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HomeMy WebLinkAboutADVANCED ELECTICAL SERVICES - INSURANCE CERTIFICATEA� b® CERTIFICATE OF LIABILITY INSURANCE DATE(MM mrzBrzola 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 ® 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010106) The ACORD name and logo are registered marks of ACORD