HomeMy WebLinkAboutSTANMARK ELECTRIC COMPANY - INSURANCE CERTIFICATE (3)AC� ® DATE (MM/DD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE 11/20/2018
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 ......__...._.
PH _.....
4582 S. Ulster St., Suite 600 ONE _..303-863-7788 0 303-861-7502
Denver CO 80237 ADDAR : d obs assured trco.com
INSURED
Stanmark Electric Company
14 Inverness Drive E Ste H-128
Englewood CO 80112
STANELE-01
INSURERiS)_ AFFORDING COVERAGE NAIC #
INSURER A: United Fire & Casualty Co 13021
INSURER e : Pinnacol Assurance 41190
COVERAGES CERTIFICATE NUMBER* 1A74AS0075 RFVISInN NIIIi
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.
ILTR TYPE OF INSURANCE INSD SU Q POLICY NUMBER
MM DD YPOLICY YYY MFF M DD/YLICY YYY I LIMITS
A
X COMMERCIAL GENERAL LIABILITY Y Y
._
CLAIMS -MADE X OCCUR
6050990
10/26/2018 10/25/2019
EACH OCCURRENCE
D7Ai;E1'ERTED--
P�MI��S.S��gcc4rrenceL_
$1,000,000
—
$1,000,000
MED EXP (Any one pi onl
PERSONAL & ADV INJURY
$ 5,000
$1,0D0,000
GENERAL AGGREGATE
GEN'L AGGREGATE LIMIT APPLIES PER:
$ 2,000,000
POLICY i X JE � L LOC
$ 2,000,0_00
PRODUCTS - COMP/OP AGG
OTHER:
$
A
AUTOMOBILE LIABILITY Y Y
_
6050990
10/26/2018 10/26/2019
COMBINED SINGLE LIMIT
lEa accident)
$ 1.000,000
BODILY INJURY (Per person)
X ; ANY AUTO
$
OWNED iI^, SCHEDULED
(AUTOS ONLY AUTOS
$
BODILY INJURY (Per accident)
'�
X IHIRED X NON -OWNED
AUTOS ONLY AUTOS ONLY
___
PROPEFTYDAMAGE—
$
$
A
X UMBRELLA LIAB X OCCUR
Y
Y
I1,050990
10/26/2018 10/25/2019
EACH OCCURRENCE
$1,000,000
_.
----.--- _...._.__.
AGGREGATE
EXCESS LIAR CLAIMS -MADE
$1,000,000
DED RETENTION $
$
B WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANYPROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
NIA
Y
4213286
10/26/2018 11/1/2019 X PTATl1T rH
E.L. EACH ACCIDENT
--
$ 1.000,0D0_
(Mandatory In NH)
E.L. DISEASE - EA EMPLOYEEI
$ 1,000,D00
It yes. describe under
DESCRIPTION OF OPERATIONS below
I
----__._—._----.._-----
E.L. DISEASE - POLICY LIMIT
—._-_- —_.._
1 $ 1,000,000
I I
I
I
i
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DESCRIPTION OF OPERATIONS! LOCATIONS ! 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
01988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
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