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HomeMy WebLinkAboutDEPAUL ELECTRIC INC - INSURANCE CERTIFICATE (3)ACOR" CERTIFICATE OF LIABILITY INSURANCE �� DATE (NMIDDM VY) 09/11/2019 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 be endorsed. It SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement an this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Jessica Honeycutt NAME Southern Colorado Insurance Center 4390 N Academy BlvdE-MAIL PHONE (719) 3294441 AXC. No): (71 g) 457-5923 ADDRESS: jessica@scicteam.com INSURER 8 AFFORDING COVERAGE NAIL d Colorado Springs, CO 80918 INSURERA: Ohio Security Insurance Company INSURED INSURER B: Plnnacol Assurance INSURER C : DePaul Electric, Inc INSURER D: 7889 Kettle Drum INSURER E INSURER F : Colorado Springs CO 80922 COVERAGES CERTIFICATE NUMBER- REVISION Nt1MRFR- 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. I SR LTR TYPE OF INSURANCE INSR POLICY NUMBER POLICY EFF MMIDD POLICY EXP MMM LIMITS A GENERAL LIABIL" COMMERCIAL GENERAL LIABILITY CLAIMS -MADE © OCCUR Y Y BKS55625449 10/01/2019 10/01/2020 EACH OCCURRENCE $ 1,000,000 PREMISES Ea occurrence $ 300,000 MED EXP (Any one person) $ 15,000 PERSONAL SADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- LOC PRODUCTS-COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE UABILITY ANY AUTO ALL OWNED SCHEDULED ANY AUTOS NON -OWNED HIRED AUTOS AUTOS BAS55625449 05/18/2019 05/18/2020 COMBINED L Ea accident $ SOO,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Paraccident $ UMBRELLA LIAR EXCESS UAB CLAIMS -MADE EACH OCCURRENCE $ HOCCUR AGGREGATE $ DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I NY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBEREXCLUDED'+ ❑Y (Mandatary in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A Y 4184759 08/01/2019 08/01/2020 WC S T - H- LIMITS E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE -POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) L.tK I I1-I1„A I t HULUtK GANGtLLAI ION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. PO BOX 580 AUTHORIZED REPRESENTATIVE Fart Collins CO 80522 1 ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All richts reserved. The ACORD name and logo are registered marks of ACORD