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HomeMy WebLinkAboutCHADWICK ELECTRIC INC - INSURANCE CERTIFICATEOP ID: RC 4�� CERTIFICATE OF LIABILITY INSURANCE °A� O5/19/20149/2014 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 endorsements . PRODUCER PFS Insurance Group - JT 4848 Thompson Pkwy, Ste 200INC,No Johnstown, CO 80534 Dave Janssen-ADDRESS: CONTACT PHONE FAX Ext: ac, No: E-MAIL PRODUCER CHADW-1 CUSTOMER I° d: INSURERS AFFORDING COVERAGE NAIC p INSURED Chadwick Electric, Inc. $ Chadwick Electric Services, Inc. INSURER A: United Fire & Casualty Company 13021 INSURER B: Pinnacol Assurance 41190 1281 E. Magnolia Unit D#134 INSURER C: INSURER D: Fort Collins, CO 80524 INSURER E NSURERF: 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. INSR LTR rypE OF INSURANCE ADDL POLICY NUMBER POLICY EFF MI 1pp/YVYY POLICY EXP (MMIDDYYYYJ LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY CLAIMSI LADE a OCCUR 60379162 01/01/2014 01/01/2015 PREMISES Ea occurrence $ 250,00 MED EXP (Any one person) $ 10,00 X Blanket Add'llns PERSONAL B ADV INJURY $ 1,000,00 X Blanket Waiver GENERAL AGGREGATE $ 2,000,00 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,00 POLICY X PRO-LOC $ A AUTOMOBILE LIABILITY ANY AUTO 60379162 01I01/2014 01/01I2015 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 X BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY JPer accident) $ SCHEDULED AUTOS HIRED AUTOS X DAMAGE (PER ACCIDENT) (PER ACCIDENT) $ X $ NON -OWNED AUTOS UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 1,000,00 AGGREGATE $ 1,000,00 A EXCESS UAB CLAIMS -MADE 60379162 01/01I2014 01/01I2015 DEDUCTIBLE RETENTION $ B B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETORMARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yasrib , desce under DESCRIPTION OF OPERATIONS below NIA 4051845-CHADWICKELECTRIC 4144024-CHADWICKSERVICES 06/01/2014 06/01/2014 06/01/2015 06/01/2015 X WC STATUX OTH- V LIMITSR E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 E. L. DISEASE -POLICY LIMIT $ 1,000,00 A Equipment Floater 60379162 01/01/2014 01M12015 Leased or 5,00 Rented Eq DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Aeach ACORD 101, Additional Remarks Schedule, It more space is required) Re: License Renewal FTCOLLI City of Ft. Collins P.O. Box 580 Ft. Collins„ CO 80522-0580 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 © 1988-2009 ACORD CORPORATION. All riahts reserved ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD