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Home My WebLink About430295 DBA B W SYSTEMS B W ELECTRIC INC - INSURANCE CERTIFICATEBWSYS-2 OF ID: VAJ ,d`oRv CERTIFICATE OF LIABILITY INSURANCE Dnr01/3'1114 01/31114 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: H 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 endomeme s . PRODUCER 719-471-0262 CONTACT Colorado Springs branch -new 101 N. Cascade Ave Ste B3 720.962-5142 NAME: FAx- Arc Ne: Colorado Springs, CO 80903 Jason Sartor - transitional -MAIL ADDRESS: INSURE S AFFORDING COVERAGE NAIL S INSURER A:IRANSPORTATION INS CO 204" INSURED dbe 8 W Systems B W Electric, Inc. y 11 4305 Northpark Dr. INSURER 8 : AMERICAN CASUALTY CO OF 20427 PintMca AMwranw c INSURER OA1pary 41190 INSURER D Colorado Springs, CO 80907 INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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. INT9RR TYPE OF INSURANCE POLICY NUMBER EFF MMIDDYNYYY MM /DDN PY LOUTS GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 PREMISES Ee ocdnan 8 100,000 A X COMMERCIAL GENERAL LIABIUTY CLAIMS -MADE F7X OCCUR X C2088980040 02101114 02/01115 MED EXP (My one person) S 5,000 PERSONAL B ADV INJURY S 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMPOP AGG S 2,000.000 POLICY Fil JECTPRO- Loc Emp Ben. E 11000,000 AUTOMOBILE LIABILITY COMBINED SINGLEI Es scddem 1,000,Q Fil BODILY INJURY (Per parson) S B ANY AUTO X 2088979986 02MI114 07JO1115 ALLOWNED SCHEDULED AUTOSAUT09 AUTOS BODILY INJURY (Per accident) $ q PPERTY001d DAMAGE $ HIRED $ X UMBRELLALUUI OCCUR EACH OCCURRENCE S 5,000.000 AGGREGATE $ 5,000,000 B Ex0Ess LLAS cwMs-MAnE 2088980085 02(01M4 02101N5 DEC X RETENTIONS 70'M S C WORK ERSCOMPENSATION ANO EMPLOYERS' LIABILITY OANYFFICERIMIIETOENSER XCLUDEECUTIVEY� (Mandalay In NH) NIA 39534 0210U14 02101115 X WCSTATU• OTN- E.L. EACH ACCIDENT 3 1.000,00 E.L DISEASE -EA EMPLOYEE $ 1.000,00 H yes desaiN under DESCRIPTION OF OPERATIONSeeldN E.LDmEASE-POUCYUMIT S 1,000.000 A LsdlRntd Equip C2088980040 02MR4 02MIMS Per Item 25,00 Per Occur 50,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Atlach ACORD 101, Add1001a1 Remake Schedule. If Mrs apace Is n iulred) As required by written contract or agreement, the city, its officers, agents and employees are named as additional insureds with respects to general liability and automobile liability policies. 30 day notice of cancellation, 10 days for non payment of premium applies per policy form. CITYOFF City of Fort Collins Attn: Jim Hume PO Box 580 Fort Collins, CO 80624 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 Jason Sartor - transitional 01988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD