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HomeMy WebLinkAboutNOVOTNY ELECTRIC LLC - INSURANCE CERTIFICATE (4)NOVOT-1 CERTIFICA E OF LIABILITY INSURANCE 10/23/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGAtVELY 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 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 Iiconditions of the policy, certain Pericles may require an endorsement. A statement on this certificate does not confer riahts to the certificate holder in lieu of such endorsement(s). & Brown Inc oardviralk Dr, Suite 200 Alins, CO 80626 Account INSURED Novotny Electric LLC P O Box 98 Laporte, CO Ban 9704.82-7747 Insurance ----- ---- LIN raaMCm. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, MAY HAVE BEEN REDUCED_BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUB yOLICY NUMBER POLICY.EFF POLICYEXP LIMITS B X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE �X OCCUR CWP7961490 16123/2019 10/2312020 EACH OCCURRENCE 1,000,000 oAMAG 1RENTED PREMISES ($ 500,000 AHED EXP (AnyonePerson) $ 51000 PERSONAL & ADV INJURY $ 1,000AOO GENT AGGREGATE LIMIT APPLIES PER: POLICY E jea1:1 LOC OTHER' -GENERAL AGGREGATE $ 2,000A00 PRODUCTS - COMP/OP AGG. $ 2,000,000 - B AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUpT�OpSyyryEp AUTOSONLY AUTOS ONLY CWP7961490 I _ _ 10/23/2019 _ _ 10/23/2020 (Ea accident) COMBINED SINGLE LIMIT $ 1,000,000 BODILY INJURY' Per Person)$ BODILY INJURY Per accident $ PROPERTY AMAGE Pe acatleM B UMBRELLA LIAB EXCESS IJAB OCCUR CLAIMS -MADE CWP7961490 10/23/2019 10123/2020 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 DED I X I RETENTION $ 0 A WORKERS COMPENSATION AND EMPLOYERS LIABILITYYIN ANY PROPRIETOR/PARTNER/EXECUTIVE EXCLUDED? oA '»ram In N yes, describe under DE RIPTION OF OPERATIONS belay NIA 177813 - 10/01/2019 10/01 /2020 - -X -PER" - OTH= - E.L. EACH ACCIDENT 500,000 E.L. DISEASE -EA EMPLOYEE SOO,000 E. - P I Y L 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101. AddRlor®I _. _ - FAX: 970-224-6134 Remarks Schedule, may be attached if more space Is required) v CITYFC2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins PO Box 580 Fort Collins, CO SO522 - AUTHORIZED REPRESENTATIVE House Account ACORD 25 (2016/03) U 19SB-2U15 AGVKU GUKFL KA I IUN. An agars reserVeo. The ACORD name and logo are registered marks of ACORD