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HomeMy WebLinkAboutENERGY SERVICES OF COLORADO INC - INSURANCE CERTIFICATEACORO� ��. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 03/11/2019 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 Brianne Danielson, CISR NAME: Flood and Peterson PHONE (g70) 266-7118 FA% (970) 506-6846 A/C No Ext : FAXNo): Corporate Mailing Address: E-MAIL BDanielson@FloodPeterson.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC 8 P.O. Box 578 INSURERA: Union Insurance Company 25844 Greeley CO 80632 INSURED INSURER B : Pinnacol Assurance 41190 INSURER C : Energy Services of Colorado, Inc. INSURER D : dba ESCO INSURER E : 960 W. 124th Avenue, Suite 900 INSURER F : Westminster CO 80234 COVERAGES CERTIFICATE NUMBER: CL1931128054 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 CONTRACTOR 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 AIJIULbUdil INSD WVD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MM/DDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE FX1 OCCUR DAMAGE TO RENTED PREMISES Ea occurrence 300,000 $ X MED EXP (Any one person) $ 10,000 $500 Deductible - Property Damage PERSONAL & ADV INJURY $ 1,000,000 A Y CPA316081422 03/15/2019 03/15/2020 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRO- POLICY PRO ❑ LOC JECT PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ ANYAUTO A OWNED SCHEDULED AUTOS ONLY AUTOS Y CPA316081422 03/15/2019 03/15/2020 BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ HIRED HNON-OWNED AUTOS ONLY AUTOS ONLY Medical Payments $ 5,000 X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 6,000,000 AGGREGATE $ 6,000,000 A EXCESS LIAR CLAIMS -MADE CPA316081422 03/15/2019 03/15/2020 DED I X1 RETENTION $ 0 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE � OFFICERIMEMBER EXCLUDED. (Mandatory in NH) N/A 4079460 04/01/2019 04/01/2020 X PR SEATUTE EORH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 A Leased / Rented Equipment CPA316081422 03l15/2019 03/15/2020 Limit $250,000 Deductible $1,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Certificate holder is included as Additional Insured as required by written contract with respects to liability arising out of work performed by the named insured. ULK I IFIGAI t HULUCK City of Fort Collins - Purchasing Department 215 N. Mason, 2nd Floor P.O. Box 580 Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. I AUTHORIZED REPRESENTATIVE CO 80522 Vita, lat anie&o u. @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD