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HomeMy WebLinkAboutADK ELECTRIC CORPORATION - INSURANCE CERTIFICATE (2)ADKEL-2 OP ID: MB A`CO'RO CERTIFICATE OF LIABILITY INSURANCE V DATE(MM/DD/YYYY) 09/25/2018 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 have ADDITIONAL INSURED provisions or 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 endorsements . PRODUCER 303-962-0811 Freeman Insurance West 405 Urban St, Suite 130 Lakewood, CO 80228-1211 CONTACT PHONE 303-962-0811 FAX 303-962-0817 (A/C, No, EXt): IA/C, No): E-MAIL melanieb@freemaninswest.com Susan V. Freeman Fischer, CIC INSURERS AFFORDING COVERAGE NAIC # INSURER A:BITCOInsurance Companies INSURED ADK Electric Corporation INSURER B: BITCO National Insurance Lloyd's of London INSURER C : y 3773 S. Jason St. Unit 1 Englewood, CO 80110 INSURER D : INSURER E : INSURER F : rr)VFRGr;FS CFRTIFIiI N1IMRFR• 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. INSIR 7yPE OF INSURANCE ADDL SUB POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR CLP 3 673 408 10/01/2018 10/01/2019 EACH OCCURRENCE $ 1,000,000 DAMAGES (RENTED occurrence 100,000 $ MED EXP (Any oneperson) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY �X JERCOT- LOC OTHER: GENERAL AGGREGATE 2,000,000 PRODUCTS - COMP/OPAGG $ 2,000,000 $ A AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS AUTOS ONLY NOTN6 ON DD CAP 3 673 409 10/01/2018 10/01/2019 COMBINEIF Dnt)SINGLE$ 1,000,000 BODILY INJURY (Perperson) $ BODILY INJURY Per accident $ PROPERTY DAMAGE Per accident _ $ A X UMBRELLALIAB EXCESS LIAB X OCCUR CLAIMS -MADE CUP 2 815 958 10/01/2018 10/01/2019 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 DED I X I RETENTION $ 10,000 B WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A WC3673407 10/01/2018 10/01/2019 X PER OTH- TAT T R E.L. EACH ACCIDENT -- 1,000,000 $ E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 C Professional Liab S609300050 10/01/2018 10/01/2019 Limit 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Contractor License CITYF-1 City of Fort Collins Bldg & Zoning Dept. 281 N. College Ave. PO Box 580 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 tU V. A ACORD 25 (2016103) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD