HomeMy WebLinkAboutKELLY J MASTERS DBA BULLDOG ELECTRIC - INSURANCE CERTIFICATE4co DR CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
12/7/2014
THIS CERTIFICATEIS 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 SUBROGATIONIS 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 endomement(s).
PROOUGER
NORTHEAST AGENCIES INC/PHS
214608 P:(866) 467-8730 F:(888) 443-6112
301 WOODS PARK DRIVE
CLINTON NY 13323
CONTACT
NAME'
iacxo.E.¢ (866) 467-8730
INC.Nm: (888) 443-6112
ADDRESS
INSURER(S)AFFORDING COVERAGE NAICa
INSURER A: Sentinel Ins Co LTD
INSURED
KELLY J MASTERS DBA BULLDOG ELECTRIC
3654 COUNTY ROAD 6
ERIE CO 80516
INSURERS:
INSURER C:
INSURERD:
INSURER E:
INSURER F:
W VtKA(it5 ULK I U'IGA 1 t NUMBtK: 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.
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MLLCY£XP
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A
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
General Liab
01 SEM AW4552
12/04/2014
12/04/2025
EACH OCCURRENCE
$1,000, 000
DAMAGETORENTED
PREMISES (Ea asunnence
A, OOOr OOO
X
MEDEJ(P(Any One person)
s101000
PERSONAL &ADV INJURY
1,000, 000
GEN'L AGGREGATE LIMIT APPUES PER
POLICY JE0.❑LOC
OTHER
GENERAL AGGREGATE
S2t 000, 000
PRODUCTS -COMP/OPAGG
52, 000, 000
y
AUTOMOBILE UABILITY
ANYAUTO
ALLOWNED SCHEDULED
AUTOS AUTOS
HIRED AUTOS NON -OWNED
AUTOS
COMBINED SINGLE LIMIT
(Ea amiderd)
$
BODILY INJURY(Perpelson)
S
BODILY INJURY (Per acoldern)
$
PROPERTY DAMAGE
(Per acdderd)
$
UMBRELLA LIM
EXCESS LIM
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE
$
DE
RETENRON$
S
w Ol(EESCOaOEYSATm1V
.WD£.tlPLOIEfSLIiI➢J19
ANY PROPRIETOR/PARTNERIEXECUTIVEY/N
OFFICER/MEMBER EXCLUDED?
(Mandatory in NO) ❑
If yes, describe under
DESCRIPTION OF OPERATIONS below
WA
PER OTH-
STATUTE ER
E.L. EACH ACCIDENT
$
E.L. DISEASE -EA EMPLOYEES
E.L. DISEASE - POLICY LIMIT
$
DESCRIPTION OFOPERATIONS / LOCATAMS/ VEHKPIEK)RD 101, Addhional Elements Schedule, may be altached if more space Is required)
Those usual to the Insured's Operations.
The City of Fort Collins
300 LAPORTE AVE
FORT COLLINS. CO 80521
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE
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