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HomeMy WebLinkAboutNEUWORKS MECHANICAL INC - INSURANCE CERTIFICATE (3)A4C"REIF CERTIFICATEOF LIABILITY INSURANCE """ 1192020, o5/1 si2ozo THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERSNO 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 INS RED, the pclicy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and Con itions of the policy, certain policies may require an endorsement. Astatement on this Certificate does not confer rights to the certificate hold r in lieu of such endorsenkint(s), PnootrcEn CONTACT NAME: _Jennifer Winter, CISR____ ` Flood and Peterson PHONE"" (970) 506-3206 .— _ - FAX (970) _506-6846 PO Box 578 ADDRESS, JWler®floodrso peten. Sco E MAIL..-._ __nt_.._ _._... INSURER AFFORDING COVERAGE NAIC 0 Greeley CO 80632 INSURER A: Uniori Insurance Company of Providence 21423 INSURED INSURERB: EMCASCOInsuranceCompany 21407 Neuworks:Mechanical, Inc. INSURER C..: Employers Mutual Casualty Company - 21415 241 Racquette Drive INSURER D : Plnnacol Assurance 41190 Fort Collins CO 80524 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS I CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCEAFFORDED BY THE POLICIES. DESCRIBEDHEREINIS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN - - MAY HAVE BEEN REDUCED BY PAID CLAIMS. -- -- �MIO INSR LTR - -- TYPE OF INSURANCE POLICY NUMBER POLICY EFF POLICY EXP MMID LIMITS , COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE ® OCCUR PREMISES Ea occurrence $ 500,000 MEDEXP (Any ode erson $ 10,000 PDDed:1,000 PERSONAL& ADV INJURY $ 1,000,000 A Y 5D8-75-87-21 O6/01/2020 06/01/2021 GEN'LAGGREGATE UMMAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY © ECTT ® LOC P.RODUCTS_.COMP/OP.AGG_ III 2.000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident -... '$ 1,000,000 --- . BODILY INJURY. (Per person) $ ANY AUTO B OSCHEDULED Y 5E8-75-87-21 06/01/2020 06/01/2021 BODILY INJURY (per accicWnt) $ AUTOS ONWNED. LY AUTOS PROPERTYDAMAGEy $ _ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY -Per. accident ---- -- - - - -$--. $ DOC UMBRELLAIAB OCCUR EACH. OCCURRENCE. __ $ 5000,000 . AGGREGATE $ 51000000 C EXCESSLIAB -CLAIMS-MADE . SJ8-15-87-21 06/01/2020 06/01/2021 OED_ I.._ .RETENTION.$ -0_ _ _ . _ - . __ _ - _ . - $ - _ - _ - . - - _ .. __- .. _ _....._ ... - _ . _ _ ... ___ ._ _ _ . _ _. _ __ _ _ WORKERS WORKERS COMPENSATION . _EORTw __ _. AND EMPLOERSLIABILITY Y/N SPTERTUTE E L EACH ACCIDENT $ 1,000 000 - D ANY PROPRIETOR/PARTNERIEXECUTIVE NIA 4167336 06/01/2020 06/01/2021 _ _. _ - - :_ E.L. DISEASE EA EMPLOYEE _ $ 1,000 000 OFFICER/MEMBEREXCLUDED? (Mandatary in NH) If yes. describe antler DESCRIPTION OF OPERATIONS below. E.L. DISEASE.- POLICY UMIT_..$�_ 1 000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Addidonal Remarks Schedule, may be aeeched It more apace Is required) RE: Services Agreement City of Fort Collins is listed as an Additional Insured as respects General Liability, including ongoing and completed operations,. and_A_u_to Liability. Insurance is primary and non-contributory. CERTIFICATE -HOLDER I CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE' *E_60I01ATION DATE THEREOF, NOTICE -WILL BE'DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 58b -------SE — AUTHORRED REPRESENTATIYE Fort Collins CO 86522 019884015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016163) The ACORD nl me and logo are registered marks of ACORD