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HomeMy WebLinkAboutINNOVATIVE ELECTRICAL SYSTEMS - INSURANCE CERTIFICATE (4)Client#: 1084545 INNOVELEI ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MwOD/YYY11 1/26/2015 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 endorsement(s). PRODUCER USI Colorado, LLC Prof Liab 1515 Wynkoop Street Suite 200 CON ACT NAME: FAX PHONE g00 873-8500 AIC No Eat): AIL, No : ELI AIL ADDRESS: Denver, CO 80202 INSURER(S) AFFORDING COVERAGE NAICO INSURER A: Hartford Casualty Insurance Corn 29424 INSURED Innovative Electrical Systems INSURER B : Hartford Ins Co of the Midwest 37478 XL Specialty INSURER C: p ty Insurance Company 37885 7550 W Yale Ave., Suite B130 Denver, CO 80227 INSURERD: 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 ADDL SR SUER IWyp POLICY NUMBER POLICY EFF MWDDNYYY) POLICY UP {MWDD= UNITS A GENERAL LIABILITY Y Y 34SBWLN3274 1/22/2015 01/2212016 $t 000000 X COMMERCIAL GENERAL LIABILITY CLAIM&MADE P OCCUR EEAACH�OECTCURRENCE PREMISES EeEoNccrunpance a300 000 MED UP (Any one person) $10 000 PERSONAL S AUV INJURY $1000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG 52,000,000 POLICY X PRd LOC $ A AUTOMOBILELIABILITY Y Y 34SBWLN3274 1/22/201501/22/201 COMBINED SINGLE LIMIT Ea accident 1,000,000 BODILY INJURY person) $ ANY AUTO IX ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per acddent ( ) $ HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE Per acddant $ 8 UMBRELLA UAB OCCUR 1/22/2015 EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED I I RETENTION$ $ B WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNEWEXECUTIVE OFFICERIMEMBER EXCLUDED? � N/A Y 34WEGKE5825 1122/2015 01/22/201 X We srATu- IER OT RY H- E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 (Mandatory In NH) Byes. describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 C Professional N Y DPS9718724 1/22/2015 01/22/201 $1,000,000 per claim Liability $1,000,000 annl aggr. Claims Made DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if ream space Is required) As required by written contract or written agreement, the following provisions apply subject to the policy terms, conditions, limitations and exclusions: The Certificate Holder and owner are included as Automatic Additional Insured's for ongoing and completed operations under General Liability and Designated Insured under Automobile Liability, but only with respect to liability arising out of the Named Insured work performed on behalf of the certificate holder and owner. The General Liability and Automobile Liability (See Attached Descriptions) The City of Fort Collins c/o Aller-Lingle-Massey Architects PC 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. AUTHORIZED REPRESENTATIVE ACORD 25 (2010105) 1 of 2 #S14232279IM14232244 01988.2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD NARBC DESCRIPTIONS (Continued from Page 1) 1 Insurance applies on a primary and non-contributory basis. A Blanket Waiver of Subrogation applies for General Liability, Automobile Liability and Workers Compensation. RE: Project: South Transit Center Additional Insured: The City of Fort Collins SAGITTA 25.3120101051 #S14232279/M14232244