HomeMy WebLinkAboutEGGERS ELECTRIC - INSURANCE CERTIFICATEOP ID: AVC
CERTIFICATE OF LIABILITY INSURANCE
M (MNMDDP(TYY)
°"0110212015
01102/2015
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 endorsements .
PRODUCER Phone: 970-223-1804
CONTACTNAME:
VolkBell ProperH Casualty
1100 Hatton Dr. Suite #100 Fax.
PHONE FA%
AIL No E:No
HINC,8
E-MAIL
ADDRESS:
Fort Collins, CO 80525
Steven G. Smith
PRODUCER
CUSTOMER Do, EGGER-1
INSURE S AFFORDING COVERAGE
NAICN
INSURED Eggers Electric, Inc.
INSURERA:SecuraInsurance Companies
22543
Keith and Dawn Eggers
3520 W. Eisenhower Blvd.
IN e: Pinnacol Assurance
41190
i
Loveland, CO 80537
INSURER C:
INSURER D :
INSURER E : I
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.
INBR
TR
TYPE OF INSURANCE
POLICY NUMBER
MMMo`YLICY YYY
MMIODVIVYXYV
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
TC0031719163
0110112015
0110112016
EACH OCCURRENCE
S 1,000,000
PREMISES Ea occurrence
$ 100,000
MED EXP(Any one person)
$ 5,000
PERSONAL B ADV INJURY
$ 1,000,00
GENERAL AGGREGATE
$ 2,000,000
GENT AGGREGATE LIMIT APPLIES PER:
X POLICY PRO- LOC
PRODUCTS - COMPIOP AGG
$ 2,000,000
$
AUTOMOBILE
MBIUTY
ANY AUTO
ALL GINNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OAMED AUTOS
COMBINED SINGLE LIMIT
(Ea amdent)
$
BODILY INJURY (Per person)
$
BODILY INJURY (Per amdent)
S
PROPERTY DAMAGE
(Per amdent)
$
S
$
B
X
UMBRELLA LIAR
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
C00031719183
01I0112015
01I01I2016
EACH OCCURRENCE
$ 2,000,00
AGGREGATE
$ 2,000,00
DEDUCTIBLE
RETENTION $ 10,OOD
$
X
S
B
WORKER $ COMPENSATION
AND EMPLOYERS' LIABILITYER
ANY PROPRIETO"ARTNEIVEXECUTNE YIN
OFFICERMEMBER EXCLUDED?
(Mandatory In NH)
If yes, desrnloe under
DESCRIPTION OF OPERATIONS belox
NIA
4076793
06101/2015
06101/2016
X T RY LMN OT
E.L. EACH ACCIDENT
$ 500,000
E.L. DISEASE -EA EMPLOYE
S 500,000
E. L. DISEASE -POLICY LIMIT
$ 500,00
A
Equipment Floater
I
TC0031719163
01/01/2015
0110112016 ILeased
&
Rented 25,00
DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101, Addhional Remarks Schedule, K moreapace is required)
CITY OF
City of Fort Collins
PO. Box 580
Fort Collins, CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
n 1RRR-?nne ernRn cnRPnRennM eD rL1h1e
ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD