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Home My WebLink AboutT & T ELECTRIC CO INC - INSURANCE CERTIFICATEACOROv PRODUCER Western Group Inc. -Pueblo 511 W 10th St Ste A P.O. Box 1958 Pueblo, CO 81002 George C. Shineovich T&TEL-1 OP ID: SV CERTIFICATE OF LIABILITY INSURANCE F DATE(MM/DD/YYYY) 103012018 / Phone: 719-543-3604 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURED T & T Electric Co Inc Tim & Katherine Miller 1824 Aspen Circle Pueblo, CO 81006-1489 rnv0onr_0c INSURERS AFFORDING COVERAGE ! NAIC # INSURERA Liberty Mutual Insurance 524128 INSURER B: INSURER C INSURER D: 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 ADD' INSR TYPE OF INSURANCE POLICY NUMBER POLICY DATE MIEFFECTIVE POLICYIDDfYYYYI DATE EXPIRATIONLTR LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE [A] OCCUR BKS55359252 11 /08/2018 11 /08/2019 EACH OCCURRENCE $ 1,000,00 DAMAGE TO RENTED PREMISES Ea occurence $ 100 00 MED EXP (Any one person) $ 15,00 PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GENT AGGREGATE LIMIT APPLIES PER: POLICY X PRO- LOC JECT PRODUCTS - COMP/OP AGG $ 2,000,00 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS BAS55359252 11/08/2018 11 /08/2019 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 X BODILY INJURY (PER PERSON) $ BODILY INJURY (PER ACCIDENT) $ PROPERTY DAMAGE (PER ACCIDENT) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ A EXCESS / UMBRELLA LIABILITY X OCCUR 71 CLAIMSMADE DEDUCTIBLE X RETENTION $ 10,000 US055359252 11/08/2018 11/08/2019 EACH OCCURRENCE $ 6,000,00 AGGREGATE $ 6,000,00 $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE r OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under SPECIAL PROVISIONS below WC OR IMI LT- OTH- I E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ A OTHER Equipment Floater BKS55359252 11/08/2018 11/08/2019 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS ELECTRICAL WORK WITHIN BUILDINGS fax 970-224-6134 FICATE HOLDER CITYFTC SHOULDANY OFTHEABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL CITY OF FT. COLLINS 330 S. COLLEGE AVE. IMPOSE NO (}BLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR P.O. BOX 580 REPRESENTATIVES. i FT COLLINS, CO 80522-0580 AUTHORIZED REPRESENTATIVE George C. ShlneoAch . ACORD 25 (2009101) U 1988-2009 ACORD CORPORA I ION. All rlgnts reservea. The ACORD name and logo are registered marks of ACORD T&TEL-1 OP ID: SV IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2009/01)