HomeMy WebLinkAboutOLESEN ELECTRIC LLC - INSURANCE CERTIFICATEACORD M CERTIFICATE OF LIABILITY INSURANCE
DATE(MIwOR/22/2014 )
2014
PRODUCER
Pinnacol Assurance
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
7501 E Lowry Blvd
Denver, CO 80230-7006
AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE
COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE NAIC#
INSURED
Clasen Electric LLC
INSURERA: Pinnacol Assurance
41190
INSURER B'.
327 West County Road 66
Fort Collins, CO 80524
INSURERC:
INSURER D:
INSURERE'
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDNG
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMMENT 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
ADD
POUCYEFFECTIVE
FOUCYEXPIRATION
LTR
WORD
TYPE OF INSURANCE
POLICYNUMBER
DATENM,DDNYYYI
DATFJMMIODIYYYY)
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
DAMAGE TO RENTED
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
PREMISES
MEDEXP(Myone Pamon
PERSONAL 8 ADV INJURY
GEN'L AGGREGATE LIMIT APPLIERS PER.
GENERALAGGREGATE
PRODUCTS -COMPIOP AGG
POLICY 5 PROJECT7 LOO
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
ANYAUPO
(Ea AccMent)
BODILY INJURY
ALL OWNED AUTOS
SCHEDULEDAUTOS
(Per Pemn)
BODILY INJURY
HIRED AUTOS
NON OWNED AUTOS
(PerecWa R
PROPERTY DAMAGE
(Per accident)
GARAGE LIABILITY
AUTOONLY-EAACCIDENT
OTHER THAN EAACC
ANYAUTO
AUTO ONLY: AG
EXCESSNMBRELLALIABILITY
OCCUR CLAIMSMADE
EACHOCCURRENCE
AGGREGATE
DEDUCTIBLE
RETENTION $
WORKERS COMPENSATION AND
WCSTATU-OTHER
A
EMPLOYER'S LIABILITY
ANY PROPRIETONPARTNERAEXECUTIVE
OFFICERIMEMBER EXCLUDED?
4108046
09/0112014
09/01/2015
TORY LIMITS
E. L EACH ACCIDENT
$100,000
E.L DISEASE - EA EMPLOYEE
$100,000
Il yea, PIA e.d..!AuMxSPECIAL PROVISIONS Eebw
E.L DIBEABE- POLICY LIMIT $500,000
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEME NT,SPECIAL PROVISIONS
CERTIFICATE HOLDER
CANCELLATION
1552604
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Fort Collins
THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
PO Box 580
MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
Fort Collins, CO 80526
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
ACORD 25(2001I08)
Sarah Coxsey
Underwriter ACORD CORPORATION 1988