HomeMy WebLinkAboutTITAN ELECTRIC COMPANY, TITAN XPRESS - INSURANCE CERTIFICATECERTIFICATE OF LIABILITY INSURANCE
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DBI?92019
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 INSUREII AUTHORIZED REPRESENTATIVE OR
PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(iss) must have ADDITIONAL INSURED provisions or be endorsed. If
SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, chain policies may require an endorsement. A statement on this
certificate does not confer rights to the certificate holder In lieu of such endorsements .
PRODUCER
FEDERATED MUTUAL INSURANCE COMPANY
HOME OFFICE: P.O. BOX 328
NA ME: GTCLIENT CONTACT CENTER
(Al., . E.e : 888-3334949 Fwic No): 507-4464664
AIL
ADDRESS: CLIENTCONTACTCENTER FEDINS.COM
OWATONNA, MN 55060
INSURER(SI AFFORDING COVERAGE
NAIC A
INSURER A: FEDERATED MUTUAL INSURANCE COMPANY
13935
INSURED 297-371-7
INSURER B:
TITAN ELECTRIC COMPANY, TITAN XPRESS
INSURER C:
4954 WARD RD
INSURER D:
WHEAT RIDGE, CO 80033-2124
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 52 REVISION NUMBER: 2
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
LTp
TYPE OF INSURANCE
DL
INSR
SUER
WVO
POLICY NUMBER
POLICY EXP
MMIDDIYYYV
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE X OCCUR
Y
N
9030364
r01101/2019
01/01/2020
EACH OCCURRENCE
$1,000,000
DAMAGE TO RENTED
PREMISES Ea occurrence
$100,000
MED EXP (My one person)
EXCLUDED
G
X
PERSONAL Is ADV INJURY
$1,000,ODO
N'L AGGREGATE LIMIT APPLIES PER:
POLICY ❑ JECT ❑ LOC
OTHER.
GENERAL AGGREGATE
$2,000,000
PRODUCTS - COMPIOP AGO
$2,000,000
A
AUTOMOBILE
X
LIABILITY
ANY AUTO
OWNED AUTOS ONLY SCHEDULED
SALTOSCHED
HIRED ALTOS ONLY NON OWNED
AUTOS ONLY
N
N
9030364
01/01l2019
01/01/2020
COMBINED SINGLE LIMIT
We aaelden
$1,000,000
BODILY INJURY (Per penon)
BODILY INJURY IPA a«idenU
PROPERTY DAMAGE
Per KRden
A
X
I
UMBRELLA LIAR
EXCESS LIAB
X
OCCUR
CIAIMS-MADE
N
N
9030366
01/01/2019
01/01/2020
EACH OCCURRENCE
$2,000,000
AGGREGATE
$2,000,000
DED RETENTION
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y T N
ANY PROPRIETORIPARTNERIEXECUTIVE
OFFICERIMEMBER EXCLUDED? E
(MaaMaLory in NNI
It yes,, describe under
DESCRIPTION OF OPERATIONS below
N I A
N
9030365
01/01/2019
01/01/2020
X PER STATUTE OER
E.L. EACH ACCIDENT
$500,000
E.EASEA EMPLOYEE
L. DISEASE -
$500,000
EL DISEASE POLICY LIMIT
$500000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Restarts S0ledule, may be etdCled it more apex is required)
CERTIFICATE HOLDER IS ADDITIONAL INSURED FOR GENERAL LIABILITY.
297-371-7
CITY OF FORT COLLINS
PO BOX 580
FORT COLONS, CO 80522-0580
522
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
® 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 26 (2010M) The ACORD name and logo are registered marks of ACORD