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HomeMy WebLinkAboutDME ELECTRIC LLC - INSURANCE CERTIFICATE (2)ACORD® DATE (MM/DD�VVYY) CERTIFICATE OF LIABILITY INSURANCE 1/24/2019 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 Commercial Risk Solutions NAME: Shana TamayG_FAX _ 6600 E. Hampden Ave., Ste. 200 CXC.PHONNo.E Ext)& 303-996-7842 WC No:303-757-7719 Denver CO E-MAIL Stamavo*crsdenver.com INSURED DME Electric, LLC 2635 W. 8th Ave. Denver CO 80204 INSURER(S) AFFORDING COVERAGE NAIC # INSURERA Pinnacol Assurance 41190 DMEEL-1 INSURER B: Westfield Insurance 24112 INSURER C : INSURER D INSURER E COVERAGES CERTIFICATE NIIMRFR- 17842A2811 RFVISIAN NIIMRFR- 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. INSR1_____ AbbLSUBM-j' .....-...._.— .POLICY EFF ' POUCY EXP LTR TYPE OF INSURANCE POLICY NUMBER MMIDO/YYYY MM LIMITS B X COMMERCIAL GENERAL LIABILITY 60472202 2/1/2019 211r202O EACH OCCURRENCE $1,000.000 CLAIMS -MADE X _, OCCUR R -DAWOET( E$ r gn .@ YRENTED I 00,000 MED EXP (Aqyone person) $ 5,000 PERSONAL 8 ADV INJURY_ i $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s2,000,000 POLICY X. JE LOC _.... :_. —---- PRODUCTS - COMP/OP AGG I 1 $ 2,000,000 _- t$ OTHER: S AUTOMOBILE LIABILITY X ANY AUTO 60472202 2/1/2019 2/1/2020 COMBINED SINGLE LIMIT $1.000,000 BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS X AUTOHIRID NON-OWNS ONLY X AUTOS ONEDY BODILY INJURY (Per accident) �AMA'GE— - $ —� --- B UMBRELLA LIAB X I OCCUR 60472202 2/1/2019 2/1/2020 EACH OCCURRENCE $ 5,000,000 X EXCESS LIAR CLAIMS -MADE j AGGREGATE $ 5,000,000 DED i X RETENTION $ n$ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y f N ANYPROPRIETOR/PARTNENEXECUTIVE OFFICER'MEMBEREXCLUDED? NIA 4189181 2/1/2019 2/1/2020 ' PER TH- _ STAT41T�- ER E.L. EACH ACCIDENT - ---� -- I _ $ 500,000 —' $ 500 000 (Mandatory in NH) E.L. DISEASE • EA EMPLOYEE If es, describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE . POLICY LIMIT _ _.- $ 500,000 B Equipment Floater 1 60472202 2/1 /2019 2/1/2020 LLs d/Rent Equip 000 I 500 DESCRIPTION OF OPERATIONS I LOCATIONS i VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) All policy terms, conditions and exclusions apply. CITY OF FORT COLLINS 300 LAPORTE AVE Fort Collins CO 80521 CANCELLA 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 REP RESENT/jTIVE /_zp� ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 2of2 122