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HomeMy WebLinkAboutSTANMARK ELECTRIC COMPANY - INSURANCE CERTIFICATE" b® CERTIFICATE OF LIABILITY INSURANCE DATE( 0623/1014 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 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 FEDERATED MUTUAL INSURANCE COMPANY HOME OFFICE: P.O. BOX 328 Co CT NTA CLIENT CONTACT CENTER PHOE A CNNo Est): 888-333-4949 A C No): 507-448-0864 EMAIL ADDRESS: CLIENTCONTACTCENTER(aFEDINS.COM OWATONNA, MN 55060 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 322-374-0 INSURER B: FEDERATED SERVICE INSURANCE COMPANY 28304 STANMARK ELECTRIC COMPANY 14 INVERNESS DR E STE H-128 INSURER C: INSURER D: ENGLEWOOD, CO 80112 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 48 REVISION NUMBER: 0 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 DL S SUBR WIT) POLICY NUMBER POLICY EFF MI DIYYYY) POLICY EXP (MMIDDIYYYYI LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LABILITY CLAIMS -MADE F OCCUR BUSINESS OWNER'S LIABILITY N N 9879052 08/01/2014 08/01/2015 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED RE Ea ocarrena $100,000 MED EXP (Anyone parson) X PERSONAL& ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L X AGGREGATE POLICY LIMIT APPLIES PRO, JECT PER: LOC PRODUCTS - COMPIOP AGO $2,000,000 B AUTOMOBILE X LIABILITY My AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS N N 9879053 08/01/2014 08/01/2015 COMBINED SINGLE LIMIT Ea acclden $1,000,000 BODILY INJURY (Per person) BODILY INJURY (Per acddentl OPEAMAGE PRPa cRTY Den D er A X UMBRELLA LIAR EXCESS LIAB X OCCUR CLAIMS -MADE N N 9879055 08/01/2014 08/01/2015 EACH OCCURRENCE $1,000,000 AGGREGATE $1,000,000 LIED RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIW OFFICERIMEMBER EXCLUDEDT (Mandatory in NH) It yes, describe under DESCRIPTION OF OPERATIONS below N I A WC STATU- TORY LIMITS OTH ER E.L. EACH ACCIDENT E.L DISEASE - EA EMPLOYEE E.L DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AtRch ACORD 101, Additional Remarks SdrnIJI , it more span Is required) 322-374-0 CITY OF FORT COLLINS PO BOX 580 FORT COLLINS, CO 80522-0580 480 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 O 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD