HomeMy WebLinkAboutTOWER ELECTRIC INC - INSURANCE CERTIFICATE®
A`oRV CERTIFICATE OF LIABILITY INSURANCEF10/212019
DATE (MMIDDIYYYY)
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), AUTHORRED
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 lleu.of such endorsements ., _ . _._.._..._ ,.... _.
PRooucEq
IMA, Inc. - Colorado Division
1765 17th Street, Suite 100
Denver CO 80202
UT
GONT NAME; IMA Denver Team
PHONE Ax
• 303-534-4567 _ _ _ . A No :
E-MAIC. _._ _... . .. _ _.. .. _...
ADD E : DenAccountT&dhs imaco .com
INSURE S AFFORDING COVERAGE
NAIC d
INSURER A: Continental Casualty Company
20443
.INSURED TOWEELE
INSURER 8: Continental Instirance'Company y
35289
Tower Electric, Inc.
621 Southpark Dr, Ste #1500
INSURER C:
Littleton CO 80120
INSURERD:
.INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: 1850667149 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 1S SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INBR
LTR
TYPE OFINSURANCE
ADOL
D
B
WVD
;POLICYNUMBER
POUCY EFF
MM1DolYYY
POLIppY EX P
MA7DIY1'
U$4TS
A
X
COMMERCIALGENERALUABILITY
-
4029166716
10/12019
10/1/2020
EACHOCCURRENCE
$1.000,000
CLAIMS -MADE a OCCUR
DAMAGE TO RENTED
PREMISES Ea- arrrence
$100,000
X
MED EXP (Any one person)
$15,000
PD Ded: $1:000
X
S10K RESID DED
PERSONAL & ADV INJURY
$1.000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$2,000,000
POt10V� BELT LOC
PRODUCTS =COMPlOP.AGG
$2,000,000
$
OTHER:
B
AUTOMOBILELIABILITY
4029190750
10/12019
10/12020
Eaaacci eepnISINGLE.LIMI7
$1,000,000
X
BODILY INJURY (Per. person)
$
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY ❑ AUTOS
BODILY INJURV(Per accident)
$
X
PROPERTY dentlDAMAGE
Per accident
$
HIRED X NON -OWNED
AUTOS ONLY AUTOS ONLY
$
B
X
UMBRELLAUAB X OCCUR
-
4029190733
10/12019
10/12020
EACH OCCURRENCE
$10,000,000
AGGREGATE
$10,000,000
EXCESS LIAR CLAIMS -MADE
I
OED I X..RETENTION S n n,,
$'
..
WORKERS COMPENSATION
AND.EMPLOYERS'UABILITY YIN
ANYPROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMSEREXCLUDED4
N,IA.
STATUTE ER -
E.L. EACH ACCIDENT
$
(Mandatory In NH)
-
E.L. DISEASE-. EA EMPLOYEE
$
II &y. describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
S
A
UnscheduledContractomEquipment
40291907le
10hi2019
10/12020
Umit
$10,000
I
I
DeductIble
$1,000
DFSCRIPnON OF OPERATIONS i LOCAT10Ns / VEHICLES (ACORD101, AddWorW Remarks 6ehedule; may be attached It more space is requIred)
See Attached...
City of Fort Collins
281 North College Avenue, PO Box 580
Fort Collins CO 80522-0580
USA
SHOULMANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WirH THE POLICY PROVISIONS.
ACO.RD'25 (2016/O3)
The ACORD name and logo are registered marks of AORD
All
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