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Home My WebLink About114215 MERIT ELECTRIC INC - INSURANCE CERTIFICATE (5)Client#: 41061 MEREI ACORD.. CERTIFICATE OF LIABILITY INSURANCE DATE(MWDDIYYYY) 06/20/2014 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 endorsement(s). PRODUCER CONTACT Jennifer Winter Flood 8 Peterson Ins., Inc. PaHc°°"N Ell: 970 506-3206 (AID No: 970 506-6846 P. Box JWinter@floodpeterson.com ee COADDRESS: Greeley, O 80632 970 356-0123 INSURERS) AFFORDING COVERAGE NAIL# INSURERA: Charter Oak Fire Insurance Co. 25615 INSURED INSURER B: Travelers Property Casualty Co. 25674 Merit Electric, Inc. INSURER C: Pinnacol Assurance 41190 2643 Midpoint Drive, Suite F Fort Collins, CO 80625 INSURER D: INSURER E: i 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. INSR LTR rypE OF INSURANCE ADDLSUBR INSR WVD POLICY NUMBER POLICY EFF MWDDIYYYYI POLICY UP (MMIDD)YYY)(I LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 5XIOCCUR X PDDed:5,000 4TC03532RS91COF14 7101/2014 0710112015 EACH OCCURRENCE $1000000 RAMAGE TO RENTED REMISES Eaeccurrence) s300000 MEDE%P(Anyoneperson) $10000 PERSONAL BADVINJURY $1000,000 GENERAL AGGREGATE s2,000,000 GENT AGGREGATE LIMIT APPLIES PER: POLICY X PRO LOC PRODUCTS-COMPIOP AGO $2,000,000 $ A AUTOMOBILE LIABILITY AUTO ALLOWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS rive Out Car BA3532R69114CNS 7/0112014 07/0112015 COMBINEDSINGLE LIMIT Ea accident $1,000,000 JXANY BOY INJURY (Per person) DIL $ BODILY INJURY (Per ac:denl) S PROPERTY DAMAGE Per accident $ $ B )( UMBRELLA UAB EXCESS LIAB X OCCUR CLAIMS -MADE 4TSMCUP3532R691TIL 071011201407101/201 EACH OCCURRENCE $5000000 AGGREGATE $5 OOO 000 DED I X RETENTION$10000 I Is C WORKERS COMPENSATION AND EMPLOYERS' LU%BIUry YIN ANVOFFICERIMEETORIPXCLUDEIE%ECUTIVE EXCLUDED? ❑ (Mandatory In NH) (Mes, desmbe and DIf yes, RIPTION under DESCRIPTION OF OPERATIONS below NIA 4070414 7/0112014 07/01/201 X WCSTATU- GTH- E. L. EACH ACCIDENT 81 OOO.00O E.L. DISEASE -EA EMPLOYEE $1 000 000 E.L. DISEASE -POLICY LIMIT $1Ann ,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) City of Fort Collins PO 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. AUTHORIZED REPRESENTATIVE ACORD 25 (2010105) 1 of 1 #S900979/M900936 W 1SOO-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD JZS