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HomeMy WebLinkAboutBENCHMARK ELECTRICAL SOLUTIONS INC - INSURANCE CERTIFICATE (2)Client#: 53269 BENELI ACORD_ CERTIFICATE OF LIABILITY INSURANCE DATE(MWODNYYY) F 5/30/2014 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 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 CONTACT NAME: Kylie Miller Flood and Peterson PHONE FAX AIc No Ell: 970 266.714E ,C, No : 970 506.6846 Corporate Mailing Address: ADARE ADDRESS: KMiller@FloodPeterson.com P. 0. Box 578 INSURER(S) AFFORDING COVERAGE NAIC d Greeley, CO 80632 INSURER A: The Hartford Insurance INSURED INSURER B : Pinna Col Assurance Benchmark Electrical Solutions, Inc. 5739 Bueno Dr. INSURER C: Fort Collins, CO 80525 INSURER D: NSURER 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 CONTRACTOR 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. VTR TYPE OF INSURANCE NSRL SUBF VIVO POLICYNUMBER MWDDYEFF MMIDDY/YYYPY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE LX] OCCUR 34SBAPN7767 I 1/14/2014 01114/2015 EACH E1 QOOOOO ��OCCURRENCE FRE,MMISESOESEorMwErrence E1 OOO OOO MED EXP (Any one person) E1 O 000 PERSONAL & ADV INJURY E1 000 000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE POLICY F7 LIMIT APPLIES PER PRO-JECT E-1 LOC PRODUCTS - COMPIOP AGO s2,000,000 E A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIREDAUTOS X NONO MED AUTOS 34UECKW7983 0111412014 01114/2015 COMBINED SINGLE LIMIT Eaacudent) 1,000,000 BODILY INJURY (Per person) E IX BODILY INJURY (Par accidanQ E PROPERTY DAMAGE Par acddeni E E A XUMBRELLALMB EXCESS LIAR X OCCUR CLAIMS -MADE 34SBAPN7767 1/14/201401/141201 EACH OCCURRENCE E5000000 AGGREGATE ES 000 000 DED I X RETENTIONEIOOOO E B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR,PARTNER,EXECUTIVE YIN OFFICER/MEMBER EXCLUDED' � (Mandatoin NH) ry yes, esm Is under (DESCRIPTION OF OPERATIONS below NIA 4124201 6/01/2014 06/01/201 X wcsTATU OTH- is I ER E.L. EACH ACCIDENT E1 OOO OOO E.L. DISEASE - EA EMPLOYEEI E1 000000 E.L. DISEASE -POLICY LIMIT 1 E1 000 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, AddAlonal Remarks Schedule, if more space is required) City of Fort Collins, CO P.O. Box 580 Fort 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 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S894387IM893547 Client#: 53269 BENELI ACORD. CERTIFICATE OF LIABILITY INSURANCE o6/1712014 6N 7/2014 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 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 Flood and Peterson Corporate Mailing Address: P.0.Box 578 CONTACT NAME: Kylle Miller PHONE 970 266-7148 970 506-6846 plc No Er[ : AIC No E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIL If Greeley, CO 80632 INSURER A: Continental Western Group INSURED Benchmark Electrical Solutions, Inc. 5739 Buono Dr. INSURER B : Pinnacol Assurance INSURER C Fort Collins, CO 80525 INSURER 0: 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 CONTRACTOR 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. LTR TYPEOFINSURANCE NSR IWO POLICY NUMBER MUBR WDDY EFF MWLDIDY EXP LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE rX OCCUR CPA3063807 7/01/201406/01/201 EACH $1000000 ��OCCURRENCE PREMISESOEe acMcuirence $I OOO OOO MED EXP (Any one person) $ I O OOO PERSONAL$ ADV INJURY $1000000 GENERALAGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC PRODUCTS - COMP/OP AGG 52,000000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NONj MED AUTOS CPA3063807 7101/2014 061011201E EeeBINEDtSINGLE LIMIT $I,000,000 X X BODILY INJURY Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per acddem $ 8 A )t UMBRELLA LIAR EXCESS LMB X OCCUR CLAIMS -MADE CPA3063807 7/O1/2014 06/01/201 EACH OCCURRENCE $5 000 000 AGGREGATE $$ 00O 000 DED X RETENTION $10000 $ B WORKERS COMPENSATION AND EMPLOYERS' LU\BILITYER ANY PROPRIETORIPARTNERIEXECUTIVE Y I N OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 4124201 6101/2014 06/01I201 X WC STATU- OTH- E.L. EACH ACCIDENT $1 000 000 E.L. DISEASE - EA EMPLOYEE S1 000 000 E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ANach ACORD 101, Additional Remarks Schedule, If more space la required) City of Fort Collins, CO P.O. Box 580 Fort Collins, CO 80622 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 ACORD 25 (2010105) 1 of 1 #S899236/M899232 ©1988.2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD KXM