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HomeMy WebLinkAboutWINTERS ELECTRIC INC - INSURANCE CERTIFICATEWINTE-4 OP ID: JM CERTIFICATE OF LIABILITY INSURANCE D09/22/2014AM Y) os/zz/zola 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 endorsemen s . PRODUCER Phone: 719-590-9990 CONTACT Jonna Hayes Six & Gevini Insurance, Inc. Fax: 719-590-9992 3630 Sinton Road, Suite 200 P"oNE 719$67�506 FAX, No: 719-590-9992 ac Ne Es E-MAIL ADDRESS: jhayes@six-geving.com Colorado Springs, CO 80907.5034 James L. Bussanich INSURERS AFFORDING COVERAGE NAIC0 INSURER A: Auto -Owners Insurance Co. 18988 INSURED Winters Electric Inc INSURER B: Plnnacol Assurance 41190 139 Winters Dr Colorado Springs, CO 80907 INSURER C: NSURER 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 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 ADDL UB POLICY NUMBER MMMIDUD EFF MPMpCYEXP LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CI -AIMS -MADE FxI OCCUR 74195283 10/2412014 10124/2015 EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurrence $ 300,00 MED UP (Any one person) $ 10,00 PERSONAL B ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GENT AGGREGATE POLICY LIMIT APPLIES PER. X PRO LOC PRODUCTS - COMP/OP AGG $ 2,000,00 $ A AUTOMOBILE UABUJTY ANY AUTO ALL OWNED SCHEDULED AUTOS X AUTOS X HIRED AUTOS X NON -OWNED AUTOS HIRED AUTOS �d 4819628300 10124/2014 10124/2015 COMBINED SINGLE LIMIT Ee..dam $ 1,000,00 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ A X UMBRELLA LIAR EXCESSLwB X OCCUR CLAIMS -MADE 4819628301 10124/2014 10/24/2015 EACH OCCURRENCE S 1,000,00 AGGREGATE $ 1,000,00 DED I X I RETENTION $ 10000 1 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITYOR ANY PROPRIETORIPARTNERIEXECUTIVEYI" OFFICERIMEMBER EXCLUDED? (Mandatory In NH) I( yes, describe under DESCRIPTION OF OPERATIONS below NIA 118326 10101/2014 10101/2015 X I WCSTATU- I OTH- F,I.EACH ACCIDENT $ 11000100 E.L. DISEASE - EA EMPLOYEE $ 1rDDDroD E.L. DISEASE -POLICY LIMIT $ 1.000,00 A Equipment Floater 74196283 10/24/2014 10/24/2015 Rented 60,00 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Anach ACORD 101, Additional Romarb Schedule, if more space is required) Electrical Wiring City of Fort Collins PO Box 580, Fort Collins, CO 80526 CITYFOR 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 (2010/05) 01988.2010 ACORD The ACORD name and logo are registered marks of ACORD All rahts reserved