HomeMy WebLinkAboutCHADWICK ELECTRIC INC - INSURANCE CERTIFICATE (6)--`a"ll CHADELE-01
ACOR®" DATE (MM/DWYYYY)
CERTIFICATE OF LIABILITY INSURANCE
11/6/2019
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 TH PRODUCER, AND E CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the poliey(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 endorsements).
PRODUCER C N CT
PFS insurance Group - - PHONE FAX -
4848 Thompson Parkway Suite 200 c No Eat • 970 .635-9400 ac: No : 970 635;9401- ---
Johnstown, CO 80634 1 EM . info rh fsinsurance.corh -
INSURED
Chadwick Electric, Inc.
12g1 E Magnolia Unit D #134
Fort Collins, CO 80524
Cr1VC0Ar_CQ CCC77CICATG aII IMnCD• I OL"QIr1at hit iaaCCD•
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 0�2
OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSU
.CONDITION
NCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHO
MAY HAVE.BEEN REDUCED BY PAID CLAIMS.
INSR
TYPE OF INSURANCE
ADDL
SUBR
POLICY
NUMBER
POLICY EFF
POLICY EXP
LIMBS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE �X OCCUR
5DII644
11/14/2019
11/14/2020
EACH OCCURRENCE
1,000,006
DAMAGE.TO-RENTED -
PREMISES (Ea cooarrence)
- 390,000
$
BlktAdd'lInsured
X
MEDEXP one
10,000
X
Blkt Waiver
PERSONAL A ADV-INJURY- -
-!-000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY ❑X JECT LOCI
GENE RALAGGREGATE
- Z+000'000
PROD I UCTS-COMPIOP AGG
2,000,000
OTHER:
A
AUTOMOBILE LIABILITY
--_- -
_
-
COMBINED SINGLEtIMIT
,e,ra l
- - .1.Oo0i000
BODILY IN URY Per ammoAUpTO��$ONLY
ANYAUTO
5E21544
11/144019
11/14/1020
INJURY Per acddeMAUTOS.ONLY
AUOTµopSyUyrL.�EDpBODILY
1XX
Pdtor Oa� AMAGE
X AUTOS eas
SIM Adrfi Insured I X BIkl Waiver
-
A
X
UMBRELLA LIAR
X
OCCUR
EACHOCCURRENCE —
_ 2000'0O0
EXCESS UAB
CLAIMS -MADE
5J21644
11114/2019
11/14/2020
AGGREGATE— _.. _ -._
21000,000
DED I X I RETENTION $ 10,00.0
B
WORKERS COMPENSATION
ANDEMPLOYERS' Lw81uTY
ANY PROPRIETORIPARTNER/EXECUTIVE YFFI
ERIM M REXCLUDED? ❑
NIA
051845
6/1/2019
6/1/2020
X FPERT OTH-
E.L. EACH ACCIDENT
1,000,000
E.L. DISEASE -EA EMPLOYE
1,000,000
E:L DISEASE -POLICY LIMIT
1,000,000
u DE yS CRIPT dascrlbeNN under
OF OPERATION below
A
Leased Equipment
SC21544
11/14/2020
$600 Deductible
25,000
A
Installation Floater
5C21544
I
E1/141/220199
11/14/2020
$500 Deductible
900,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101 Addlaonal*emarks
Re: License Renewal.. If required by written contract the following1provisions
Certfficate Holder is named as Additional Insured for ongoing operations
Schedule, may be attached N mom apace Ia roqulmd) .
apply subject to the policy terms, conditions, limitations and exclusions: The
on a Primary and Non -Contributory basis under General Liability and Automobile
Liability, If required by written contract, a Waiver of Subrogatlon in
favor of the Certificate Holder applies to the General Liability, Automobile Liability and
Workers' Compensation. Umbrella provides excess coverage over
the General Liability, Automobile Liability and Workers' Compensation.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES .BECANCELLED BEFORE
Ci Of Fort Collins THE EXPIRATION DATE THEREOF, . NOTICE WILL BE DELIVERED IN
tY ACCORDANCE WITH THE POLICY PROVISIONS.
PO Box 580
Fort Collins, CO 80522
AUTHORIZED REPRESENTATIVE
25 (2016/03) 01988-2015 Al
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