HomeMy WebLinkAboutAAA ELECTRIC COMPANY INC - INSURANCE CERTIFICATE (2)A bP
CERTIFICATE OF LIABILITY INSURANCE
DATED/YYYY)
6/30/
06/30/2015
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 endorsements .
PRODUCER
FEDERATED MUTUAL INSURANCE COMPANY
HOME OFFICE: P.O. BOX 328[AC
CONTACT
NAME: CLIENT CONTACT CENTER
A CNNo Ext : 888-333-4949 A/c No): 507-446-4664
E-MAIL CLIENTCONTACTCENTER FEDINS.COM
OWATONNA, MN 55060
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURER A: FEDERATED MUTUAL INSURANCE COMPANY
13935
INSURED 274-665-9
INSURER B:
AAA ELECTRIC COMPANY INC
INSURER C:
24 S MAIN ST
INSURER D:
LONGMONT, CO 80501
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 35 REVISION NUMBER: 0
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
DL
INSR
SUBR
WVD
POLICY NUMBER
POLICY EFF
MMIDDIYYYY
POLICY EXP
MMIDDIYYYY
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$1,000,000
COMMERCIAL GENERAL LIABILITY
DAMAGE TO RENTED
PREMISES JE.occurrence
$100,000
CLAIMS -MADE x OCCUR
MED EXP (Any one person)
PERSONAL & ADV INJURY
$1,000,000
A
X BUSINESS OWNER'S LIABILITY
N
N
9886654
08/05/2015
08/05/2016
GENERAL AGGREGATE
$2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$2,000,000
PRO-
X POLICY 7 JECT LOC
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
Ea accident
$1,000,000
X
ANY AUTO
BODILY INJURY (Per person)
A
ALL OWNED SCHEDULED
AUTOS AUTOS
N
N
9886655
08/05/2015
08/05/2016
BODILY INJURY (Per accident)
HIRED AUTOS NON -OWNED
AUTOS
PROPERTY DAMAGE
Per acciden
X
UMBRELLA LIAR
X
OCCUR
EACH OCCURRENCE
$1,000,000
A
EXCESS LIAB
CLAIMS -MADE
N
N
9886656
08/05/2015
08/05/2016
AGGREGATE
$1,000,000
DED I I RETENTION
WORKERS COMPENSATION
WC STATU-
OTH-
AND EMPLOYERS' LIABILITY YIN
TORY LIMITS
ER
E.L. EACH ACCIDENT
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? ❑
N I A
E.L. DISEASE - EA EMPLOYEE
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L DISEASE - POLICY LIMIT
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
CERTIFICATE HOLDER CANCELLATION
274-665-9
CITY OF FORT COLLINS
PO BOX 580
FORT COLLINS, CO 80522-0580
35 0
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
O 1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD