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Home My WebLink AboutMCBRIDE LIGHTING INC - INSURANCE CERTIFICATEACORO® CERTIFICATE OF LIABILITY INSURANCE FDATE (MM/DD/YYYY) 1 04101/2015 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 Ryan Slaughter (303) 444-1009 601 Ogden Street Denver, CO 80218 CONTACT Ran Slaughter PHONE (303) 444-1009 (AIC Not, FAX (303) 444-1426 E-MAIL rslau lit amfam.com INSURERS AFFORDING COVERAGE NAIC # INSURER American Family Insurance 19275 INSURED McBride Lighting, Inc 16026 W. 5th Ave Golden, CO 80401 INSURER B INSURERC. INSURER D: INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: I 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 INSR SUBR WVD POLICY NUMBER POLICY EFF MM/DDNYYY POLICY EXP MM/DD/YYYY LIMITS A AUTOMOBILE LIABILITY ❑x ANY AUTO 0 Ail OOWNED ❑ SCHEDULED AUTOS ❑X HIRED AUTOS ❑ NON -OWNED AUTOS ❑ ❑ 05-XZ7488-09-00 04/01/2015 04/01/2016 BODILY INJURY (Per person) $ 1 BODILY INJURY (Per accident) $ 1,000,000 PROPERTY DAMAGE (Par arpidprd) $ 1 000,0w BODILY INJURY $ $ A GENERAL LIABILITY ❑X COMMERCIAL GENERAL LIABILITY ❑ ❑ CLAIMS -MADE Q OCCUR ❑ 05-XZ7488-07-00 04/01/2015 04/01/2016 EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 100•0w MED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY $ 2,000.000 ❑ GENERAL AGGREGATE $ 4,0W,W0 GEN'LAGGREGATE LIMIT APPLIES PER: ❑ POLICY ❑ PROJECT ❑ LOC PRODUCTS-COMP/OP AGG $ 4,000,000 $ A Q UMBRELLA LIAB 0 OCCUR ❑ EXCESS LIAB ❑ CLAIMS -MADE 05-XZ7488-08-00 04/01/2015 04/01/2016 EACH OCCURRENCE $ 2,000,ODO AGGREGATE $ 2,000,000 ❑X DED ❑ RETENTION $ $10,000,00 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A ❑ WC Sy ,N - ❑ OTHER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION City of Fort Collins 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 Ryan W. Slaughter wrnon rnoonoa Tlrlll All .,n H}� .nenninrV ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD