HomeMy WebLinkAboutADVANCED ELECTICAL SERVICES - INSURANCE CERTIFICATEA� b® CERTIFICATE OF LIABILITY INSURANCE
DATE(MM
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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
CONT CT CLIENT CONTACT CENTER
RA CNNe Ext : 888-333-4949
p C No): 507-446-4664
ADDRESS: CLIENTCONTACTCENTER FEDINS.COM
OWATONNA, MN 55060
INSURER(SI AFFORDING COVERAGE
NAIC #
INSURER A: FEDERATED MUTUAL INSURANCE COMPANY
13935
INSURED 256-137-1
INSURER B:
ADVANCED ELECTRICAL SERVICES
345 W 12TH ST
INSURER C:
INSURER D:
LOVELAND, CO 80537
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 5 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.
INSR
T
TYPE OF INSURANCE
DL
INSR
SUER
N'VD
PODGY NUMBER
POLICY EFF
MMIDDIY Y
POLICY EXP
MMIDDIYYYY
LIMITS
GENERAL
LIABILITY
EACH OCCURRENCE
$1,000,000
COMMERCIAL GENERAL LIABILITY
DREMISAMAGE TO RENTED
PES Eaoc enm
$100,000
CLAIMS-MADE 12!] OCCUR
MED EXP (Any one Penn)
A
BUSINESS OWNER'S LIABILITY
N
N
9160853
09/03/2014
09/03/2015
X
PERSONAL S ADV INJURY
$1,000,000
GENERAL AGGREGATE
$2,000,000
GEN'L
AGGREGATE
LIMIT APPLIES
PER:
PRODUCTS - COMPIOP AGO
$2,000,000
X
POLICY
7PRO-
JECT
LOC
AUTOMOBILE
LIABILITY
COMBINED SINGLE UMIT
aa Ea iden
ANY AUTO
BODILY INJURY (Per person(
ALL OWNED SCHEDULED
BODILY INJURY (Per accident)
gUTOs AUTOS
HIRED AUTOS NON -OWNED AUTOS
PROPERTY DMIAGE
er acciden
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
EXCESS LIAR
CLAIMS -MADE
AGGREGATE
DED RETENTION
WORKERS COMPENSATION
WC STATV
OTH-
AHD EMPLOYERS' LIABILITY Y y N
TORY LIMITS
ER
E.L. EACH ACCIDENT
ANY PROPRIETORIPARTNERIEXECUTIVE
OFFICERIMEMBER EXCLUDED?
NIA
E.L. DISEASE - EA EMPLOYEE
(Mandatory in NHI
11 yes, describe under
E.L DISEASE - POLICY LIMIT
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AIIaeh ACORD 101. Additional Remarks Schedule, if more space Is required)
256-137-1
CITY OF FORT COLLINS
PO BOX 580
FORT COLLINS, CO 80522-0580
50
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
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