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HomeMy WebLinkAbout350732 STURGEON ELECTRIC COMPANY - INSURANCE CERTIFICATE (2)ACOROa DATE (MM,DD,YYYY) CERTIFICATE OF LIABILITY INSURANCE 9/1212019 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 riahts to the certificate holder in lieu of such endorsement(s). PRODUCER Arthur J. Gallagher Risk Management Services, Inc. 2850 Golf Road Rolling Meadows IL 60008 INSURED Sturgeon Electric Company, Inc. 12150 E. 112th Avenue Henderson. CO 80640 Shannon Lentz COVERAGES CERTIFICATE NUMBER: 1397332019 REVISION NUMBER: 40142 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. INLTR - - -- 'AOOLSUBR T^TYPEOFINSURANCE LIMITS§WVD POUCYNUMBER — FMX A X COMMERCIAL GENERAL LIABILITY Y GLOB37415425 913012019 9130/2020 EACH OCCURRENCE $1.000,000 CLAIMSMADE X OCCUR I �I PREMISES�a,xcurrence _ E100,0D0— . MED EXP (Any one person) $10,000 PERSONAL E ADV INJURY S 1,0D0,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2.000,000 X POLICY C JEC L '.. LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: S A AUTOMOBILE _ Y ELAPS37115523 9130I2019 913/12/20 OM&RED SINGLE LIMIT I e accidenil $1 ,000.000 X ANY AUTO BODILY INJURY (Per person) S OWNED SCHEDULED BODILY INJURY (Par aoddent) E AUTOS ONLY AUTOS - - HIRED NON -OWNED PROPERTYDAMAGE E AUTOS ONLY AUTOS ONLY _CPT accident) _ - � S UMBRELLA LIAB OCCUR EACHOCCURRENCE S EXCESS UAS CLAIMS -MADE AGGREGATE S __ DEC RETENTIONS S B WORKERS COMPENSATION OTH- WC837415223(A101S) 9/3012019 9f30/2020 'X ATUTE ER A AND EMPLOYERS' LIABILITY YIN WC837415323 (MWI) 9/3012019 91302D20 AV -- NYPROPR/EXECUTIVE E.L . EACH ACCIDENT $1_000,000 OFFICERMEMBER EXCLUDED?F] NIA (Mandatory in NH) : E.L. DISEASE - EA EMPLOYEE E 1 000,000 _ II yes, describe under DESCRIPTION OF OPERATIONS belowE.L. DISEASE -POLICY LIMIT S 1,000.000 I DESCRIPTION OF OPERATIONS + LOCATIONS VEHICLES ACORD 101, Additional Remarks Schedule, may he attached it more space Is required) Job C,ty of Fort Collins - T&M Service CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1542 The City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. Purchasing Department PO Box 580 Fort Collins CO 80522 AUTHORIZED REPRESENTATIVE i- USA �l. 'el © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 2- of 2 22292