The URL can be used to link to this page

Home My WebLink About286934 CIRCLE G ELECTRIC - INSURANCE CERTIFICATEACORN® CERTIFICATE OF LIABILITY INSURANCE o3/03/20D15 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 CONTACT NAME: PHONE FAX A/C, No. Ertl: State Farm W •w L ADDRESS: INSURERS) AFFOROM COVERAGE NAIL 0 INSURER A : INSURED GRAVES, TERRY 81 TODD INSURERS: CIRCLE G ELECTRIC LLC INSURERC: 4603 MARIPOSA CT INSURERD: FORT COLLINS CO 80526-3832 INSURERE: INSURER F : COVERAGES CERTIFICATE NUMBER- RFVI9ION NIIIMRFR- 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. INEXP TSRR OF INSURANCE POLICY NUMBER POLICTYPE MM/DDY EFF (MPfDpY _ LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1:1OCCUR 96-B5-Ca402-2 F 08/04/2014 08/14/2015 EACH OCCURRENCE $ 1,000.000 DAMAGE TO RENTED PREMISES Es occurrence $ MED EXP (Any one person) $ PERSONAL B ADV INJURY i GEWL AGGREGATE LIMIT APPLIES PER POLICY ❑ JECOT- LOC OTHER: GENERAL AGGREGATE 5 2.000.000 PRODUCTS - COMP/OP AGG S $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS AUTOS COMBINED SINGT LIM Ea accident S BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPE (Person GE (Per oldmi S $ UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS -MADE I EACH OCCURRENCE i AGGREGATE S DED RETENTIONS S WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICER)MEMBER EXCLUDED? ❑NIA (Mandatory In NH) H yBS desai� undOFerOPERATONS below DESCRIPTION R STATUTE ER E.L EACH ACCIDENT S E.L DISEASE - EA EMPLO $ E.L.DISEASE - POLICY LMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached Nmom space Is required) CERTIFICATE HOLDER CANCELLATION City of Ft Collins Bldg Services SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE PO Box 580 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Fort Collins, CO 80522-0580 ACCORDANCE WITH THE POLICY PROVISIONS. AU17 REPRESENTATIVE © 1988-2014 ACORD C RPORATI . All rights reserved. ACORD 25 (2014I01) The ACORD name and logo are registered marks of ACORD 1001486 132849.9 02-04-2014