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HomeMy WebLinkAboutBERGELECTRIC CORP - INSURANCE CERTIFICATEAICOR©CERTIFICATE OF LIABILITY INSURANCE 111 7/1/2020 F DATE(MMIODNYYY) 1 6/26/2019 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 Lockton Insurance Brokers, LLC 777 S. Figueroa Street, 52nd FI. CA License #OF15767 Los Angeles CA 90017 (213) 689-0065 NAME: PHONEFAX Arc No EXt : A No E-MAIL ADDRESS: INSURE AFFORDING COVERA E NAIC INSURER A: Zurich American Insurance Company 16535 INSURED BergelectnC Corp. 1376305 3182 Lionshead Ave Carlsbad CA 92010 INSURER B : National Fire and Marine Insurancc Co 20079 INSURER C INSURER D: INSURER E : INSURER F: COVERAGES BERELOI CERTIFICATE NUMBER: 12996890 REVISION NUMBER: XXXXXXX 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 SUBR WVD POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR Y Y GLO 1848840-00 7/1/2019 7/1/2020 EACH OCCURRENCE $2,000,000 DAMAGE TO RENTED PREMISES Ea occurrence 300OOO MED EXP (Any oneperson) 10,000 PERSONAL 8 ADV INJURY $ 2,000,000 GEN, AGGREGATE LIMIT APPLIES PER: POLICY JECOT LOC OTHER: GENERAL AGGREGATE $ 4,000,000 PRODUCTS - COMP/OP AGG s 4,000,000 $ A AUTOMOBILE LIABILITY X ANY AUTO AUTOS ONLY SCHEDULED AUTOS ONLY AUUTO ONL� Y Y BAP 1848839-00 7/1 /2019 7/1/2020 EO B'INEDtSINGLE LIMIT $ 2,000,000 BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY (Per accident $ xxx �XXX PROPER DAMAGE $ XXX3�xXX $XXXXXXX B UMBRELLALIAB EXCESS LIAB NOCCUR CLAIMS -MADE Y Y 42-XSF-308092-01 7/I/2019 7/1/2020 EACH OCCURRENCE $ 5,000000 X AGGREGATE $ 5,000,000 DED I I RETENTION $ $ XXXXXXX '4 WORKERS AND EMPLO ERS'NIABILITY YIN OFFICER/MEMB R EXCLUDED? ANYPROPRIETOR/PARTNER/EXECUTIVE (Mandatary in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA Y WC 1843897-00 7/1/2019 7/1/2020 X STATUTE CER E.L. EACH ACCIDENT 7 $ 1 ,000,000 E.L. DISEASE -EA EMPLOYEE 1,000,000 E.L. DISEASE - POLICY LIMIT S 1,000,000 DESCRIPTION OF OPERATIONS r LOCATIONS r VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER(S) IS ADDITIONAL INSURED(S) AS PER THE ATTACHED ENDORSEMENT OR POLICY LANGUAGE. INSURANCE PROVIDED TO ADDITIONAL INSURED(S) IS PRIMARY AND NON-CONTRIBUTORY AS PER THE ATTACHED ENDORSEMENTS OR POLICY LANGUAGE. WAIVER OF SUBROGATION APPLIES AS PER THE ATTACHED ENDORSEMENTS OR POLICY LANGUAGE. WRAP UP EXCLUSIONS APPLY TO ALL PROJECTS INSURED IN ANY OCIP, CCIP OR SIMILAR INSURANCE PROGRAM. Certificate Holder is named as additional insured. *10 Day noitce for non payment of premium, GtK l It-IL:AI t HULUtK GANGtLLAI IUN See Attachments SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 12996890 AUTHORIZED REPRESENTATIVE City of Fort Collins 281 N. College Ave Fort Collins CO 80522-0580 ACORD 25 (2016/03) @19t8-20164COIRD C RPORATION. All riahts reserved The ACORD name and logo are registered marks of ACORD