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HomeMy WebLinkAboutCORE ELECTRIC INC - INSURANCE CERTIFICATE (2)A� oe CERTIFICATE OF LIABILITY INSURANCE 9/25/2014 ) 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 endorsements . PRODUCER Keller Lowry Insurance 1777 S Harrison St #700 Denver CO 80210 CONTACT Bill Code CLO10 Wilt NAME: PRONE (303)756-9909 FAX (AIC NO,(303)T56-8818 EMAIL INSURERS) AFFORDING COVERAGE NAIC N INSURER A:Clnclnnatl Insurance 10677 INSURED Core Electric, Inc. S 104th St., Suite A Louisville CO 80027 INSURERS Pinnacol Assurance 41190 C197 ERD: [INSURER ER E : ER F: COVERAGES CERTIFICATE NUMBER:14-15 GL BA WC UNIB 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 OF INSURANCE ADDLSUSR POLICY NUMBER POTYPE MMDCYAll PM/JCYEXP LIMITS A GENERALUABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS.MADE aOCCUR EPP0279133 0/1/2014 0/1/2015 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea ..mu,c.1 $ 100,000 MED EXP (Any one person) $ 10,000 PERSONAL S ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEHL AGGREGATE X POLICY LIMIT APPLIES PER PIFCT RO LOC PRODUCTS - COMPIOP AGG $ 2,000,000 $ A AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED 1­71 SCHEDULED AUTOS AUTOS NON -OWNED X HIRED AUTOS AUTOS PP0279133 0/1/2014 0/1/2015 EOMaBINEDt SINGLE LIMIT 11000,000 BODILY INJURY Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Pera ide $ Undernsurecl motorist BI single $ Include A X UMBRELLA LAB EXCESS LIAB X OCCUR CLAIMS -MADE PP0279133 0/1/2014 0/1/2015 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 11 OOO , 000 DED RETENTION$ S B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNERIEXECUTIVE� OFFICERNEMBER EXCLUDED? (Mandatory in NH) K yes, desrnbe under DESCRIPTION OF OPERATIONS below NIA 126423 0/1/2014 0/1/2015 OTH- I WC STATU- X I E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 11000,000 ITI DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101, Additional Remarks Schedule, R more apace Is mqulmd) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins P.O. Box 580 AUTHORIZED REPRESENTATIVE Fort Collins, CO 80525 T Sibelius CIC CRM/HK ACORD 25 (2010/05) INS025 (201005).01 ©1988.2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD