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HomeMy WebLinkAbout409545 ENCORE ELECTRIC INC - INSURANCE CERTIFICATE (2)P5260028(K)2 ,d►CORiY' CERTIFICATE OF LIABILITY INSURANCE DATE 04/2 /201YYY) 4/252019 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 1-800-247-7756 Holmes Murphy 6 Assoc - WDM CONTACT NAME: _ PHONE FAX (A/�N1-_ E-MAIL ADDRESS: PO Box 9207 INSURERS AFFORDING COVERAGE NAIC # _ _ INSURERA:ZURICH AMER INS CO 16535 Des Moines, IA 50306-9207 INSURED Encore Electric, Inc. INSURERB: TRAVELERS CAS INS CO OF AMER 19046 INSURER C INSURERD: 7125 W. Jefferson Avenue, Suite 400 INSURER E : INSURERF: Lakewood, CO 80235 COVERAGES CFRTIFICATF NIIMRFR• 56036165 RFVIRIr1N 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. INSR LTR TYPE OF INSURANCE ADDL SUER POLICYNUMBER POLICY EFF MM/DD POLICY EXP MMIDD LIMITS A X COMMERCIAL GENERAL LIABILITY GLO1125116 05/01/19 05/01/20 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR DAMAG T R PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 10,000 PERSONAL BADV INJURY $ 1,000,000 GENI AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY a PRO- ['� LOC JECT PRODUCTS-COMP/OPAGG $ 2,000,000 $ OTHER: A AUTOMOBILE LIABILITY BAP1125117 05/01/19 65/01/20 COMBINED SINGLE LIMIT Ee accident $ 1,000,000 _ BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) E X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTYDAMAGE Per accident) $ $ B X UMBRELLA LIAB X OCCUR ZUP-16N39815-19-NF 01/01/19 01/01/20 EACH OCCURRENCE $ 15,000,000 AGGREGATE $ 15, 000, 000 EXCESS LIAR CLAIMS -MADE DED RETENTION $ 0 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBEREXCLUDED? NIA WC112115 05/01/19 �05/01/20 PER X1 STATUTE I I ERH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 i DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more apace Is required) RE: RFP 8667 Arch Flash Analysis. City of Fort Collins is an additional insured on general liability and automobile liability if required by written contract. If the liability policies are cancelled by the issuing companies, 30 days notice will be provided to the certificate holder. GtKIIYIGAIt MULUtK UANGtLLAIIUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. P.O. BOX 580 AUTHORIZED REPRESENTATIVE Fort Collins, , CO 80522R1 USA C 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD chellmanwdsm 56036165 0000 r� 0 z W P5260028002 0 Additional Insured — Automatic — Owners, Lessees Or Z U RI C H Contractors Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. AddT Prem Return Prem. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured: Address (including ZIP Code): This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part A. Section II — Who Is An Insured is amended to include as an additional insured any person or organization whom you are required to add as an additional insured on this policy under a written contract or written agreement executed by you but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" if: 1. The written contract or written agreement specifically requires that you provide that the person or organization be named as an additional insured under the Insurance Services Office (ISO) ISO CG20 10 10/01 edition or the ISO CG20 37 10/01 edition, then such party is an additional insured only to the extent that "bodily injury" "property damage" or "personal and advertising injury" arises out of your ongoing operations or "your work', which is the subject of the written contract or written agreement; or 2. Except at provided in 1. above, if the written contract or written agreement require that you provide that the person or organization be named as an additional insured such party is an additional insured only to the extent that "bodily injury" "property damage" or "personal and advertising injury" is caused, in whole or in part by, a. Your acts or omissions; or b. The acts or omissions of those acting on your behalf, in the performance of your ongoing operations or "your work' which is the subject of the written contract or written agreement; However, the insurance afforded to such additional insured: 1. Only applies to the extent permitted by law 2. Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured; 3. Only applies if the "bodily injury", "property damage" or "personal and advertising injury" occur subsequent to your execution of the written contract or written agreement; and 4. Does not apply to "bodily injury" or "property damage" caused by "your work' and included within the "products - completed operations hazard" unless the written contract or written agreement specifically requires that you provide such coverage. If the minimum time period for providing such coverage in the written contract or written U-GL-1114 A CW 1002 Page 1 of 3 Includes copyrighted material of Insurance Services Office, Inc., with its permission.