HomeMy WebLinkAboutAXIS ELECTRICAL SERVICES LLC - INSURANCE CERTIFICATEACORO®
`�- CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDDNYYY)
3i23r202o
THIS CERTIFICATE IS ISSUED. AS A MATTER OF INFORMATION I 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(ies) must have ADDITIONAL INSURED provisions or beendorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
_this..certliicate;does not confer: rights to the.certificate holder In,lieu ;of such endorsement(s).
PRODUCER
Commercial Risk Solutions
6600 E Hampden Ave Ste 200
Denver CO 80224
CONTACT
NAME: Rebecca Leatherman
PHONE F
• 303-996-7853 ac No): 3037996-7851 ._
ADDRESS: deatherman crsdenver.com
INSURE S AFFORDING. COVERAGE
NAIC0
INSURER A: Plnnacol Assurance
I 41190
INSURED AXISE-1
Aids Electrical Services, LLC
8101 W. 1-25 Frontage Rd.,, #2
INSURERS: Westfield Insurance
24112
INsuRERc: CNA
20478
INSURER0:
Frederick C0 80516
"
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER`1368947248 REVISION NUMBER -
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 RESPECTTO WHICHTHIS
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.
ILTR
TYPEOFINSURANCE
ADD L
D
Bp
wvo
POLICYNUMBER.
POLICY EFF
MU=RY..
POLICY EXP
MM/DDNY.Y
LIMITS..
B
X COMMERCIAL GENERAL LIABILITY
..REMISES
CLAIMS -MADE I OCCUR
CWP4462197
4/1/2020
4/1/2021
FACHOCCURRENCE
$.1;000.000
AMAGE TO RENTED
P Ea occurrence
$.500,000
MED EXP (An .one person)
$5,000
PERSONAL BADV INJURY
$1.000.000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY 1 A I JEa 71LOC
OTHER:
GENERALAGGREGATE
$2,000,000
PRODUCTS-COMP/OP AGG
$2,000.000
I .
S. .
B
AUTOMOBILE
LIABILITY
ANY AUTO
OWNED SCHEDULED
HIRED ONLY AUTOS
AUTOS ONLY X AUOT S ONLN-OWNEDY
CWP4462197
4/1/2020
4/1/2021
COMBINED SINGLE". LIMIT
(Ea accident)
$-1,000.000
X
BODILY INJURY (Per person)
$
x-
BODILYiNJURY (Peraocident)
.. —. _.
$
Pe0 �RdTe DAMAGE
$
$
B
X
UMBRELLA LIAB X
EXCESS LIAB
BUR
CLAIMS -MADE
CWP4462197
4/1/2020
4/1/2021.
I
EACHOCCURRENCE
$.5.000,000
AGGREGATE
$5.000,000
DED I X I RETENTIONS KICINF
Is
A -
'
WORKERSCOMPENSATION
AND EMPLOYERS' LIABILITY Y 1 N
ANYPROPRIETOR/PARTNER/EXECUTIVE
OFFICER(MEMBEREXCLUDED? �
11yes, escrib NH)
II yes, describe under
DESCRIPTION OF OPERATIONS.bebw
'N/A
4144873
4/12020
412021 IX
SPER
I TATUTE I ERH
E.L. EACH ACCIDENT
$1,000,000
E.LDISEASE-FA"EMPLOYEE
$.1000,000
$L. DISEASE - POLICYLIMIT
$1,000,000._
B
C
Lease/Rented E7uip
Special Form/ACV
Prof/Pcll
CWP4462197
CE06076249375
4I12026
6172019
" 4/12021
6012020 I
Limd -" - -
Dad
LimitfOccurrance
$50,000
$500
1,000,000
DESCRIPnON OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached 11 more epees is required)
All.policy terms, conditions and exclusions apply.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF., NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City of Fort Collins
P.O.. BOX 580. AUTHORIZED REPRESENTATIVE
Fort Collins CO 80526
ACORD 25 (2016/03)
01988-2015 ACORD
The ACORD name and logo are registered marks of ACORD
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