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HomeMy WebLinkAboutSIMPSON ELECTRIC INC - INSURANCE CERTIFICATE (15)ACOR TOO u_ CERTIFICATE OF LIABILITY INSURANCE DATE nAedrYYY u1ae THIS CERTIFICATEISISSUED 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 ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: N the ceAiRcale holder is an ADDITIONAL INSURED, dre policy(ies) rr'ud rove ADDITIONAL INSURED provisions or be endorsed. It SUBROGATION IS WAIVED, SubJSCt to the terms. and conditions Of " POlicy, certain policies may require an endorsement A statement on this certi/leate does nol confer rlqMtothe .certlflcste_holder .In lieu of such em Drsem s PRODUCER CONTACT CLIENT CENTER nl�cN� E>M : 88&333-4949 wrc ne : 507-046d664 FEDERATED MUTUAL INSURANCE COMPANY _... HOME OFFICE:. P.O. BDX 328 a DNeS& CLIENTCONTACTCENTER FEDINS.COM OWATONNA, MN 55060 INSURERUS) AFFORDING COVERAGE NAIL N INSURER A: FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 189-714-9 INSURER B: FEDERATED SERVICE INSURANCE COMPANY 28304 INSURER C. SIMPSON ELECTRIC, INC. 220 12TH ST SW LOVELAND, CO 80537-Ml INSURER D: ER INSURE: INSURER F: M%MnAncC B DTICICSTF MIIMIWR• 11 HCYISIVn MUMOCHI U 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 CERTIFICATEMAYBE 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. INS R TYPE OF INSURANCE DL SUER POLICY NUMBER POLICY EFF M I YYY POLICY EKP UMITS- A COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR BUSINESS OWNER'S LIABILITY Y N 6124979 04/01/2020 04/01/2021 EACH OCCURRENCE $1,000,000 DAMAGE RENTED PN $100,000 X MED E%P (Any am Part aw) PERSONAL& ADV INJURY $1,000,000 AGGREO TE LIMIT APPLIES PER: LICY � ECT ❑LOD TOTHER: GENERAL AGGREGATE' $2,000.000 PRODUCTSCOMPIOP,AGO $2,000,000 Li AUTOMOBILE X LIABILITY ANY AUTO OWNED AUTOS ONLY SCHEDULED AUTOS HIRED AUTOS ONLY MON-OWNED Aulas ONLY N N 6124980 04/01/2020 04/01/2021 dome mg odsiNGLE UNIT - - - -- — $1,000,000 BODILY INJURY (Par Penan) GODLY INJURY IPsf dmdHltl _ TY.PROPERDAMAGE A X UMBRELLA LIAR EI0CEF= LIAB X OCCUR CLAIMS -MADE N N 6124991 04/01l2020 04/01/2021 EACH OCCURRENCE $1,000,000 AGGREGATE $1,000,000 LIED RETENTION _ WORKERS COMPENSATION Am/ EMPLOYERS' LIABILITY J ANY PROPRIETORMARTNERIE%ECUTIVE OFFICERIMEMBER EX LUDED? (MJSWalary In FIN) N yes, desoibe Under DESCRIPTION OF OPERATIONS Wow N I A OTH PER STATUTE I I ER E.L. EACH ACCIDENT E.L. DISEASEEA EMPLOYEE El DISEASE • POLICY LIMIT DESCRIPTION OF OPERATIONS I U)CATIONS 1 VEHICLES (ACORD 101. Addibe l ReTMO Saleerle, Tay be aDW W d it mae ranee is rupdred) THE CERTIFICATE HOLDER IS AN AIXIITIONAL. INSURED SUBJECT TO THE CONDITIDNS OF THE'A1roITIDNAL INSURED BY CONTRACT ENDORSEMENT FOR BUSINESSOMNERS LIABILITY. r w+resu 189-714-9 •`.••_W` 110 SHOULD ANY OF THE ABOVE: DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF FORT COLLINS THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO BOX 580 ACCORDANCE WITH THE. POLICY PROVISIONS. FORT COLLINS, CO 80522-0580 AUTHORIZED REPRESENTATIVES • , , / 1 � 15atl-ZU70 AW1t1/ W HYVIW I I VI1. MII fi JfR3 f WmYW. AOORD 25 (201WW) The ACORD name and logo are registered marks of AC.ORD