HomeMy WebLinkAboutTEC ELECTRIC INC - INSURANCE CERTIFICATEACOR" CERTIFICATE OF LIABILITY INSURANCE
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DATE (MM/DD/YYYY)
9/16/2015
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
Commercial Risk Solutions
6600 E Hampden Ave Ste 200
Denver CO
CONTACT
NAME: Shana Tama O
P"°NE 303-996-7842 FAX 303-757-7719
E-MAIL stamayo@crsdenver.com
INSURERS AFFORDING COVERAGE
NAIC p
INSURER A:Westfleld Insurance
24112
INSURED TECEL-1
INSURER B :Plnnacol Assurance
41190
INSURER C :
TEC Electric, Inc.
P O Box 1060
Eastlake CO 80614
INSURER D
INSURER E:
INSURER F :
COVERAGES CFRTIFICATF Nt1MBFR- 1672618751 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 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
INSD
WVD
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MM/DD/YYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE X� OCCUR
CWP5713536
2/10/2015
2/10/2016
EACH OCCURRENCE
$1,000,000
DAMAGE TO RENTED
PREMISES Ea occurrence
$300,000
MED EXP (Any one person)
$5,000
PERSONAL & ADV INJURY
$1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER.
POLICY JECT E LOC
OTHER.
GENERAL AGGREGATE
$2,000,000
PRODUCTS - COMP/OPAGG
$2,000,000
$
A
AUTOMOBILE LIABILITY
X ANY AUTO
ALL OWNED SCHEDULED
X HIRED AUTOAUTOS
S X NON -OWNED
AUTOS
1 CWP5713536
2/10/2015
2/10/2016
MBIN IN L LIMI
Ea accident
$ 1,000,000
_
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
UMBRELLA LIAB
EXCESS LIAB
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE
$
DED RETENTION $
$
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? N
(Mandatory in NH)
!f yes, describe under
DESCRIPTION OF OPERATIONS below
N / A
4153486
10/1/2015
10/1/2016
1 OTH-
STATUTE ER
E.L. EACH ACCIDENT
$500,000
----- -
$500,000
E.L. DISEASE - EA EMPLOYEE
E L. DISEASE - POLICY LIMIT
1 $500,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required)
All policy terms, conditions and exclusions apply.
CERTIFICATE HOLDER CANCELLATION
City of Fort Collins 281 N. College Avenue
P.O. 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 If�J
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