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HomeMy WebLinkAboutFISKE INC DBA FISKE ELECTRIC CK TRANSPORTATION INC - INSURANCE CERTIFICATECERTIFICATEIOF LIABILITY INSURANCE 1i/15no19 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 A'VIEND, 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. If SUBROGATION IS WAIVED, Subject to the terms and this certificate does not confer rights to the certificate Flood and Peterson PO Box 578 Greeley Fiske, Inc., DBA: Fiske Electric C K Transportation, Inc. 6766 E. County Road 18 Johnstown the policy(les) must have ADDITIONAL INSURED provisions or be endorse of the policy, certain policies may require an endonsemenL A statement on 'lie Carey, CISR, CIC (970) 268-7148 IA C Nov.. (970) 506-6845 80632 INSURERA: Employers Mutual Casualty Company 21415 INSURER!: PinnaoolAssurance 41190 ......::.�...-EMCASCO Insuranm Comnanv 1 21407 80534 5/20; THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE`FOR THEPOLICY PERIOD - INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH -RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED EXCLUSIONS AND CONDITIONS_ OF SUCH POLICIES. LIMITS SHOWN BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR SR TYPE OF INSURANCE POLICY NUMBER M MWO EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE 19 OCCUR PREMISES office $ 500,000 MED EXP (Any one person) $ 10,000 - PERSONALBADVINJURY $ 11000,000 A SD95845 11/15/2019 11/15/2020 GEN'LAGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 2,000,000 POLICY 1.JE T 17 LOC PRODUCTS-COMP/OPAGG $ 2,000,000 Limited Pollution Liabllit s 11000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Es accident s 1,000,000 BODILY INJURY (Per person) $ ANY AUTO C OWNED SCHEDULED ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY 5E95845 11/15/2019 - 11/15/2020 60DILY INJURY (Per accident) ItAUTOS PROPERTY DAMAGE Per acddent $ Uninsured motorist s 1.000,000 UMBRELLA LIAS OCCUR EACH OCCURRENCE URREENCENCE $ 3.000.000 AGGREGATE. $ 3,000,000 A EXCESS LIAB CLAIMS MADE 5J95845 11/15/2019 11/15/2020 DIED I X RETENTION $ 0 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY - ANYPROPRIETORIPARTNERIEXECUTIVE YIN OFFICER/MEMBEREXCLUDED? FE (Maraw"In NH) NIA 4066524 03/01/2019 03l01/2020 X PEI'STATUTE ERH- E.L EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT s 1.000.000 d yea. describe under DESCRIPTION OF OPERATIONS WON A Leased/Rented Equipment SC95845 11 /15f2019 11/15/2020 $100,000 Limit $1,000 Deductible DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached H more space is required) r7FRTIFICATP s4ni r1FR I CANCELLATION 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.. P.O. Box 580 AUTHORIZED REPRESENTATNE. Fort Collins CO 80522 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25'(2016/03) The ACORD name and logo are registered marks of ACORD