HomeMy WebLinkAboutHANNA ELECTRICAL CONTRACTING INC - INSURANCE CERTIFICATE (5)AC40*d' CERTIFICATE OF LIABILITY INSURANCE
L 1 1 10/30/2019
THIS CERTIFICATE i IS ISSUED AS A MATTER OF INFORMATION
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTEA
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
AMEND, EXTEND OR ALTER THE COVERAGE -AFFORDED BY THE POLICIES
CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,
If SUBROGATION IS WANED, subject to the tends and conditions
this certificate does not conferrightsto the certificate holder
the policy(les) must have ADDITIONAL INSURED provisions or be endorsed.
of the policy, certain policies may require an endorsement. A statement on
in lieu of such endorsement(s).
PRODUCER
Flood and Peterson
Corporate Mailing Address.
P.O. Box 578
Greeley CO
80632
CANT Bnanne Danielson, CISR
PHONE EU, (970) 266-.7118 FAX (970) 508-6846
AA No:
aoDREs3: BOanielson@FloodPeterson.com
INSURE S AFFORDING COVERAGE
NAIL tl
IASURERA: Tri-State Insurance Company of Minnesota
31,003
INSURED
Hanna Electrical Contracting, Inc,
1614 Halls Ddve
Fort Collins CQ
80524
INSURER B: Firemen's Insurance Company of Washington U.C.
21784
INSURERC: _ Pinnaool Assurance _
41190
INSURER D.:
INSURER E
INSURER F:
rnvciaetaFA rFRTn;trATF Nt1N19ER�
CL19102932100 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
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE'
OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOW
MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR
TYPE OF INSURANCE
_
POLICY NUMBER
MMIDD
MID
LIMITS
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
CLAIMS -MADE 19 OCCUR
PREMISES Ea 6ou"n
,r 300,000
MED EXP one
S 10,000
A
ADV3183302-22
11/01/2019
11/01/2020
PERSONALdADV INJURY
$ 1,000,000
GENL AGGREGATE LIMITAPPLIES PER:
POLICY® PRO-
ECT LOC
GENERALAGGREGATE.
$ 2,000,000
PRODUCTS -COMPIOPAGG
$ 2,000.000
r
OTHER.
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
acclIlwil
$ 1,000,000
BODILY INJURY (Per Penan)
$
ANY AUTO
BODILY INJURY(Per scudwt)
E
B
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
CPA3183303-22
11/01/2019
11/01/202D
PROPERTY DAMAGE$
Unins. Mat. Liability
$ 1,000,000
UMBRELLA LIAR
OCCUR
EACH OCCURRENCE
S 1,000,000
B
EXCESSLUIB
CLAIMS -MADE
CPA3183303-22
11/01/2019
11/01/2020
AGGREGATE
S 1,000,000
DED
RETENTION S
S. -
C'
WORKERSCOMPENSATON
ANDEMPLOYERS LIABILITY
ANY PROPRIETAPORRTNERIE%ECLmVE YIN
OFFICERIMEMBEREXCLUDED7
(ummim in
.
NIA
4205758
it/01I2019
11/Ot/2020
-PER-- "OTH+
TATUTE ER
E.L. EACH ACCIDENT
$ 1,000,000
El.DISEASE
$ 1,000.000
E.L. DISEASE - POLICY LIMIT
-1000,000
S ,
Ifyee. desrnlle under
DESCRIPTION OF OPERATIONS beloe
I
OF Collinsis OPERATIONSI LOCATIONS
Additional I el VEHICLES
85O�RQUUed by W na
City RIDESCRIPTION
Fad
Remarks Schedule, may be aeaehed N more specs Is required)
en contract with respects to liability arising out of work performed by the named
insured.
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
----.-------
AUTHOR® REPRESENTATIVE
Fort Collins CO
80522
V3461AAC 0114&AJ,
01983-2015 ACORD CORPORATION. All ngtns reserves
ACORD 25 (201tY03) The ACORD name and logo are registered marks of ACORD