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HomeMy WebLinkAboutMEYER AND SONS ELECTRIC CO - INSURANCE CERTIFICATEPolicy Number: Date Entered: 11/21/2014 AOCIll CERTIFICATE OF LIABILITY INSURANCE hh.� DATE(MWDOIYYYY) 11/21/2014 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 endorsement(s). PRODUCER Ainslie Insurance Agency, Inc. 929 38th Avenue Court, #101 Greeley, CO 80634-1546 CONTACT NAME: Michael P. Ainslie PHONE .(970)353-8917 uc NO: (970) 353 -1014 EMAIL mpainslie@comcast.net ADDRESS: INSURER($) AFFORDING COVERAGE NAIC# INSURERA:Truck Insurance Exchange 21709 INSURED Meyer and Sons Electric CO. INSURER B: INSURER C: Mr. Robert Meyer 5951 W. 26th Street INSURER D: Greeley, CO 80634 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 ADD L SUB R POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MMIDDIYYY LIMITS A- .' COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ®OCCUR 60299-48-65 2/11/2019 2113,201, EACH OCCURRENCE $2,000,000 DAMAGE TO RENTED PREMISES Ea occu...ce S 100,000 EXP(Any one person) $ 5,000 TMED PERSONAL B ADV INJURY E2,000,000 ' GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- LOG lP N JECT 1-14, GENERAL AGGREGATE 54,000,000 PRODUCTS -COMP/OP AGG S 000, 000 I $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident g1,000,000 BODILY INJURY (Per person) $ A,' ANY AUTO ALL OSCHEDULED AUUTOSS AUTOS BODILY INJURY (Per accident) S HIRED AUTOS NON -OWNED AUTOS 60299-48-65 2/13/2019 2/13/2015 PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ WORKERS COMPENSATION PER OTH- '. : r ' ANDEMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? ❑ (Mandatory in NH) If yea, decaipa under NIA STATUTE ER E.L. EACH ACCIDENT is E.L. DISEASE EA EMPLOYEE E E.L. DISEASE -POLICY LIMIT E DESCRIPTION OF OPERATIONS eebo _ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD IDI, Additional Remarks Schedule, may hA attached it more space is required) I CERTIFICATE HOLDER CANCELLATION - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ..-� City of FOIL Collins ACCORDANCE WITH THE POLICY PROVISIONS. ' P.O. Box 580 AUTHORIZED REPRESENTATIVE ,�ZGI eG P. D '144f & Fort Collins, CO 80522-0580 I © 1988-2014 ACORD CORPORATION. All rights reserved. +ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD Produced using Forms Boss Plus software. www.FormsBoss.com; Impressive Publishing 800-208-1977