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HomeMy WebLinkAboutPOWELL INDUSTRIES INC - INSURANCE CERTIFICATE (2)® '°`� o CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION __EDSiB2D2U MATION 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, SUBROGATION IS WAIVED, subject to the terms and conditions certificate does not confer rights to the certificate, holder in lieu of such the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If of the policy, certain policies may require an endorsement A statement on this endomement(s). PRODUCER Aon Risk services Southwest, Inc. Houston TX Office CONTACT NAME: PHONE (866) 283-7122 FAx (Boo) 363-0105 Ala N^ Ea11:INC. No.: EAUL ADDRESS: 5555 San Felipe Suite 1500 Houston Tx 77056 USA - INSURER(S) AFFORDING COVERAGE NAIC a INSURED INSURER A: .Starr Indemnity -& Liability Company 38318 Powell Industries, Inc. Service Division INSURER8: Lloyds Syndicate NO. 2488 AA1128488 INSURER C: 8550 Mosley Rd Houston TX 77075-1180 USA INSURER O: INSURER E: INSURER F: COVFRAr.FS CFRTIFlCATF NI IMRPR- 57nnRi Rin793 pcwtal YM MI lumco. 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. Limits ehown are as requested INSRLTR TYPE OF INSURANCE ADDL SUBR IpOUCY NUMBER POLICY EFF POLICY EXP LIMITS A % COMMERCIALGENERALLUl81LITY 10000905.54191 _ 07' Ol 2019 07 01 20 EACH OCCURRENCE $1,000,000 X CLAIMS -MADE OCCUR Q SIR applies per policy terns & COndl ions DAMAGETORENTED PREMISES Ee occurrence $50}. 000 MED EXP (Any one person) $ 5, 000 PERSONAL& ADV INJURY $1,000y00O GEN'L AGGREGATE LIMIT APPLIES PER GENERALAGGREGATE $2,000j000 POLICY ❑X JET LOC PRODUCTS -COMP/OPAGG $2, 000,000 OTHER: A AUTOMOBILE LIABILITY 1000635719191 07/01/2019 07/01/2020 COMBINED SINGLE LIMIT E2,000,000 BODILY INJURY (Per person) % ANYAUTO OWNED - SCHEDULED AUTOS ONLY AUTOS HIRMAUTOS NON -OWNED ONLY AUTOS ONLY BODILY INJURY (Per accident) PROPERTY DAMAGE Per dent - A UMBRELLALIAB X OCCUR 1000095I 390191 07/01/2019 07/01/202,0 EACHoccuRRENCE $10y6600-,000 AGGREGATE $10,000,000 % EXCESS LIAR CLAIMSM40E Excess Liability DED I RETENTIONS A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR /PARTNER/EXECITI OFPCERNIEMBER EXCLUDED? N NIA 1000003738 07/O1/2019 07/O1/2020 X I PER STATUTE OTH E.L. EACH ACCIDENT $1,000,000 - - E.L DISEASE -EA EMPLOYEE $1,000,000 (MandatorylnNH) If Yee, dtwdW under DESCRIPTION OF OPERATIONS Below _- E.L. �ISF1�BE-POLICY'LIMIT $1,000,000 e E&O-MPL-Primary PSDEF1900863 07/01/2019 07/01/2020-Each Loss $5,000,000 Professional Liability Aggregate $5,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD idt, Addldanal Remarks Schedule, may Ba attached N man Spam Ia mqulmd) ' CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION OATS THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH TIME POLICY PROVISIONS. City of Fort Collins PO Box 580 AUTHORIZED REPRESENTATIVE Fort Collins Tx 80522 USA ymlw� JL ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logoare registered marks of ACORD