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Home My WebLink AboutDME ELECTRIC LLC - INSURANCE CERTIFICATEACi0Rbr � CERTIFICATE OF LIABILITY INSURANCE DATE (MMIY IDDYYY) 12/312014 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 FEDERATED MUTUAL INSURANCE COMPANY HOME OFFICE: P.O. BOX 328 CONTACT NAME' CLIENT CONTACT CENTER AICNNo EXI :888-3334949 Fwc No:507-446-4664 ADDRESS: CLIENTCONTACTCENTER FEDINS.COM OWATONNA, MN 55060 INSURERS) AFFORDING COVERAGE NAIC # INSURER A: FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 269-953-6 INSURER B: DME ELECTRIC LLC 2635 W 8TH AVE INSURER C: INSURER D: DENVER, CO 80204 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 33 REVISION NUMBER: 0 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 TR TYPE OF INSURANCE DL INSR SLUR WVD POLICY NUMBER POLICY EFF MMIDDIYYYY) POLICY EXP (MMIDDIYYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PR S Eaocanerool $100,000 CLAMS-MADE El OCCUR MED EXP (My one person) EXCLUDED PERSONAL 6 ADV INJURY $1,000,000 A N N 9030372 02/01/2015 02/01/2016 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGO $2,000,000 X POLICY PRO- JECT LOC LIABILITY COMBINEDSINGLE LIMIT Ea etas n $1,000,000 ANYAUTOBODILY INJURY (Per person)ALLOWNEDSCHEDULED AAUTOS rOMOBILE AUTOS N N 9030372 02/01/2015 02/01/2016 BODILY INJURY (Per accldenp HIRED AUTOS NON -OWNED AUTOS PROPE0.TY DAMAGE a ciden X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $5,000,000 A EXCESS LIAB CLAIMS -MADE N N 9030374 02/01/2015 02/01/2016 AGGREGATE $5,000,000 DED RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y F N ANY PROPRIETORIPARTNERIEXECUTIVE X TOWCST.ATU- RY UMITS OTH- ER E.L EACH ACCIDENT $500,000 A OFFICERIMEMBER EXCLUDED? NIA N 9030373 02/01/2015 02/01/2016 E.L. DISEASE - EA EMPLOYEE $500,000 (MandatwY in NH) It yes, 4scribe under DESCRIPTION OF OPERATIONS below E.L DISEASE -POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (AMO ACORD 101, Additional Remarks Stlledule, it more space is requiredl 269-953-6 CITY OF FORT COLLINS 300 LAPORTE AVE FORT COLLINS, CO 80521-2719 330 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 O 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010705) The ACORD name and logo are registered marks of ACORD