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HomeMy WebLinkAboutCHADWICK ELECTRIC INC - INSURANCE CERTIFICATE (2)CHADW-1 OP ID: LP ACORN CERTIFICATE OF LIABILITY INSURANCE �� DATE 04/3012015V) 04/3012015 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 PFS Insurance Group -JT 4848 Thompson Pkwy, Ste 200 Johnstown, CO 80534 Janssen CONTACT Dave Janssen NAME: PHONE 970-635-9400 No:970.835-8401 A/c NEati: -Mal ADDRESS:Dave INSURERS AFFORDING COVERAGE NAIC8 INSURER A:Employers Mutual Casualty CO INSURED Chadwick Electric, Inc. Chadwick Electric Services 1281 E Magnolia Unit D #134 INSURER 0; Pinnacol Assurance Co 41190 INSURERC: Fort Collins, CO 80524 x1suRERD: INSURER E INSURER F: rnvEDAr_CQ rERTIEIrATE NI IMRFR• 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 POLICY NUMBER MPWODY EFF MM/DD/YYYY LOWS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE O OCCUR Blanket Add'I Ins 5D21544 11114/2014 11/14/2015 EACH OCCURRENCE $ 1,000,00 PREMISES Eaocuarence $ 300,00 X MED EXP (Any one person) $ 10,0 X Blanket WOS PERSONAL BADVINJURY $ 1,000,00 GEN. AGGREGATE LIMIT APPLIES PER POLICY A] jECT LCC OTHER GENERAL AGGREGATE $ Y,000,00 PRODUCTS-COMP/OPAGG S Z,000,00 Emp Ben. $ 1,000,00 A AUTOMOBILE UABRITY X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED X HIRED AUTOS X AUTOS X Blanket Al 5E21544 4MUi4i2015 1U1M4 1 COMBEa accident)INESINGLE LIMIT $ 1,000,00 BODILY INJURY (Par parson) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per acadenl $ $ A X =IRELLA LIAR ExCESSLu X OCCUR CLAIM&MADE SJ21544 11/14/2014 11/1412015 1 EACH OCCURRENCE $ 1,000,0 AGGREGATE $ 1,000,00 LIED X RETENTION$ 10,000 $ B WORKERS COMPENSATION AND EMPLOYERS'IA LBILITY YIN ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? ❑ (MandatorylnNH) 8 yes, describe under DESCRIPTION OF OPERATIONS below NIA 51845CHADWICKELECTRIC 144024CHADWICKSERVICES OW0112015 06/0112015 06/01/2016 06/01/2016 IPER X STATUTE ER E.L. EACH ACCIDENT $ 1,000,00 - $ 1,000,00 $ 1,000,00 EL.DISEASE -EAEMPLOYEE E.L. DISEASE -POLICY LIMIT A A Equipment Installation SC21544 SC21544 11/14/2014 11/1412014 11/14/2015 11/14/2015 Leased Eq 25,00 Limit 200,00 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached N more space is required) Re: License Renewal CERTIEir ATE I-101 DER CANCELLATION FTCOLLI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Ft. Collins P.O. Box 580 AUTHORIZED REPRESENTATIVE Ft. Collins„ CO 80522-0580 © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD