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HomeMy WebLinkAboutEXCEL ELECTRIC INC - INSURANCE CERTIFICATEEXCEL-3 DATE(MM/DD/YYYY) 07/01 /2019 ACORO CERTIFICATE OF LIABILITY INSURANCE `...�' 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 endorsements . PRODUCER 720-963-4271 Brown & Brown of Colorado, Inc 2170 S. Parker Rd Ste 251 Denver, CO 80231 CONT ANTACT Shereeta Haralson PHONE 720-963-4271 FAX 720-962-5142 A/C, No, Ext): (A/C, No): E-MAIL s, sharalson@bbdenver.com Alex Frazier INSURERS AFFORDING COVERAGE NAIC # INSURER A: Westfield Ins. CO 124112 INSURED Excel Electric, Inc. INSURER B : Pinnacol Assurance Company 41190 Irene Heil P.O. Box 970 INSURER C INSURER D NiWot, CO 80544 INSURER E : INSURER F : r nVFRARFR r:FRTIFICATF NI IMRFR• RFVI.RION NI IMRFP- 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 POLICY NUMBER POLICY EFF POLICY EXP LIMBS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F OCCUR CWP4572910 07/01/2019 07/01I2020 EACH OCCURRENCE 1,000,000 DAMAGISEETOEoNce I 500,000TED MED EXP (Any oneperson) 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY � JECT �X LOC OTHER: GENERAL AGGREGATE 2,000,000 PRODUCTS - COMP/OP AGG 2,000,000 A AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS AURE o ED TOS ONLY AUR ONLY CWP4572910 07/01/2019 07/01/2020 COMBINED SINGLE LIMIT $ 1,000,000 BODILY INJURY Per person)$ BODILY INJURY Per accident PROPERTY AMAGE er. accident A X UMBRELLA LU18 EXCESS LIAB X OCCUR CLAIMS -MADE CWP4572910 07/01/2019 07/01/2020 EACH OCCURRENCE 2,000,000 AGGREGATE 2,000,000 DED I X I RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN N ANY PROPRIETOR/PARTNER/EXECUTIVE WFICER/MEMBER EXCLUDED? andatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 4070656 07/01/2019 07/01/2020 RT T OTH- X PT E.L. EACH ACCIDENT 1,000,000 E.L. DISEASE - EA EMPLOYEE 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 A Leased/Rented Equi CWP4572910 07/01/2019 07/01/2020 L/R Equip Ded _ 25,000 500 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) All policy terms, conditions and exclusions apply. rFRTIFIrATF Hit)] r1FR rANrFI I ATION ------- ------------- CITYFT2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins PO Box 580 281 N. College Avenue Fort Collins, CO 80521 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD