HomeMy WebLinkAboutT & T ELECTRIC CO INC - INSURANCE CERTIFICATE (2)T8:'
PRODUCER
Western Group Inc: Pueblo
611 W 10th St Ste A
P.O. Box 1958
Pueblo, CO 81002
George C.:Shineovich
INSURED T & T-Electri
Tim & Kathe
1824 Aspen
Pueblo, UO i
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CERTIFICATEI OF LIABILITY INSURANCE DATE(MMIDD/YYYY)
- 11/05/2019
Phone; 7191543-3604 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIOf
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATI
INSURERS AFFORDING COVERAGE
INSURER A: Auto -Owners Insurance Go.
INSURER B: -
INSURER C:
INSURER D:
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED
TO THE INSURED NAMED ABOVE FOR THE:POLICY PERIOD INDICATED. NOTWITHSTANDING
OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
BY PAID CLAIMS.
INSR
ADVI
111M
TYPE OF INSURANCEPOLICY.NUMBER..
�
_
.POLICY.EFFECTIVE
POUCY.EXPIRATION
LIMITS
-LM
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE O OCCUR
74587758
11/08/2019
1.1/08/2020
EACH OCCURRENCE_ -
$ 1,000,00
DA9VGE TO RENTED
PREMISES Ea c=rencej
$ _ 100,00
MED EXP (Any. one person)
$ 15,00
PERSONAL &ADV INJURY
$ 1,000,00
GENERAL AGGREGATE
$ 2,000,00
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY 7PRO-_CT 7 LOC
PRODUCTS --COMP/ORAGG
$ 2,000,00
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
-
5258771600
11/08/2019
_
- - - -
--
11/08/2020
-
-
COMBINED SINGLE LIMIT
(Ed accident)
$ 1,000,00
X
BODILY INJURY
(PER PERSON)
$
BODILY INJURY
(PERACCIDENT) - - '
_
$ - -
PROPERTY DAMAGE
(PER ACCIDENT)
$._,._._,-:_._
-.
_
GARAGE LIABILITY- -
ANY AUTO
-
- -
- - .-
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGG..$
$
---
A
EXCESS / UMBRELLA LLABWTY
X OCCUR F-ICLAIMSMADE
DEDUCTIBLE
X RETENTION $ 10,000
5259771661
11/08/2019
11/08/2020
EACH OCCURRENCE
$ _ 6,000,00
AGGREGATE
$
$
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY -
ANY PROPRIETOR/PARTNER/EXECUTIVE Y
OFFICERIMEMBER EXCLUDED?
(Mandatory In NH)
If yes, describe under
SPECIAL PROVISIONS below
TH-—
WCSTATU-Y LIMITS - OrR
E.L. EACH ACCIDENT
- - -
$
-- -
E.L. DISEASE - EA EMPLOYE
--
$
E.L..DISEASE- POLICY : LIMIT
A
OTHER
Equipment Floater
74587758
I
---- - -
11/08/2019
--
11/08/2020
NS
DESCRIPTION OF OPERATIONS /L-OCATIONS /VEHICLES /EXCLUSION$ADDEDi
ELECTRICAL WORK WITHIN BUILDINGS fax 9
—r --
BY ENDORSEMENT /SPECIAL PROVISIONS
0-224-6134
i rAUv W] I ATInu
CITYFTC
SHOULD ANY OFTHEABOVE DESCRIBED POLICIES SECANCELLED BEFORE THEEXPIRATION.
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
CITY OF FT. COLLINS
330 S. COLLEGE AVE.
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR
P.O. BOX 580
_. REPRESENTATIVES.
AUTHORIZED R,CPRESENTIITIVEG9.o e C .pinet}YI�,H
FT COLLINS, CO 80522-0580
ACORD 25 (2009/01) tV Tsaa-AUUy AL VMLr L.UtcrVr%A1IUn. Au ngnui reserves.
The ACORD name and logo are registered marks of ACORD