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HomeMy WebLinkAboutFISKE INC DBA FISKE ELECTRIC - INSURANCE CERTIFICATE (7)Client#: 52372 FISELI ACORD, CERTIFICATE OF LIABILITY INSURANCE GATE/YYYY) z/1 91201/zo1 s 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 ONTE:ACT Kylie Miller CNAM Flood and Peterson _ PRONE g70 266-7148 970 5064846 AIC No Eat : AfC No Corporate Mailing Address: Ell ADDRESS: KMiller@FloodPeterson.com P. O. BOX 578 INSURER(S) AFFORDING COVERAGE NAIC III Greeley, CO 80632 INSURER A: The Cincinnati Insurance Comport INSURED INSURERS: Plnnacol Assurance Fiske, Inc. dba Fiske Electric 6766 E. County Road 18 INSURER C Johnstown, CO 80534 INSURER D: 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 CONTRACTOR 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 INSR SUB WVD POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MMIDDIYVYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F� OCCUR X PD Ded:1,000 EPP0168559 1/1512014 11/15/2015 EACHOCCURRENCE$1000000 PREMISES EaE�rrrence 5500 000 MED EXP (Any one Person) $10 000 PERSONAL & ADV INJURY $1 000,000 GENERAL AGGREGATE E2,000,000 GENT AGGREGATE LIMIT APPLIES PER: POLICY X PROT 7 LOC PRODUCTS-COMP/OP AGG $2 000,000 $ A AUTOMOBILE LIABILITY AAUTO ALLOWNED SCHEDULED AUTOSAUTOS$HIREDAUTOSNON-OWNED AUTOS a Car EBA0168559 11/15/2014 11/15/2015 EOMaBItlEeD1SINGLELIMIT 1,000,000 IX14Y BODILY INJURY (Par person) $ BODILY INJURY(Par accident) $ PROPERTY DAMAGE Per accidentrive $ A )( UMBRELLA UAB EXCESS LIAR X OCCUR CLAIMS -MADE EPP0168559 1/15/2014 1111512015 EACH OCCURRENCE s3.000.000 AGGREGATE s3,000,000 DELI I X I RETENTION $0 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE -/ N ANY PROPRIETORJPARTNERIEXECUTIVE[-� OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 4066524 3/01/2015 03/01/201 X WC STATU- OTH- E.L. EACH ACCIDENT E1 OOO OOO E.L. DISEASE - EA EMPLOYEE $1 OOO 000 E.L. DISEASE - POLICY UMIT $1 00O 000 A Leased/Rented Equipment EPP0168559 11/15/2014 11/15/201 $50,000 Limit $1,000 Deductible DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) City of Fort Collins is named as Additional Insured with respects to General Liability if required by written contract. City of Fort Collins P.O. Box 580 Fort Collins, CO 80522 UANUC 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 (2010/05) 1 of 1 #S973847/M973560 ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD KXM