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HomeMy WebLinkAboutREGENCY ELECTRIC INC - INSURANCE CERTIFICATE (2)ACORIPY CERTIFICATE OF LIABILITY INSURANCE DATE (MI.UDDI , L18/16M19 1 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 polity, certain polities may require an endorsement. A statement on this certificate does not confer rI Ms to the certificate holder In lieu of such endorsements . PRODUCER FEDERATED MUTUAL INSURANCE COMPANY HOME OFFICE: P.O. BOX 328 NAME: CTCLIENT CONTACTCENTER PHONE JAI,, .. EXI : 888-333-4949 F� No): 507-4464664 AIL ADDRESS: CLIENTCONTACTCENTER FEDINS.COM OWATONNA, MN 55060 INSURER(S) AFFORDING COVERAGE HAIC R INSURER A: FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 258-838-6 INSURER W. REGENCY ELECTRIC INC INSURER C: 4725 S SANTA FE CIR INSURER D: ENGLEWOOD, CO 80110-6471 INSURER E: INSURER F: CERTIFICATE NUMBER: 40 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. INSRI TYPE OC INSUPANCE T ADOL IN R SUBR POLICY NUMBER POLICY EFF MMI YYYV POLICY EXP MM( IYYW LIMITS A X COMMERCIAL GENERAL LIABILITY CLAWS -MADE a OCCUR N N 9290882 10/01/2019 10/01/2D20 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED $100,000 MED EXP (Any. Pen.) EXCLUDED X PERSONAL& ADV INJURY $1,000,000 N'L AOONEGA E LIMIT APPLIES PER: POLICY PEST _ LOC OTHER: GENERAL AOOREOATE $2,000,000 PRODUCTS -COMP/OP AGO $2,000,000 A AUTOMOBILE X LIABILITY ANY AUTO OWNED AUTOS ONLY SCHEDULED AUTOS HIRED AUTOS ONLY AUTOS NED AUTOS ONLY N N 9290882 10/01/2019 10/01/2020 COMBINED it, dddSINGLE LIMIT $1,000,000 BODLY INJURY (Per penenl BODILY INJURY(Par aoddsn4 PROPERTY DAMAGE Per xd den A X I UMBRELLA LIAR EXCESS LIAR X OCCUR CLNMS-M(10H N N 9290883 10/01/2019 1oro1M2020 EACH OCCURRENCE $5,DOO,000 AGGREGATE $5,000,000 DED RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILRY MIA ANY PROPRIETORMARTNERIEXECUTIVE A OFFICERIMEMBER EXCLUDED' u (Mandatory in NHL 11 yes, de'cnae under DESCRIPTION OF OPERATIONS Below NIA N 9820444 10/01/2019 10/01/2020 X PER STATUTE OETV- R ER E.L. EACH ACCIDENT $1,000,000 E.L. OIBEABE - EA EMPLOYEE $1,0D0,0OD El DISEASE - POLICY LIMIT f1,00D,DDD DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AGORD 101. AMIn..l Relnarte STlledule, may M a11mNed it more'P. is required) 258.83" CITY OF FORT COLLINS PO BOX 580 FORT COLLINS. CO SOM-0590 400 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 /11G / vV� O ISM-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (20181W) The ACORD name and IND are registered marks of ACORD