HomeMy WebLinkAboutADVANCED ELECTRICAL SERVICES - INSURANCE CERTIFICATEAcblzbr CERTIFICATE OF LIABILITY INSURANCE
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07292019
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 policyties) 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
FEDERATED MUTUAL INSURANCE COMPANY
HOME OFFICE: P.O. BOX 328
CONTACT
N ME: CLIENT
IAICNNo E : 888-333-4949 AIC Rod): 507-4464664
E-MAIL CLIENTCONTACTCENTER FEDINS.COM
ONYATONNA, MN 55060
IRSURER(S) AFFORDING COVERAGE
NAIL R
INSURER A: FEDERATED MUTUAL INSURANCE COMPANY
13935
INSURED 256.137-1
INSURER B:
ADVANCED ELECTRICAL SERVICES
INSURER C:
345 W 12TH ST
LOVELAND, CO 80537.4645
INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 5 REVISION NUMBER: 0
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
T
TYPE OF INSURANCE
L
INSR
SUER
WD
POLICY NUMBER
POLICY EFF
MMIDDIYYYY
POLICY EXP
MMIO IYYVY
LIMITS
A
COMMERCIAL GENERAL UARIU7Y
CLAIMS -MADE X OCCUR
BUSINESS OWNER'S LIABILITY
N
N
916DO53
09/03/2019
09/03/2020
EACH OCCURRENCE
$1,000,000
X
DAMAGE TO RENTED
P MI rren
f1O01X10
MED EXP (My one Person)
X
PERSONALA ADV INJURY
$1,000,000
L AOGR GATE UNIT APPLIES PER:
PGLICY LJECT ❑LOD
OTHER:
GENERAL AGGREGATE
t2,000,000
PRODUCTS- COMPIOP AGO
S2,000,0010
AUTOMOBILE
LIABILITY
ANY AUTO
OWNED AUTOS ONLY SCHEDULED ALTOS
NOWONNED HIRED AUTOS ONLY ALTOS ONLY
COMBINED SINGLE UMIT
BODILY INJURY (Per penal)
BODILY INJURY IPdr asGiNnq
PROPERTY DAMAGE ree
do
UMBRELLA LIAR
EXCESS LIAR
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
AGGREGATE
DED I RETENTION
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNER/EXEWTVE
OFFICERIMEMBER EXCLODE07
(Mandatory in NMI
I, Yea, describe under
DESCRIPTION OF OPERATIONS bNoW
N I A
T
PER STATUTE
E.L EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE
E.L DISEASE •POLICY LIMIT
DESCRIPTION Of OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Addlddeal Remarks Shcedule, msy be sileNed it more space is required)
CFRTIFICATF HOLDFR CANCELLATION
256-137-1
so
CITY OF FORT COLLINS
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
PO BOX 580
THE EXPIRATION DATE THEREOF, NOTICE
WILL BE DELIVERED IN
FORT COLLINS, CO 80522-05BO
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
/ ' •
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441
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