HomeMy WebLinkAboutEMF ELECTRICAL CORPORATION - INSURANCE CERTIFICATED/YYYY)D
CERTIFICATE OF LIABILITY INSURANCE DATE (MMi
3/26/2019
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
NAME: Scott Anderson, CIC
Commercial Risk Solutions PHONE Fac No
AX
6600 E Hampden Ave Ste 200 - 303-996-7833 :303-757-7719
AIL
Denver CO ADDRESS: sanderson@crsdenver.com
INSURED EMFEL.2
EMF Electrical Corporation
7240 Weld County Rd #1
Longmont CO 80504
E:
INSURERS AFFORDING COVERAGE NAIC #
Continental Western Ins Co. 10804
Pinnacol Assurance _ 41190
nnVFRAnFR CFRTIFICATF NIIMRER-7n9AQ?53d7 REVISION NUMBER:
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-T— "- - T1jbA[ j RT - POLICY EPF POLICY FDIP
LTR . TYPE OF INSURANCE
POLICY NUMBER / D/YY LIMITS
A
X COMMERCIAL GENERAL LIABILITY
CPA3116395
1/1/2019
1/1/2020 , EACH OCCURRENCE
_ .-X '
I CLAIMS -MADE j OCCUR
,$1,000,000
i�AuTi-AC�`P'bT1EivTED_.
PR�MISE�_(Fa oequLgg e]
--
-- _-----
$ 300,000
IVIED EXP J"
$10,000
I
PERSONAL & ADV INJURY
$1,000.000
AGGREGATE LIMIT APPLIES
GENERAL AGGREGATE
$2,000,000
_'
POLICY JED 71 LOC
I PRODUCTS - COMP/OP AGG
$ 2,000,000
OTHER:
$
A
AUTOMOBILE LIABILITY
CPA3116395 1/1/2019
1/1/2020
COMBINED SINGLE LIMIT
iSa Cobol nt
$1,000.000
BODILY INJURY (Per person)
X ANY AUTO
$
OWNED SCHEDULED
AUTOS ONLY AUTOS
I
$
... .._.
BODILY INJURY (Per accident)!
X HIRED I Xv-1 NON -OWNED
PROPERTY DAMAGE
$
AUTOS ONLY AUTOS ONLY
A
X UMBRELLA UAB X
OCCUR
CPA3116395
1/l/2019
1/1/2020 ) EACH OCCURRENCE
$5,000,000
EXCESS UAB
CLAIMS -MADE
AGGREGATE
$ B4O00,ODO
DED I X LRETENTION
$
g WORKERS COMPENSATION
4027546
4/1/2019
4/1/2020 X STATUTE ER
AND EMPLOYERS' LIABILITY
ANYPROPRIETORMARTNER/EXECUTIVE Y N
I
I
__
E.L. EACH ACCIDENT
i$ 1,000,000
OFFICER/MEMBER EXCLUDED? N / A
--'--
(Mandatory In NH)
i
DISEASE - EA EMPLOY
$1'000,000
If yes. describe under
DESCRIPTION OF OPERATIONS below
��E-L ..
E.L. DISEASE - POLICY LIMIT
1 $ 1,000,000
A Inland Marine
CPA3116395 1/l/2019 1/1/2020 Rented/Leased Eq 1 100.000
Deductible 500
DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
All policy terms, conditions and exclusions apply.
rl=RTIFICATF Hnl nBR CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City of Fort Collins
281 N. College
Fort Collins CO 80521
AUTHORIZED REPRESENTATIVE
9 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
2 of 2 8718