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HomeMy WebLinkAbout102556 CONSOLIDATED ELECTRICAL DISTRIBUTORS - INSURANCE CERTIFICATE,AC"R& CERTIFICATE OF LIABILITY INSURANCE
�-' 1 L/L/2019
DATE(MM/DDM'YY)
11/1/2018
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 LOCkon InSUranoe Brokers, L1C
725 S. Flg-Eirloa Street, 35th R.CONTACT
CA LJCen'1Se #1OF15767
Los Angeles CA 90017
(213) 68&0065
N E:
FAX
A/C No Ext : A/C No):
E-MAIL
ADDRESS:
INSURER(SIAFFORDING V
INSURER A: Travelers Property Castmlty Co of Amcrica
25674
INSURED Consolidated BecdnCal D stnbutors, Inc. PC 2457
1414702 2025 `hap F+nt Dive
Fat Collins C080525
INSURER B :
INSURER C :
INSURER D•
INSURER E
COVERAGES CONEL07 CERTIFICATE NUMBER: 15423271 REVISION NUMBER: XXXXXXX
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
SUER
POLICY NUMBER
POLICY IPOLICY
EXPLTR
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
N
N
TC2JGLSA4252B431-18
11/l/2018
11/l/2019
EACH OCCURRENCE
s 2,000 000
CLAIMS -MADE OCCUR
DAMAGE TO RENTED
PREMISES Ea occurrence
1,000,000
X
MED EXP (Any oneperson)
Excluded
Contractual Liab.
PERSONAL & ADV INJURY
$ 2,000,000
GEN-L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 8,000,000
POLICY JE� LOG
PRODUCTS - COMP/OP AGG
$ 4,000,000
$
OTHER:
AUTOMOBILE
LIABILITY
CEOMaBIINEeD SINGLE LIMIT
$ XXXXXXX
ANY AUTO
NOT APPLICABLE
BODILY INJURY (Per person)
$ XXXXXXX
AAUTOS ONLY AUTODULED
BODILY INJURY (Per accident
$ XXX'X]{ X
PROPERTY DAMAGE
Per accident
$XXXXXXX
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$ XXXXXXX
EXCESS LIAB
CLAIMS -MADE
NOT APPLICABLE
AGGREGATE
$ XXXXXXX
DED I I RETENTION $
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY y/ N
ANY PROPRIETOR/PARTNDED? GUTIVE ❑
OFFICER/MEMBER EXCLUDED
(MyanCE In NH)
N / A
NOT APPLICABLE
STATUTE R
E.L. EACH ACCIDENT
V�rV
$ XXXXXXX
E.L. DISEASE -EA EMPLOYEE
XXXvXXXXXX
DESCRIPTION OF OPERATIONS below
E.L. DISEASE -POLICY LIMIT
XXXXXXX
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
RE: Platte River Power Authority is an Additional Insured to the extent provided by the policy language or endorsement issued or approved by the insurance
carrier.
CERTIFICATE HOLDER CANCELLATION See Attachment
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
15423271 AUTHORIZED REPRESENTATIVE
Efficiency VVJiG
222 Laporte Ave.
Fort Collins C080521
ACORD 25 (20161031 @1A8-201"C0ftD C RPORATION. All rights reserved
The ACORD name and logo are registered marks of ACORD