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