HomeMy WebLinkAboutADVANCED ELECTRICAL SERVICES - INSURANCE CERTIFICATE (2)ACORO®
llaaaa_�_ CERTIFICATE OF LIABILITY INSURANCE
DATE IMMN[NYYWI
0729M19
I
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: H 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 corder rights to the certificate holder in lieu of such endorsements .
PRODUCER
FEDERATED MUTUAL INSURANCE COMPANY
HOME OFFICE: P.O. BOX 328
2ONMIA: CTCLIENT CONTACTCENTER
PHONE
IA11, . E.: 888-3334949 Fq,c Nei, 507-446-0664
ADDRESS: CLIENTCONTACTCENTER FEDINS.COM
OWATONNA, MN 55060
INSURERISI AFFORDING COVERAGE
NAIL #
INSURER A: FEDERATED MUTUAL INSURANCE COMPANY
13935
INSURED 255-137-1
INSURER 9:
ADVANCED ELECTRICAL SERVICES
INSURER C:
345 W 12TH ST
INSURER D:
LOVELAND, CO W5374645
INSURER E:
INSURER F:
E NUMBER: 6
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
NDDL
bUBR
POLICY NUMBER
EFF
VVYY'
POLICY EKP
M IDOIVYW
LIMITS
A
COMMERCIAL OENERAL LIABILITY
CLAIMS -MADE ❑X OCCUR
BUSINESS DYMER'3 LIABILITY
N
N
9160853
r09103/2019
09/03/2020
EACH OCCURRENCE
$1,000,000
DDAMAI E TO RENTED
$100,000
X
MED EXP (Any way Penn)
X
PERSONALS ADV INJURY
$1,000,000
L AGGREGATE UNIT APPLIES PER:
POLICY 1:1MC- LOC
OTHER:
GENERAL AGGREGATE
$2,000,000
PRODUCTS - COMPIOP AGO
$2,000,000
AUTOMOBILE
LIABILITY
ANY AUTO
OWNED AUTOS ONLY SCHEDULED
AUTOS
HIRED AUTOS ONLY AUTOS N ONLLY W
AUTOS
COMBINED
aeeld n SINGLE UNIT`a
BODILY INJURY IPer par l
BODILY INJURY OP. cid.n4
PROPERTY DAMAGE
UMBRELLA LIAR
EXCESS LIAR
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
AGGREGATE
LIED I I RETENTION
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNERIEXECUTIVE
OFFICERIMEMBER EXCLUDED'
(Mald.WrY I. NHI
N yn, eeai, eM under
DESCRIPTION OF OPERATIONS MlolP
N I A
PER STATUTE OTH
ER
E.L EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE
EL DISEASE -POLICY LIMIT
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IACORD 1e1. Addlhonal Remarks Sc duie, may he elRaed 11 more spelt Is required)
256-137-1
CITY OF FORT COLLINS
PO BOX 580
FORT COLONS, CO 80522-0580
60
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE 1G
4,1
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