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HomeMy WebLinkAboutCOUPER ELECTRIC LLC - INSURANCE CERTIFICATE (7)�1 coRo� CERTIFICATE OF LIABILITY INSURANCE DATE (MK DDNYYY) 101112019 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 endorsement(s). PRODUCER TrueNorth Companies, L.C. 275 South Main Street, Suite 100 Longmont CO 80501 INSURED Couper Electric LLC 1331 Kanemoto Lane Erie CO 80516-6947 :4711 INSURER C : INSURER D : INSURER E FAX ,A.Ir. u„r 31 COVERAGES CERTIFICATE NUMBER:221228800 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 SEEN REDUCED BY PAID CLAIMS. LTTRR --� _ TYPE OF INSURANCE INSD WV�-- POLICY NUMBER —T(IWCDVE YV IMM7 PCODYYVV LIMITS ADDCOMMERCIAL GENERAL LIABILITY - EACH OCCURRENCE $ $ CLAIMS MADE P.CUR IJGETORENTED PRREEIMIISES(Eaoewrrence) MED EXP (Any one person) $ $ .PERSONAL 6 ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE -- POLICY JPRO.ECT LOC PRODUCTS COMP/OP AGG S $ OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT _(Ea accident'___ $ BODILY INJURY (Prparson) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Pr accident) $ PROPERTY AMAGE Per aceiden $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY S UMBRELLA UAB 1 OCCUR EACH OCCURRENCE S AGGREGATE s EXCESS UAB i CLAIMS�MADE CEO I RETENTIONS s A WORKERSCOMPENSATION 4089007 AND EMPLOYERS'LIABILITY AND YIN E R.EXECUTIVE �' 10/V2019 10/112020 X ER E.L. EACH ACCIDENT E 1,000,DOO OFPIGER'MEMBEREXCLUDED? N I A OFFICE 'MEMB EXCLU � (Mandatory In NH) - - - $ 1,000.000 E.L. DISEASE - EA EMPLOYEE It as. describe under DESCRIPTION OF OPERATIONS below EL. DISPJLSE - POLICY LIMIT $1,000.000 DESCRIPTION OF OPERATIONS LOCATIONS VEHICLES ;ACORD 101, Additional Remarks Schedule, maybe atlached it more space is required) I CERTIFICATE HOLDER 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. REPRESENTATIVE ACORD 25 (2016,'03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 2' of 2 13084