Loading...
HomeMy WebLinkAbout325120 PRECISION SERVICE ELECTRIC INC - INSURANCE CERTIFICATE (3)PRECI-3 DATE (MMIDDIYYYY) 08/29/2019 ,4COR0 CERTIFICATE OF LIABILITY INSURANCE 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 303-962-0811 CONTACT Freeman Insurance West 12600 W. Colfax Ave. Ste A-260 Lakewood, CO 80215 PHONE 303-962-0811 FAX 303-962-0817 .vc, No, Ext : AA:, No): MSS, mikes@ reemaninswestcom Susan V. Freeman Fischer, CIC IN URER S AFFORDING COVERAGE NAIC p INSURER A: Auto -Owners Insurance Co. 18988 INSURED Precision Service Electric Inc INSURER B : Lloyd's of London PO BOX 1866 Loveland, CO 80539 INSURER C : INSURER D INSURER E : INSURER F : rnlr�o Ar•rc CERT!F!CATE NI IMRr=G• RFVICIr1N NI IMRFR- 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 TYPE OF INSURANCE AD IMSn SUBWVff POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE LK OCCUR X 71494998 09/01/2019 09/01/2020 EACH OCCURRENCE 1,000,000 DAMAGE TO RENTED 1 r000�000 MED EXP (Any oneperson) 10,000 PERSONAL B ADV INJURY 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: POLICY � JECT LOC OTHER_ GENERAL AGGREGATE 21000,000 PRODUCTS - COMPIOP AGG 2,000,000 A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTNOpS Ep A!J`TOS ONLY AUTOS ONLY 52-488176-00 09/01/2019 09101 /2020 COMBINED SINGLE LIMIT ire am dentiX $ 1,000,000 BODILY INJURY fPerperson) $ BODILY INJURY Per accident PROPERTY DAMAGE Per PERT nt A X UMBRELLALIAE EXCESS LWB X OCCUR CLAIMS -MADE 52.488176-01 09/01/2019 09/01/2020 EACH OCCURRENCE 1,000,000 AGGREGATE S 11000,000 DED I X I RETENTION$ 10,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNERIEXECUTNE OFFICERIMEMBER EXCLUDED? IN I (Mandatory in NH) If es, describe under F OPERATIONS slaw NIA 4194961 09/01/2019 09/01/2020 X PER R STATUTEA E. L. EACH ACCIDENT 500,000 E.L. DISEASE-EAEMPLOYEE 500,000 L. DIS E- POLICYLIMIT 500,000 B Professional Liab ANE200317119 06/2112019 06/21/2020 Limit Retention 1,000,000 5,000 DESCRIPTION OF OPERATIONS t LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Fort Collins is included as Additional Insured on the General Liability Policy as required by written contract or agreement and with respect to work performed by the Insured. All coverage terms, conditions and exclusions of the policy apply. /�C'OTIr'll`ATG U^1 M=M r ANPCI l ATInKI CITYF-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins PO Box 580 Fort Collins, CO 80522-0580 AUTHORIZED REPRESENTATIVE b�%- V. J�UA ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD