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