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HomeMy WebLinkAboutBERGELECTRIC CORP - INSURANCE CERTIFICATE (2)AcoRn CERTIFICATE OF LIABILITY INSURANCE 16*_ % 7/I/2020 FDATE(MM/DDNYYY) 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 NAME: PHONE FAX /C No No Ext : A/C, 777 S. Figueroa Street, 52nd FI. CA License #OF15767 Los Angeles CA 90017 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # (213) 689-0065 INSURER A: Zurich American Insurance Cornpany ) 6535 INSURED BergelectnC Corp. INSURER B : National Fire and Marine Insurance Co 20079 1376305 3182 Lionshead Ave Carlsbad CA 92010 INSURER C INSURER D : INSURER E NSURERF: COVERAGES BEREL01 CERTIFICATE NUMBER: 14024332 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 ADS L SUBR POLICY NUMBER POLICY EFF POLICY EXPLTR LIMBS A X COMMERCIAL GENERAL LIABILITY Y Y GLO 1848840-00 7/l/2019 7/1/2020 EACH OCCURRENCE 2,000,000 CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence 300,000 MED EXP (Any oneperson) 10,000 PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JE � LOC GENERAL AGGREGATE $ 4,000,000 PRODUCTS - COMP/OP AGG s 4,000,000 $ OTHER: A AUTOMOBILE LIABILITY Y Y BAP 1848939-00 7/1,2019 7/1/2020 EO aBII tlEeDISINGLE LIMIT $ 2,000,000 X BODILY INJURY (Per person) $ XXXXXXX ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident $ Y{}�XX'X}{X' PROPERTY DAMAGE Per accident $XXXXXXX HIRED NON -OWNED AUTOS ONLY AUTOS ONLY $XXXXXXX B UMBRELLA LIAB NOCCUR Y Y 42-XSF-308092-01 7/1/2019 7/1/2020 EACH OCCURRENCE $ 5,000,000 X AGGREGATE $ 5,000,000 EXCESS LIAB CLAIMS -MADE DIED I I RETENTION $ $ XXXXXXX A WORKERS COMPENSATION AND EMPLOYERS* LABILIITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? FNI (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A Y WC 1843897-00 7/1/2019 7/1/2020 X I STATUTE OER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE 1,000,000 E.L. DISEASE - POLICY LIMIT 1 ,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / 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) 1S 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. RE: Additional Iruured(s): City of Fat Collins, as per the attached endorsement or policy language. CERTIFICATE HOLDER CANCELLATION 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. 14024332 AUTHORIZED REPRESENTATIVE City of Fort Collins 281 North College Avenue PO Box 580 Fort Collins CO 80522-0580 ACORD 25 (2016/031 ©1 9t8-201_4-AC0kD C RPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD