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HomeMy WebLinkAbout114215 MERIT ELECTRIC INC - INSURANCE CERTIFICATE (6)Clinnt8• d1091
MEREL
ACORD. CERTIFICATE OF LIABILITY INSURANCE
DATE(MMIDDIYYYY)
0612012014
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 endorsement(s).
PRODUCER
Flood & Peterson Ins., Inc.
P.O. Box 578
CONTACT NAME: Jennifer Winter
ac° Ne E,,:970 506-3206 ac he)970 506-6846
E-MAIL JWinter@floodpeterson.com
Greeley, CO 80632
INSURER(5)AFFORDING COVERAGE
NAIL#
970 356-0123
INSURER A: Charter Oak Fire Insurance Co.
25615
INSURED
INSURER B: Travelers Property Casualty Co.
25674
Merit Electric, Inc.
2643 Midpoint Drive, Suite F
Fort Collins, CO 80525
INSURER CPinnacol Assurance
41190
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 CONTRACTOR 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.
LTR
TYPE OF INSURANCE
NSRL
SUBR
MD
POLICY NUMBER
POLICY Y EFF
POLICY EXP
LIMITS
A
GENERALLIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE 51 OCCUR
X PD Ded:5 000
4TC03532R691COF14
D710112014
07/01/2015
EACH
if 000 000
��OCCURRENCE
PAEMISESOEa oaunen nt
000,000
MED EXP (Anyone person)
$1 O 000
PERSONAL is ADV INJURY
$1 000 000
GENERALAGGREGATE
s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER
POLICY X "0- LOC
PRODUCTS - COMP/OP AGG
s2,000,000
$
A
AUTOMOBILE LIABILITY
X ANY AUTO
CHEDULED
AAU'LL OWNED SAUTOS
X HRTEDSAUTOS X NON -OWNED
AUTOS
X rive Oth Car
BA3532R69114CNS
7/01/2014
07/01/201
COMBINED
E1,000,000
BODILY INJURY (Per person)
$
BODILY INJURY accident)
IS
PROPERTY DAMAGE
Per accident)
$
E
B
X
UMBRELLALIAB
EXCESS LIAR
X
OCCUR
CLAIMS -MADE
4TSMCUP3532RG91TIL
7/01/2014
07101/201E
EACH OCCURRENCE
$5000000
AGGREGATE
$5 000 000
DED I X RETENTION$10000
$
C
WORKERS COMPENSATION
AND EMPLOYERS' LWBILITY
ANY PROPRIETORPARTNER/EXECUTIVE YIN
OFFICEWMEMeER EXCLUDED?
(Mandatory In NH)
If yes describe under
DESCRIPTION OF OPERATIONS below
NIA
4070414
0710112014
07/011201
X WC STATU- OTH-
E L. EACH ACCIDENT
s1000000
E. L. DISEASE - EA EMPLOYEE
s1000 O00
E. L. DISEASE -POLICY LIMIT
$1000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 1e1, Additional Remarks Schedule, If more space Is required)
Fort Collins Light & Power
700 Wood Street
Fort Collins. CO 80525
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
ACORD 25 (2010105) 1 01111
#S901034/M900936
©1988-2010 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
JZS