HomeMy WebLinkAboutBRIAN'S ELECTRIC CO LLC - INSURANCE CERTIFICATE03/06/2015 FRI 17:25 FAX
Z002/002
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co - CERTIFICATE OF LIABILITY INSURANCE
DATE(MMIOOIYYYYI
0310412016
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 INSURE:R(% AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT; If the Certificate holder Is an ADDITIONAL INSURED, the pollcy(les) 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 csrtifleata does not Confer rights to the
certificate holder in Ileu of such ondorsamen a .
Security Insurance Group, LLC
8219 W 20th St, Ste A
Greeley, CO $0634
RPNE E.U. 970478-4810 uvc 270.3784820
ltyinsurancogroup.not
INBUIRE AFFORDING ERAOE
NAIL!
INSURER A: Auto Owngirs Insurance
INSURED
Brian's Electric Co, LLC
1410 Webster Ave
Fort Collins, CO 80624
N URERa: Owners Insurance
NSURERC:
REeD:
NSURERE;
INSURER P:
r^VCMAr_ee Aeorleleere MI URIWM• nnOnA9441.A REVISION NIUMIREW 1
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 MAYBE 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.
IN
LIT
f TYPE OF INSURANCE
POLICY NUMBER
ISMtzflMI POLICY EFF
aiml
LIMITS
A
mm"NALLVI81LI1Y
x COMMERCIAL GENERAL UA6ILITY
p AIMg.MAOE Q OCCUR
Y
Y
74103606
0310=016
03/0312016
EACH OCCURRENCE
a 1000000
DAMAGE TO RENTED
S 300,000
MEO EXP M aw n
F 110,000
PERSONAL S AOV INJURY
S 1,000,000
GENERAL AGGREGATE
$ 2.000.000
GENT AGGREGATE LUT APPLIES AEA
POUCY LacI
PRODUCTS - COMPIOP AGO
S 2,000,000
7
A
AUTOMOMLEUAMUrr
ANY pAUTO
ALL D SCHEDULED
E
AUTOS
HIREDALITOS X NUTO D
Y
Y
4941848602
03/03/2018
03M3/2016
1,000,000
BOOBY NJURY(Par penan)
i
BwLYNJURY(Par QC*w*)
S
PROPERTY DAMAGE
_
6
B
u►amELLA LIAa
EXCEea Lug
Gram
CLAAMSMADE
Y
Y
4941848601
03/03/2016
03/03/2016
EACH OCCURRENCE
S 1,000,000
AGGREGATE
F 1,000,000
DEO RETENTICIN
F
WOR1101101CpWENSATION
AND !EMPLOYER& LIABILITY YIN
ANY PROPRIETORIPARTNER�PXECUTIVE ❑
OFFICERIMEMBER E) CLUDE07
(Morldw"y In NH)
II deapfea,eleer
OE FMON OF OPERATIONS bal
NIA
WCBTATU H
IER
EL. EACH ACQDENT
F
E.L. DISEASE . EAEMPLDYEE
7
E.L. DISEASE - POLICY UMr
i
Rented Equipment
Installation Floater
74103606
74103600
ovii2i2016
03/03/2016
03M=016
0=312016
60p000
100,000
DESCNIPTION OF OPERATIONS r LOCATIONS I VEHICLES (Adach ACORD 161, AddM66Sl Rd"fkd SehadUle, If mere apace Is MQUIMI)
City of Fort Collins
Streets Department
625 9th St.
Fort Collins, CO 80624
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS,
AU7HORIZF0 REPRESENTATIVE J-
j�
Y.
CORPORATION. All rtnhtz reserved.
ACORD 28 (2010105) The ACORD name and logo are registered marks of ACORD
Printed by CTH on Mardi 04. 2015 at 1026AM