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Home My WebLink AboutBENCHMARK ELECTRICAL SOLUTIONS INC - INSURANCE CERTIFICATE (4),a o CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 6/28/2019 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 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 Flood and Peterson PO Box 578 Greeley CO 80632 NAME: Dana Stewart, CISR, CIC PHO N (970) 266-7149 AC NO: (970)506-6845 E-MAIL Dstewart@floodpeterson.com ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: National Union Fire Company of Pittsbul 19445 INSURED Benchmark Electrical Solutions, Inc. 621 Gyrfalcon Court, Unit A Windsor CO 80550 INSURER B: Chaucer -China Reinsurance(Group) Co N/A INSURER C:Navigators Insurance Company 42307 INSURER D INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: GL/AU/WC/ 4XS x'//ZU2U 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 LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER EFF MM/ DPOLICY/YYYY Y EXP MM/ D/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 A CLAIMS -MADE ❑X OCCUR A AGE TO RNTED PRE" SES (E.Eocc.".nce)$ 100,000 MED EXP(Any one person) $ 10,000 GL4786811 7/1/2019 7/1/2020 PERSONAL & ADV INJURY $ 2,000,000 B B1333ECB197633-04 7/1/2019 7/1/2020 LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY� JEI° LOC POTHER: PRODUCTS-COMP/OPAGG $ 2,000,000 $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident $ 2,000,000 X BODILY INJURY (Per person) $ A ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS CA 7742324 7/1/2019 7/1/2020 BODILY INJURY (Per accident) $ B X NON-OWNEDB1333ECB197633-04 HIREDAUTOSAUTOS N 7/1/2019 PROPERTYDAMAGE Per accident $ X UMBRELLA LAB X OCCUR EACH OCCURRENCE $ 4,000,000 X AGGREGATE $ 4,000,000 B EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ H019EXCZ027L6IC 6/1/2019 7/1/2020 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN X I PER OTH- STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE EACH ACCIDENT $ 2,000,000 A R/ OFFICEMEMBER EXCLUDED? El (Mandatory In NH) N/A N I A WC 11326534 7/1/2019 7/1/2020 E.L. DISEASE - EA EMPLOYEE $ 2,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below B1333ECB197633-04 7/1/2019 E.L. DISEASE - POLICY LIMIT $ 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION City of Fort Collins, CO P.O. Box 580 Fort Collins, CO 80522-0000 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 REPRESENTATIVE D Stewart, CIC, CISR/ K_-" a V 19tit$-ZU14 AGUKU GUKI'UKAI IUN. All rlgnts re ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401)