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HomeMy WebLinkAboutNOVOTNY ELECTRIC LLC - INSURANCE CERTIFICATE (3)NOVOT-1 ACORO CERTIFICATE OF LIABILITY INSURANCE DATE IMM/DD YVVVI 08/2912019 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 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 970-4$2-7747 CONTACT House Account Brown & Brown Inc PHONE 970�6Y_7747 FAx 970484-4165 4532 Boardwalk Dr, Suite 200 Arc, No, Ext : AIC, No): Fort Collins, CO 80525 E House Account I AFFORDIP4 COVERAGE NAICt WaMMnld Ineunnca rn nnnv 124112 PISUREo Novotny Electric LLC 6874 N Franklin St. Loveland, CO 80538-1179 rMICDAr--oc CrI2TIFIr:ATF NI IMRFR• 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. INSIR TYPE OF INSURANCE ADDL SU POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR CWP7961490 10/2312019 109312020 EACH OCCURRENCE 11000,000 AMAGE TO RENTED DPREMISES (Ea octarnince MED EXP (Any are recto $ 5p0,000 5,000 PERSONAL &ADV INJURY 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY Dja LOC OTHER GENERAL AGGREGATE 21000'000 PRODUCTS - COMPIOP AGG 2,000,000 9 A AUTOMOBILE LIABILITYCOMBINED X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUUTNOpSwNEp AUTOS ONLY AUTOS i? CWP7961490 10/23/2019 10/23/2020 SINGLE LIMIT $ 1,000,000 BODILY INJURY Per BODILY INJURY Per acddeM PROPERTY MAGE A UMBRELLA LIAS EXCESS LIAB OCCUR CWP7961490 10/23/2019 10/23/2020 EACH OCCURRENCE 1'000'000 AGGREGATE 1,000,000 DED I X I RETENTIONS 0 B WORKERS COMPENSATION AND EMPLOYERS' LU1BILITY AAQNNFY PROPRIETgO�RRIPARTNER/EXECUTNE YIN (MeFiMatory In NN)CLUDED? B yes, describe under IDE RIPTI N F OPERATIONS NIA 177813 10/01/2019 10/01/2020 X PERTUTE OTH- E.L. EACH ACCIDENT 500,000 S E.L. DISEASE - EA EMPLOYEE 500,000 $ POLICY MIT 500,000 DESCRIPTION OF OPERATIONS) LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached it more space Is required) FAX: 970-224-6134 CITYFC2 City of Fort Collins PO Box 580 Fort Collins, CO 80522 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 House Account ACORD 25 (2016/03) V 195i3-ZU15 AGUKU L:UKYUKA I IUN. Ali rlgnts reservea. The ACORD name and logo are registered marks of ACORD