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HomeMy WebLinkAboutDEPAUL ELECTRIC INC - INSURANCE CERTIFICATE (2)AC"R" CERTIFICATE OF LIABILITY INSURANCE �/ DA7E(MM/DD/YYYY) 07/09/2019 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 NAME: ONTACT Jessica Honeycutt FAX PHC.ONNo,E (719) 32%4441 (An No): (719) 457-5923 Southern Colorado Insurance Center ADDRESS: jessica@scicteam.com 4390 N Academy Blvd INSURER(S) AFFORDING COVERAGE NAIC 0 Colorado Springs, CO 80918 INSURER A : Ohio Security Insurance Company INSURED INSURER a: Plnnacol Assurance INSURERC: DePaul Electric, Inc INSURER D : 7889 Kettle Drum INSURER E : INSURERF: Colorado Springs CO 80922 COVERAGES CERTIFICATE NUMBER: 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 POLICY NUMBER POLICY EFF MNUDDI EXP LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE © OCCUR Y Y BKS55625449 10/01/2018 10/01/2019 EACH OCCURRENCE $ 1,000,000 PREMISES Ea occurrence $ 300,000 MED EXP (Any one person) $ 15,000 PERSONAL aADvINJURY $ 1,000.000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO LOC PRODUCTS-COMP/OP AGO $ 2,000,000 $ A AUTOMOBILE X LIABILITY ANY ADO ALLOWNED AAUTOOSULED NON•OWNED HIRED AUTOS AUTOS BAS55625449 05/18/2019 05/18/2020 M N N Ea accident 500,000 BODILY INJURY (Par person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Par actxlent $ S UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMSMADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION$ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY N ANY PROPRIETOR/PARTNERJEXEC' YIN OFFICERIMEMBEREXCLUDED? (Mandatory In NH) If es. descrtbe under DESCRIPTION OF OPERATIONS below NIA Y 4184759 08/01/2019 08/01/2020 I WC STATU- OTH- E.L. EACH ACCIDENT $ 500,000 E.L DISEASE - EA EMPLOYEd $ 500,000 E.L. DISEASE -POLICY LIMIT 1 $ 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101. Additional Remarks Schedule, if more apace is required) lq4 ill r PlG\a y.PJ al Wl*1 9LlLLR4�1.T1\al SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 AUTHORIZED REPRESENTATIVE Fort Collins CO 80522 ACORD 25 (2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD