HomeMy WebLinkAboutFOCUS ELECTRIC - INSURANCE CERTIFICATEACORQ CERTIFICATE OF LIABILITY INSURANCE D /
414/D14 201015
PRODUCER ,ro &rou THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
GREEN INSURANCE AENCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
4 W Dry Creek Circle Suite 200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Littleton, CO 80120
INSURED FOCUS ELECTRIC INC.
33925 Prairie Hawk Circle
ELIZABETH, CO 80107
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INSURERS AFFORDING COVERAGE NAIC#
INSURER A: Liberty Mutual Insurance
INSURER B
INSURER C.
INSURER D:
INSURER E.
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
kDfrL
NSRD
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MMIDD/VY
POLICY EXPIRATION
DATE MMIDDIVY
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
PREMISES Ea occurence
$ 200,000
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE ® OCCUR
MED EXP(Any one person)
$ 10,000
A
01-CH-423096-9
02/14/15
02/14/16
PERSONAL B ADV INJURY
$ 1 000 000
GENERAL AGGREGATE
$ 21000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$ 2,000,000
][ POLICY JEQ LOC
AUTOMOBILE
LIABILITY
ANYAUTO
COMBINED SINGLE LIMIT
(Ea accident)
$ 1,000,000
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
A
X
HIRED AUTOS
NON-OWNEDAUTOS
24—CC-312083-1
06/12/14
06/12/15
BODILYINJURY
(Peraccident)
$
X
X
PROPERTY DAMAGE
(Pera=dent)
$
SPECIFIED
GARAGE LIABILITY
AUTO ONLY -EA ACCIDENT
$
OTHERTHAN EAACC
$
ANYAUTO
$
AUTOONLY: AGG
EXCESSIUMBRELLA LIABILITY
OCCUR 71 CLAIMSMADE
EACH OCCURRENCE
$
AGGREGATE
$
$
DEDUCTIBLE
$
RETENTION $
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
WCSTA- "
TORYLIMITS ER
E.L. EACH ACCIDENT
$
ANY PROPRIETORrPARTNERlE%ECUTIVE
E.L. DISEASE - EA EMPLOYE
$
OFFICER/MEMBER EXCLUDED?
Ityes, describe under
E.L. DISEASE -POLICY LIMIT
$
SPECIAL PROVISIONS below
OTHER
Floater $25,000 Limit
A
Rented/Leased
Equipment
01-CH-423096-9
02/14/15
02/14/16
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
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, THE ISSUING INSURER WILL ENDEAVOR TO MAIL_ DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
ACORD 25120011GRI
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