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HomeMy WebLinkAboutPROSYSTEMS PROFESSIONAL ELECTRICAL SYSTEMS INC - INSURANCE CERTIFICATEPROSY-1 DATE(MM/DD/YYYY) 05/20/2019 ,d►coRO CERTIFICATE OF LIABILITY INSURANCE l6k� 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 endorsements . PRODUCER 303-691-9100 CONTNAMACT Manor Insurance Agency, Inc 1325 S Colorado Blvd Ste 210 PHONE 303-691-9100 FAX 303-691-2565 A/C, No, Ext : (A/C, No): E-MAIL Denver, CO 80222 INSURERS AFFORDING COVERAGE NAIC # INSURERA:Owners Insurance Company 32700 INSURED INSURERB:Auto-Owners Insurance Company 18988 Prosystems Professional Electrical Systems Inc 20100 E.32nd Parkway Unit 120 Aurora, CO 80011-8184 INSURER C : Pinnacol Assurance 41190 INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 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 TYPE OF INSURANCE ADDL SUB POLICY NUMBER POLICY EFF mminnn POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR X 74026717 06/03/2019 06/03/2020 EACH OCCURRENCE $ 1,000,000 O RENTED PRDAMAGE EMISES REM SEa occurrence) $ 300,000 MED EXP (Any oneperson) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY �X JE � LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED X AUTOS ONLY AUTOS AUTOS ONLY X AUUTOS ONLY 4699482404 06/03/2019 06/03/2019 06/03/2020 CMINED Ea accdentSINGLE LIMIT $ 1,000,000 X BODILY INJURY Perperson) $ X BODILY INJURY Per accident X perr. ,tlentDAMAGE $ B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 4699482402 06/03/2020 EACH OCCURRENCE $ 3,000,000 AGGREGATE $ 3,000,000 DED I X I RETENTION $ 10000 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITYYIN ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIP . !ON CF OPERATIONS below N/A 4210337 06/01/2019 06/01/2020 X PER OTH- STATUTE R E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYE 1,000,000 $ $ 1,000,000 E.L. DISEASE -POLICY LIMIT A Rental Equipment 74026717 06/03/2019 06/03/2020 Equipment Ded 25,000 1,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Fort Collins is hereby added as a additional insured with respects to the general liability policy. CITYFOR City of Fort Collins PO 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 REPRESENNTATIVE ACORD 25 (2016103) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD