HomeMy WebLinkAboutHANNA ELECTRICAL CONTRACTING INC - INSURANCE CERTIFICATE (4)AC4ORrr CERTIFICATE OF LIABILITY INSURANCE GATE (MMIODMIVY)
IL10/30/2019
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 PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the eerfNicabs holder Wan ADDITIONAL INSURED, the policy(les) 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 - CONTACT NAME Bnanne Danielson, CISR
Flood and Peterson PHONE (970)266-7118 (970)506-6846
AIC No
Corporate Mailing Address: ft Cm 9: SDanlelson@FloodFleterson.00m
P.O. Box 578 INSURERS AFFORDING COVERAGE _ NAIC C
Greeley CO 80632 INSURER A: TO -State Insurarioe.Cbr ipany of Minnesota 31003
Hanna Electrical Contracting, Inc. INSURER C : Pinnacol Assurance 41190
1614 Harris Drive INSURER D-:
INSURER E :
Fort Collins CO 80524 INSURER F :
n�nwr,ner�. wiunm: CI 1O1n9D3910f1 0MCIf1Y YIIYCCD•
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 REOUIREIu1ENT; 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.
INSIR . LTR
TYPE OF INSURANCE
1-
POLICY NUMBER
MMM
MMO)
LIMITS
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
CLAIMS -MADE ® OCCUR
DAMAGE To
PREMISES Ea ooeu n)
$ 300,000
MED EXP onperson)
$ 10,000
A
ADV3183302-22
11/01/2019
11/01/2020
PERSONAL aADVINJURY
s 1,000,000
GENL AGGREGATE LIMIT APPLIES PER
POLICY ® JEfCOT LOC
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS -COMP/OPAGG
$ 2,000,000
$
OTHER
AUTOMOBLLE LIABILITY
----_""
COMBINED SINGLE LIMIT
Glen
s 1,000.000
BOOILVINJURY(Psr person)
$
ANY AUTO
BODILY INJURY (Per accident)
$
B
-
OWNED - SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
CPA3183303-22
11/01/2019
11/01/2020
PROPERTY DAMAGE.
er MCI11
$
Unins. Mot Liability -
E 1,000,000
UMBRELLA LIAR
OCCUR
EACH OCCURRENCE
.s 1,000,000
B
EXCESSLIA9
CLalMSAIADE
CPA318330322
11/01/2019
11/01/2020
AGGREGATE
$ 1,000.000
DIED RETENTION s
s
__
-
C
WORKERS COMPENSATION
AND EMPLOYERS UABILRY
ANY PROPRIETOR/PARTNER/EXECUT VE YIN
OFFICERIMEMBER EXCLUDED?
(MmMebry In NH)
-
NIA
4205758
11/01/2019
11/01/2020
PER FOR
STATUTE ER
E.L. EACH ACCIDENT
s t'00�'Q�
___ _
.FI DISEASE -EA EMPLOYEE
$ 1,000.000
E.L. DISEASE - POLICY LIMIT
's 1,000,000
Ryes. describe under
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addltlonel
Remarks SMMVIa, mey ba atlectlM If more specs Iulred)
Re: Parking Permit requirements
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 REPRESENTATIVE,
Fort Collins CO 80522
V3&;IAu 5011li roju;
ru Taae-AU13 Awrcu UlU1Krurwl NUM. nn ngms reserves.
ACORD ZS (2018J03) The ACORD a and logo are registered marks of ACORD