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