HomeMy WebLinkAboutFRESCO ELECTRIC INC - INSURANCE CERTIFICATE (3)CERTIFICATE OF LIABILITY INSURANCE
DATE(MM,�)
09242014
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
CONT NAME: CT CLIENT CONTACT CENTER
ME.'
cnxo Est): 888-333-4949 FAX No): 507-4464664
E-MAIL CLIENTCONTACTCENTER(dFEDINS.COM
OWATONNA, MN 55060
INSURERS) AFFORDING COVERAGE
NAIC H
INSURER A: FEDERATED MUTUAL INSURANCE COMPANY
13935
INSURED 267-334-1
INSURER B:
FRESCO ELECTRIC INC
7230 W 118TH PL UNIT C
INSURER C:
INSURER D:
BROOMFIELD, CO 80020
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 8 REVISION NUMBER: 0
THIS 15 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
INSR
SUBR
WVD
POLICY NUMBER
POLICY EFF
MMIDDIYYYYI
POLICY EXP
LIMITS
A
GENERAL
X
LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE ❑X OCCUR
N
N
9030232
11/01/2014
_LMML22a=XL
11/01/2015
EACH OCCURRENCE
$1,000,000
DAMAGE TO RENTED
PR IS ES Ea ocamentt
$100,000
MED EXP (my one person)
EXCLUDED
PERSONAL a ADV INJURY
$1,000,000
GENERAL AGGREGATE
$2,000,000
GENT
X
AGGREGATE
POLICY
LIMIT APPLIES
RO-
JEC
PER:
LOC
PRODUCTS - COMPIOP AGO
$2,000,000
A
AUTOMOBILE
X
LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
HIRED AUTOS NON -OWNED AUTOS
AUTOS
N
N
9030232
11/01/2014
11/01/2015
COMBINED SINGLE LIMIT
Ea acciden
$1,000,000
BODILY INJURY (Per person)
BODILY INJURY IPer accident)
PROPERTY DAMAGE
Per ac itlen
A
X
UMBRELLA LIAB
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
N
N
9030233
11/01/2014
11/01/2015
EACH OCCURRENCE
$5,000,000
AGGREGATE
$5,000,000
DED RETENTION
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY y / N
ANY PROPRIETORIPARTNER/EXECUTIVE F7
OFFICER/MEMBER EXCLUDED? I J
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N I A
WC STATU.
TORV LIMITS
OTH-
ER
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE
E.L DISEASE - POLICY LIMIT
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Arisen ACORD 101. Additional Remade; Schedule, if more space is r"uired)
267-334-1
CITY OF FORT COLLINS
PO BOX 580
FORT COLLINS, CO 80522-0580
80
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
® 1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD