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HomeMy WebLinkAboutPOWELL INDUSTRIES INC - INSURANCE CERTIFICATEAC O® DAT (6/WD0� CERTIFICATE F LIABILITY INSURANCE 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 NOTI 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 conditions of the policy, certain policies may require an endorsement. A statement on this 2 certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT 9 Aon Risk Services southwest, Inc. PHONE NAME: Houston TX Office (Ali; No, �I; C866) 283-7122 FAX (800) 363-0105 9m 5555 San Felipe E-MAIL Suite 1500 ADDRESS:. p 0 Houston TX 77056 USA -__.... .. INSURERS) AFFORDING COVERAGE NAIC # INSURED Powell industries, Inc. Service Division 8550 Mosley Rd Houston TX 77075-1180 USA INSURER A: Starr Indemnity & Liability Company 38318 INSURER B: INSURER C: .INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570082498812 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM.OR 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 FORTHE-POLICYPERIOD 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. Limits shown areas requested INSR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER LENT/ p LIMITS A X CO_MMERCIALGENERAL LIABILITY CLAIMS -MADE ❑X OCCUR SIR apple' es per policy terns & condi 7PRO EACH OCCURRENCE i1,000,000 PREMISES Ea occurrence $50,000 MED EXP (Any one person) $ 5 , 000 PERSONAL& ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES. PER: POLICY ❑ PRO, ❑X LOC OTHER: GENERALAGGREGATE $2,000,000 DUCTS - COMP/OP AGG $2 , 000 , 000 A AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED AUTOS NON -OWNED ONLY AUTOS ONLY Y 1000635719201 07/01/2020 07/01/2021 COMBINED SINGLE LIMIT accl ent g2,000,000 BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE Per accident UMBRELLA LUAB EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE AGGREGATE DED RETENTION A WORKERS COMPENSATION AND EMPLOYERSLIABRrrY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? N (Mandatory In I" II yyes, describe under DESCRIPTIONOFOPERATIONSbelow' N / A 1 0 0 3'3 07 01 2020 67 Ol/2021 X I PER STATUTE- I OTH--- ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE - - - $1,000,000 -- E.L. DISEASE -POLICY LIMIT - $1"000y000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional City of Fort Collins is included as Additional Insured Automobile Liability policies.. Remarks Schedule, mey be attached I more apace Is required) in accordance with the policy provisions of the General Liability and 8 CERTIFICATE HOLDER CANCELLATION d City of Fort Collins po Box 580 Fort Collins Tx 80522 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED W ACCORDANCE WITH THE POLICY PROVISIONS. - AUTHORIZED REPRESENTATIVE &em ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD