HomeMy WebLinkAboutSAWYER ELECTRIC INC - INSURANCE CERTIFICATEACORO® CERTIFICATE OF LIABILITY INSURANCE
DATE
03/16/ 020 )
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 ISSUINGINSURER(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 certificate does -not confer -rights to the certificate _holder in lieu of such endorsement(s).
PRODUCER - - _
Stroup Insurance Services, Inc
500 N. Circle Drive#207
Colorado Springs CO 80909
CONTACT Stroup Insurance Services, Inc.
..NAME:___. .__. _-__ ___. ._.._ -_-_
PHONE (719) 636-5166 FAX (719) 473-6694
-A/C No E - -_- _- -. ____ .. ___ _._._. _. AIC No:.
E L - service@stroup-ins.com
INSURER(S)AFFORDINGCOVERAGE__. ._ _ __.. _
_-__NAIL#--_.
INSURERA: Auto -Owners
18988
INSURED
Sawyer Electric Inc
5125 Whip TO
Colorado Springs CO 80917-2619
INSURERB: OWtiers InsUrance Co
32700
INSURER C: Pmaco nASSUr6ftce Company
41190
INSURER D. --- --- - - - - - -
_ _
INSURER Ea
INSURERF:
CnVFRAGFS CERTIFICATE NUMBER: CL2031609680 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE_FOR THEPOLICY -- -
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH: RESPECT TO WHICH THIS
CERTIFICATE. MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIESOESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BYPAID .CLAIMS.
INSR
LTR
-
TYPE OF INSURANCE
I SD
_ _
NO
-
POLICY NUMBER
POLICYEFF
MMIDD
POLICY EXP
MMID
LIMITS
COMMERCIAL GENERAL LIABILITY
-
EACH OCCURRENCE
$ 1,000,000
CLAIMS -MADE � OCCUR
PREMISES Ea occurrence
$ 3001,000
MED EXP(Any one person)
$ 10,000
PERSONAL BADVINJURY
$ 1,000,000
A
74069498
05/24/2019
05/24/2020
GEN'LAGGREGATE LIMITAPPLIES PER:
GENERAL AGGREGATE
$ 2,000,000
POLICY ❑ JEo LOC
PRODUCTS -COMP/OPAGG
$ 2,000,000
$
OTHER:
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
Ea accident
$ 300,000
BODILY INJURY (Per person)
$
ANY AUTO
B
OWNED SCHEDULED
AUTOS ONLY AS
4665116500
61/16/2020
01/16/2021
BODILY INJURY(Peraccident)
$
PROPERTY DAMAGE
Per accident
$
HIRED I NON -OWNED
- AUTOS ONLY --- AUTOS ONLY
UMBRELLA UAB
_
OCCUR
EACHOCCURRENCE
$
AGGREGATE AGGREGATE
$
EXCESS LIAS
CLAIMS -MADE
DED
RETENTION $
$
_
-
_. _.. __. _._
--- ..
C
WORKERS' COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICERIMEMBER EXCLUDED?
(Mandatory in NH) -
NIA
4092367
05/01/2019
05/01/2020
X STATUTE ERH
E.L. EACH ACCIDENT
100,000
$
E.L. DISEASE - EA EMPLOYEE
$ 100,000
If yes, describe under
DESCRIPTION.OFOBERATIONS below.____.. __
E.L. DISEASE -POLICY LIMIT
$ 500 000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Fort Collins Community and Devolpments Services
PO BOX 580
Fort Collins
CO 80522
VHIYVCLLXI IVIY
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE'CANCELLEDBEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
REPRESENTATIVE
_ - -.
n 19RR_?G15 ACORD CORPORATION- Allriehts rasnrvnd.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD