Loading...
HomeMy WebLinkAboutECKSTINE ELECTRIC CO - INSURANCE CERTIFICATEACCW?" CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 11I 06/21 /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 CONTACT Valerie Love, CIC, CISR NAME: Flood and Peterson PHONE (g70) 356-0123 FAX (970) 330-1867 /C No Ext : AlC, No (A/C. PO Box 578 E-MAIL VLove@FloodPeterson.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Travelers Indemnity Company 25658 Greeley CO 80632 INSURED INSURER B : Charter Oak Fire Insurance Company 25615 Eckstine Electric Co. INSURER C : Travelers Property Casualty Company of America 25674 13739 Cr 25 1/2 INSURER D : Pinnacol Assurance 41190 INSURER E : Platteville CO 80651 INSURER F : COVERAGES CERTIFICATE NUMBER: 2019-2020 Master 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 ADDLSUBR INSD WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR EACH OCCURRENCE $ 1,000,000 A PREMISES Ea occurrence $ 300,000 MED EXP (Anyone person) $ 10,000 PERSONAL &ADV INJURY $ 1,000,000 A 4TC01558X1951ND19 01/01/2019 01/01/2020 GEN'L AGGREGATE LIMIT APPLIES PER: X PRO POLICY ❑ LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS- 2,000,000 $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ X ANYAUTO B OWNED SCHEDULED AUTOS ONLY AUTOS 4T8101558X195TIL19 01/01/2019 01/01/2020 BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ Underinsured motorist $ 1,000,000 UMBRELLA LIAR OCCUR —... ". — V .1,. """' EACH OCCURRENCE 11,000,000 $ C EXCESS LIAB CLAIMS -MADE CUP-OK267096-19-2S 01/01/2019 01/01/2020 AGGREGATE $ 11,000,000 DED I X1 RETENTION $ 10,000 $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBEREXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A 4153710 07/01/2019 07/01/2020 X1 STATUTE ER 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 I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) CERTIFICATE 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 Building Inspection Department ACCORDANCE WITH THE POLICY PROVISIONS. P O Box 580 AUTHORIZED REPRESENTATIVE Fort Collins CO 80522-0000 / (/ter ,,�+X @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD