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HomeMy WebLinkAbout325120 PRECISION SERVICE ELECTRIC INC - INSURANCE CERTIFICATE (2)PRECI-3 OP ID: MB ,4COR0' CERTIFICATE OF LIABILITY INSURANCE DAM 01201 YY) oenonola 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 WANED, 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 Freeman Insurance West 405 Urban St, Suite 130 Lakewood, CO 80228.1211 Susan V. Freeman Fischer, CIC CONTACT PONE FAX .303-962-0811 Alc Ne: 303.962-0817 E'NUL ADDRE INSURE S AFFORDING COVERAGE NAIC tl INSURER A: H.Were Insurance Company 22357 INSURED Precision Service Electric Inc PO Box 1866 INSURER B: Loveland, CO 80539 INSURER C INSURER D : 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 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 TYPE OF INSURANCE ADDL U POLICY NUMBER POLICY EFF MMIDD POLICY EXP MMIDD LIMITS A X COMMERCUILGENERALLIABRITY EACH OCCURRENCE f 1,000,00 CLAIMS -MADE OOCCUR X 34SBOISS429 09/01/2014 09/01/2015 PREMISESEe omurranca f 1,000,00 MED UP (My we Person) f 10,00 PERSONAL S ADV INJURY f 1,000,00 GEHL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE E 2,000,00 POLICY 1K JECOT LOC PRODUCTS -COMP/OPAGG f 2,000,00 E OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,00 X BODILY INJURY (Per person) E A ANY AUTO 34UECJJ2777 09/01/2014 09/01/2015 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per oddenq E PROPERTY DAMAGE Per accident f NON -OWNED HIREDAUTOS AUTOS $ X UMBRELLAUAB X OCCUR EACH OCCURRENCE f 1,000,00 AGGREGATE E 1,000,00 A EXCESS UAB CLAIMS -MADE 34SBOIS9429 09/01/2014 09/01/2015 DELI I X I RETENTIONS 10.000 f A WORKERS COMPENSATION ANDEMPLOYERTUAINUTY ANY PROPRIETOR/PARTNER/EXECU-RVE YIN OFFICERIMEMBER EXCLUDED'! Y� (Marmtory In NH) NIA 34WECZG4668 09/01/2014 09/01/2015 PER OTH- X STATUTE X ER E.L. EACH ACCIDENT f 500,00 E.L. DISEASE - EA EMPLOYEq f 500,00 It yes, des lxf under DESCRIPTION OF OPERATIONSoeloe EL.DISEASE -POLICY LIMIT I S 500,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addlaonal Rem ft ScMdule, may 0e imcbed N ma, spay Is raqulra,l) City of Fort Collins is included as Additional Insured on the General Liability Policy as required by written contract or agreement and with respect to work performed by the Insured. All coverage terms, conditions and exclusions of the policy apply. CITYF-1 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. AUTNOIiU1ED REPRESENTATIVE -Ao 01988-2014 ACORD CORPORATION. All rights reserved ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD