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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