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PAR ELECTRICAL CONTRACTORS INC - INSURANCE CERTIFICATE
ACORb- CERTIFICATE OF LIABILITY INSURANCE llh.� 511 /2016 DATE(MM/DD/YYYY) 1 3/31 /2015 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 ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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 LOCKTON COMPANIES 5847 SAN FELIPE, SUITE 320 HOUSTON TX 77057 866-260-3538 CONTA NAME: N FAX n, No, EXt : A/C, No): E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A : Old Republic Insurance Com anV 24147 INSURED PAR ELECTRICAL CONTRACTORS, INC. 1364742 A QUANTA SERVICES COMPANY DIVISION #90 4770 N. BELLEVIEW AVE., SUITE 300 KANSAS CITY MO 64116-2188 INSURER B : ACE Property & Casualty Insurance Co 20699 INSURER C : INSURER D : INSURER E : INSURER F COVERAGES CERTIFICATE NUMBER: 12416018 REVISION NUMBER: XXXXXXX 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. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MMIDD/YYYY LIMITS A A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑ OCCUR }{ Y N MWZY 304377 M WZX 304375 5/1/2015 5/1/2015 5/1/2016 5/1/2016 EACH OCCURRENCE 5,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 5,000,000 MED EXP (Any oneperson) $ 10,000 PERSONAL & ADV INJURY $ 5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY❑ JECOT- ❑ LOC OTHER GENERAL AGGREGATE $ SOOOOOO PRODUCTS - COMP/OP AGG $ 5,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO AUTOWNED SCHEDULED AUTOS NON -OWNED HIRED AUTOS X AUTOS Y N MWTB 304394 5/1/2015 5/1/2016 COBINEDtSINGLE LIMIT $ 5,000,000 X BODILY INJURY (Per person) $ XXXXXXX X BODILY INJURY (Per accident $ XXXXXXX X PROPERTY DAMAGE Per accident $ XXXXXXX $XXXXXXX E3 X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE N N XOOG27320569 5/1/2015 5/1/2016 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 51000,000 DED I I RETENTION $ $ X} XXYXX A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYXECUTIVE OFFICER/MEMBER/ EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A N MWC 304378 00 5/1/2015 5/1/2016 X STATUTE oTH- E.L. EACH ACCIDENT $ 11000,000 E.L. DISEASE - EA EMPLOYEE 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, may be attached if more space is required) General Liability And Auto Liability Policies Include Certificate Holder As An Additional Insured When Required By Written Contract But Only As Respects Liability Arising Out Of Named Insured's Work For Additional Insured. %,rm I Iri%,A IC r7VLUrM I.AIVI.CLLA I IVIY 12416018 City Of Fort Collins P. 0. Box 580 Fort Collins CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE IaTK�L'7 �3��if3�iL•IL17111 ©1988-2014 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD