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