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HomeMy WebLinkAbout406545 ENCORE ELECTRIC INC - INSURANCE CERTIFICATEPSNrN�3%0117 R Q Aco c� CERTIFICATE OF LIABILITY INSURANCE o: 9/22D° o" 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 certificate holder Is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL. INSURED provisions or be endorsed. H SUBROGATION IS WANED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this cerlificate does not confer rights to the certificate holder in lieu of such endoraerne s . PRODUCER 1-800-247-7756 A NAME: Holmes Murphy 6: Assoc — WDK PHONE FAX N PO Box 9207ADDRESS: INSURERS AFFORDING COVERAGE NAIC0 Dee Moines, IA 50306-9207 INSURER A: ZURICH AMER INS CO 16535 INSURED INSURERS: TRAvsLSRS PROP CAB CO OF AMOR 25674 Hncore Electric, Inc. INSURER C : 7125 V. Jefferson Avenue, Suite 400 INSURER D: INSURERE: Lakewood, CO 60235 INSURERF: CnVFRArAFS CFRTIFICATF MthMRFR- 50124314 RFVISM71114 MIIMRFR- 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 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. LTR TYPE OF INSURANCE POUCYNUMBER POMLCYEFF POLICY EXPmonlm (mum. umn's A E COMMERCULLGENERALLIABanY GWI125116 05/01/20 05/01/21 EACHOCCURRENCE S 1,000,000 CLAIMS -MADE 7X OCCUR PREMISES e oeamenwl S 100,000 MED.EXB one rear) S 10,000 PERSONAL 4 ADV INJURY $ 1,600,606 GENLAGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE. $ 2.000,000 POLICY ff] JEPRO- CT LOC - PRODUCTS-COMP/OP AGO $ 2,000,000 _ _ _ _ .OTHER: - .. __ . -..... A AUTOM61BILELJABIUTf BAP1125117 05/01/20 05/01721 -COMSI D IN_ LEU I (Ea moddent)$ 1, 000, 000 BODILY INJURY (Per pereon) $ Y .ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS. BODILY INJURY (Per aorMed) $ PROPERTY DAMAGE S E HIRED E NON -OWNED AUTOS ONLY AUTOS ONLY s H % I UMBRELLA UAS E OCCUR ZOP-16N39815 01/01/20 03/01/21 EACH OCCURRENCE S 22,000,000 AGGREGATE : 22,000,000 EXCESS LUUI CLAIMS -MADE .DED. RETENTIONS $ _ A WORNERSCOMPENSATION AND EMPLOYERS' LIABILRYIN V ANYPROPRIETORIPARrNERIE)ECUTNE OFFICERIMEMBEREXCLUDED7 (MMIslary In NM) NIA WC112115 05/01/20 -STATUTEE OS/01/21 E PER ORH- E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE -EA EMPLOYE $ 1,000,000 - 8 yyeese desal6e under DESCRIPTION OF.OPERATIONS bebw. El. DISEASE -POLICY LIMB f 1,000,000 , DESCRIPTION OF OPERATIONS) LOCATIONS I VEHICLE$ (ACORD 101,AddMenel ROmeAe Schedule, mey be a:taehed It more spew Is required) RE: RFP 8667 Arch Plash Analysis. City of Port Collins is an additional insured on general liability and automobile liability if required by written contract. If the liability Policies are cancelled by the issuing companies, 30 days notice will be provided to the certificate holder. - ty of Port Collins .0. Box sea art Collins„ CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE MIPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.. USA I J L '4"'7 'D 01988.2015 ACORD CORPORATION. All rights reserved. ACORO 25 (2078103) The ACORD name land logo are registered marks of ACORD chellmaaxdsm 59124314 N 7 z Lu Additional Insured — Automatic — Owners, Lessees Or Contractors ZURICW Policy No. Eff. Date of Pol. Exp. Date of Pol. Eq. Date of End. Producer No. Add'I. Prem Return Prem. GLO1125116 05/01/2020 05/01/2021 05/01/2020 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured: Address (including ZIP Code) This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part A. Section II — Who Is An Insured is amended to include as an additional insured any person or organization whom you are required to add as an additional insured on this policy under a written contract or written agreement executed by you but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" if: 1. The written contract or written agreement specifically requires that you provide that the person or organization be named as an additional insured under the Insurance Services Office (ISO) ISO CG20 10 10/01 edition or the ISO CG20 37 10/01 edition, then such party is an additional insured only to the extent that "bodily injury" "property damage" or "personal and advertising injury" arises out of your ongoing operations or "your worn', which is the subject of the written contract or written agreement; or 2. Except at provided in 1. above, if the Written contract or written agreement require that you provide that the person or organization be named as an additional insured such party is an additional insured only to the extent that "bodily injury" "property damage" or "personal and advertising injury" is caused, in whole or in part by, a. Your acts or omissions; or b. The acts or omissions of those acting on your behalf, in the performance of your ongoing operations or "your work" which is the subject of the written contract or written agreement; However, the insurance afforded to such additional insured: 1. Only applies to the extent permitted by law 2. Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured; 3. Only applies if the "bodily injury", "property damage" or "personal and advertising injury" occur subsequent to your execution of the written contract or written agreement; and 4. Does not apply to "bodily injury" or "property damage" caused by 'your work" and included within the "products - completed operations hazard" unless the written contract or written agreement specifically requires that you provide such coverage. If the minimum time period for providing such coverage in the written contract or written U-GL-1114 A CW 1002 Page 1 of 3 Includes copyrighted material of Insurance Services Office, Inc., with Its permission.