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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 � � 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 2 of 2 13248