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HomeMy WebLinkAboutTEAM ELECTRIC - INSURANCE CERTIFICATEi 1 ® ACORL CERTIFICATE OF LIABILITY INSURANCE ATE (MM/DD/YYYY) P02/26/2019 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 Advantage 1 Insurance CONTNAME: Teresa Campa PHOIAIC.NE . (720)370-2833 a No: 720-370-2866 ADDRESS: 90 W. 84th Ave. _____teresa@advantageoneins.com INSURERS AFFORDING COVERAGE NAIC # Denver, CO 80260 INSURER A: Midwest Family Mutual 23574 INSURED INSURER B : INSURER C : TEAM ELECTRIC INSURER D: 1158 S LIPAN ST INSURER E: DENVER, CO 80223 INSURER F : COVERAGES CERTIFICATE NUMBER: 00000000-4865468 REVISION NUMBER: 8 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 SUBR POLICY NUMBER MM/DDY EFF EXP MM/DD LIMITS A X COMMERCIAL GENERAL LIABILITY N N ACCO0560105445 03/01/2019 03/01/2020 EACH OCCURRENCE Is 1,000,000 CLAIMS -MADE 5XI OCCUR DAMAGE TO RENTED -PREMISES (Ea occur ante) $ 50 000 MED EXP (Any one person) $ 5 000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 210002000 POLICY ] JEa LOC PRODUCTS - COMP/OP AGG $ 2 OOO OOO $ OTHER: A AUTOMOBILE LIABILITY N N CAC00560105446 03/01/2019 03/01/2020FEdCOMBINEDsINGLELIMIT$ 1 000 000 URY (Per person) $ ANY AUTO OWNED SCHEDULED XAUTOS ONLY X AUTOS HIRED NON -OWNED XAUTOS ONLY X AUTOS ONLY $ URY(Per accident) DAMAGE t $ A X UMBRELLA LIAB OCCUR N N CUC00560105448 03/01/2019 03/01/2020 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE PER STATUTE ERH E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ NIA (Mandatory in NH) E.L. DISEASE EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below A RENTED/LEASED EQUIPM ACCO0560105445 I 03/01/2019 03/01/2020 50,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CFRTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CITY OF FORT COLLINS ACCORDANCE WITH THE POLICY PROVISIONS. PO BOX 580 AUTHORIZED REPRESENTATIVE FORT COLLINS, CO 80522 I 54M,64) TMC © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Printed by TMC on February 26, 2019 at 03:23PM