HomeMy WebLinkAboutENCORE ELECTRIC INC - INSURANCE CERTIFICATEACORD,M CERTIFICATE OF LIABILITY INSURANCE
CERTIFICATE3/I/2015
DATE
2/14//14/2014
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: It the certificate hostler 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 endorsement(s).
PRODUCER Lockton Companies
8110 E Union Avenue
.Suite 700
Denver CO 80237
(303) 414-6000
CONTACT
NAM '
AI No Eat : A/CFAX
No
E-MAIL
ADDRESS:
COVERAGE
INSURER A : Zurich American Insurance Company
16535
INSURED Encore Electric g Inc.
1070844 Englewood,2107 W. Irie
C0 8Ave.
INSURER B : National Union Fire Ins Co Pittsburgh PA
19445
INSURER C :
IN
INSURER E;
rnVP0ArzPA PNCIPI 01 CERTIFICATE NIIMRFR- 10974754 REVISION NUMBER: XXXXXXX
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
TYPE OF INSURANCE
IDOL
INSD
SUBR
MAID
POLICY NUMBER
MMLIICYEFF
7/1/2014
POLICY EXP
3/12015
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE � OCCUR
N
N
GLOO17202400
EACH OCCURRENCE
1000000
PRREMISES (Ea ocanence)
$ 300,000
MED EXP JAny one rson
5,000
PERSONAL a ADV INJURY
$ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY JECT LOC
OTHER
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMP/OP AGG
$ 21000,000
$
A
AUTOMOBILE
LIABILITY
ANY pAyU./TO
AAUTOS NEO SCHEDULED
HIRED AUTOS X AUTOSWNED
N
N
BAP017202100
-
7/12014
3/1/2015
IEsCO MamBINdED SINGLE LIMIT
$ 1,000,000
X
BODILY INJURY (Per person)
$ XXXXXXX
BODILY INJURY (Per accident
$ XXXXXXX
X
PerracE.citlenfDAMAGE
$ XXXXXXX
$ XXXXXXX
B
X
UMBRELLA LIAB
EXCESS LIAR
XOCCUR
CLAIMS -MADE
N
N
BE031235017
7/1/2014
3/I/201$
EACH OCCURRENCE
$5000000
AGGREGATE
$ 5,000,000
OED X RETENTION $10,000
$ XXXXXXX
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR/PARTNEP/E%ECIR A❑
OFFICERIMEMBER UCWDED? IY
(Mandator, In NH)
If DACRIPrION OF OPERATIONS eeIDw
N/A
N
WC017202300
7/1/2014
3/I/201$
X STATUTEJOTHI
E.L. EACH ACCIDENT
$ 1,000,000
EL DISEASE - EA EMPLOYEE
is 1,000,000
E.L. DISEASE - POLICY LIMIT
I 1 1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, my be attached if mf,m apace is required)
10874254
City of fort Collins
P.O. Box 580
Fort 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.
The Arnwn niitrri. and tnr. ,i. roniefnroH make , f arnan