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HomeMy WebLinkAboutHANNA ELECTRICAL CONTRACTING INC - INSURANCE CERTIFICATEDATE (MMIDDNYYY) A� " CERTIFICATE OF LIABILITY INSURANCE 9/18/201e 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 Brianne Danielson, CISR NAME: Flood and Peterson jv�No Ext): (970)266-7118 �A No). (970)506-6846 Corporate Mailing Address: EMAIL ss:BDanielsonMocidPeterson.,com ADDRE P.O. Box 578 INSURE S AFFORDING COVERAGE NAIL 9' Greeley CO 80632 INSURERA:Tri-State Insurances Company of 31003 INSURED INSURERB:Continental Western Insurance Co. 10804 Hanna Electrical Contracting, Inc. INSURERC:Pinnacol Assurance 41190 1614 Harris Drive INSURERD: INSURER E : Fort Collins CO 80524 INSURER F: r0VFRAGFS CERTIFICATE NLIMRFR-CLI7103120383 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. iR TYPE OF INSURANCE L SUB POLICY NUMBER POLICY EFF POLICY LT LIMITS LTR X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 11000,000. A I s CLAIMS -MADE L j OCCUR DAMA ET ENTE PREMISES Ea occurrence $ 300,000 MED EXP (Any one person) $ 10,000 ADV318330210 11/01/2017 11/01/2018 PERSONAL & ADV INJURY $ 11000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY ® JECT LOC PRODUCTS-COMP/OPAGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident) $ 1, 000, 000 _ _ __ BODILY INJURY (Per person) B x ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS z NON -OWNED HIRED AUTOS S AUTOS CPA318330311 11/01/2017 11/01/2018 $ $ $ BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) Uninsured Motorist Liability $ 11000,000 $ UMBRELLA LIAB iC OCCUR EACH OCCURRENCE _ $ 11000,000 AGGREGATE $ 1,000,000 B EXCESS LIAB CLAIMS -MADE DED X RETENTION$ 0 $ CPA318330311 11/01/2017 11/01/2018 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ C OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NSA 4205758 11/01/2017 11/01/2018 ][ STATUTE ER E.L. EACH ACCIDENT $ 11 000, 000 E.L. DISEASE - EA EMPLOYE -- $ 11000,000 If Yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) Re: Parking Permit requirements City of Fort Collins P.O. Box 580 Fort Collins, CO 80522 L,ANkorLLA I IUIV 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 ACORD 25 (2014/01) N S025 (201401) Danielson, CISR/BDA"`� SGlznte(so..�_ © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD