HomeMy WebLinkAboutSTUCKEY ELECTRIC COMPANY INC DBA STANMARK ELECTRIC - INSURANCE CERTIFICATE` 1 ® 7DATEHIM%DO%YYYY)
CERTIFICATE QF LIABILITY INSURANCE/26/2018
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 CONTACT
NAME..Daniel Jobs
AssuredPartners Colorado PHONE FAz
4582 S. Ulster St., Suite 600 WC. Mg. Exit: 303-863-7788 A;c o: 303-861-7502
Denver CO 80237 naDRess: d'obs assured trco.com
INSURED
Stuckey Electric Company Inc.
DBA Stanmark Electric
141 nverness Drive E Ste H-128
Englewood CO 80112
INSURER A : United Fire & Casualty Co
STANELE•01 INSURER B : Pinnaeol Assurance
INSURER D :
rn11VDAr-CC rC0TIFICATF 1JIIIIIRFR•')rezea1S7 RFVlglON NIIMRFR-
13021
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---__.__ __._ AbDISB�-- — Pd YE �POLICVEXP
LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MWD MWODIYYY LIMITS
A
X
I COMMERCIAL GENERAL LIABILITY
CLAIMS MADE X OCCUR
Y
Y
6050990
10126IM16
I 1012&2019
EACH OCCURRENCE_
$1.000,000
PREMI5ESJEe occurrence)
$ 1,000.000
MED EXP (Any one person)
$ 5,000
PERSONAL 8 ADV INJURY
$1.000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRO- IJ LOC
POLICY XJECT
OTHER
GENERAL AGGREGATE
PRODUCTS COMPiOPAGG
$ 2,000,000
$2A00,000
A
AUTOMOBILE LIABILITY
X ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
X HIRED X NON OWNED
AUTOS ONLY AU70S ONLY
Y
Y 6050990
I0/26=8
10126/2019
COMBINED SINGLE LIMIT
(Ea aocident
$1 000 000
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
I?er accidentl
§
_ ...
A
X
UMBRELLA LIAB j�
EXCESS LIAR
OCCUR
; CLAIMS -MADE
Y
Y
6050980
102612018 10126/2019
EACH OCCURRENCE
$ 1.000,0W
AGGREGATE
$1,000,000
DED RETENTION
$
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANYPROPRIET'OR'PARTNER EXECUTIVE Y
❑N
OFFICERIMEMBEREXCLUDED�
(Mandatory in NH)
11 yes, describe under
Das.OF OPERATIONS below
NIA
Y
4213286
10/26/2018 11m2019
X STATUTE ERH
E.L. EACH ACCIDENT
�—
$ t_ODOADO -
$1,000,000
E.L. DISEASE EA EMPLOYEE
E.L. DISEASE POLICY LIMIT
_
$ 1.000,OtX1
I
I
i
DESCRIPTION OF OPERATIONS LOCATIONS 1 VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached if more space is required)
City of Fort Collins
P.O. Box 580
Fort Collins CO 80522
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
U
v 1988-2015 ACORD COHPUHA I IUN. An rights reserve0.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
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