑
OFFICER/MEMBER EXCLUDED4
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
NIA
TA TE R
E.L. EACH ACCIDENT
S
EL. DISEASE - EA EMPLOYE
$
E.L. DISEASE - POLICY LIMIT
I S
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
City of Ft. Collins
P O Box 580
Ft. 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
All rights
ACORD 2512014/01) The ACORD name and logo are registered marks of ACORD 1001486 132849.9 02-04-2014