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CVK ELECTRIC LLC - INSURANCE CERTIFICATE
CVKELEC-01 JHAN ACORD DATE (MM/DD/YYYY) �� CERTIFICATE OF LIABILITY INSURANCE F10/31/2018 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 endorsement(s). PRODUCER Six & Geving Insurance, Inc. 3630 Sinton Road #200 Colorado Springs, CO 80907 INSURED CVK Electric LLC 2201 Bott Ave Colorado Springs, CO 80904 CONTACT Jonna Hayes (A/Hco,NNo, Ext): (719) 590-9990 4506 (A/C, No):(719) 590-9992 EbmA'pLEss,jhayes@six-geving.com INSURERS AFFORDING COVERAGE NAIC i INSURER A: Cincinnati Insurance Company 10677 INSURER a: Pinnacol Assurance 41190 CnVFRAGFS CERTIFICATE NUMBER: 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY NIMVYFI' POLICY EXP LIMITS LTRA X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE �X OCCUR EPP0355862 11,01/2018 11,01/2019 DAMAGE TO RENTED rencel $ 500,000 MED EXP (Any oneperson) $ 0,000 PERSONAL & ADV INJURY $ 1,0000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY jp&- LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 BODILY INJURY Per n $ X ANY AUTO EBA0355862 11/01/2018 11/01/2019 BODILY INJURY Per accident $ AWNED SC UTOS ONLY AUTOSULED PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY A X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 2,000,000 i EXCESS LIAR CLAIMS -MADE EPP0355862 11/01/2018 11/01/2019 AGGREGATE $ 2,000,000 DED I X I RETENTION $ 0 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY AFFICER/MEMBOR/ ARTNEFCLUDI XECUTIVE Y❑ (Mandatory in NH) NIA 4108090 02/01/2018 02/01/2019 X IPER OTH- STATUTE E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYEE $ 1,000,000 J E.L. DISEASE - POLICY LIMIT 1,000,000 $ If yes, describe under DESCRIPTION OF OPERATIONS below A Equipment Floater EPP0355862 11/01/2018 1110112119 Leased/Rented 50,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Fort Collins 215 N Mason St Fort Collins, CO 80524 aA1w1ItILe1CI 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 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD