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HomeMy WebLinkAboutDEPAUL ELECTRIC - INSURANCE CERTIFICATE (2)''07w CERTIFICATE OF LIABILITY INSURANCE J °ATE(MWDD/YYYY) 10/02/15 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(Q. PRODUCER CONTACT Debbie Klisch NAME: Southern Colorado Insurance Center PHOWC- No. Exth (719) 3294441 1 (FAACXNo): (719) 457-M3 4390 N Academy Blvd -MAIL debbie@scicteam.com Colorado Springs, CO 80918 INs s AFFORDING COVERAGE NAIL! Phone (719) 3294441 Fax (719) 457-5923 INSURER A: Liberty Mutual Insurance INSURED INSURER B : Plnnacol Assurance ,DePaul Electric INSURERC: 7889 Kettle Dawn INSURER D : Colorado Springs, CO 80922 INSURERE: INSURERF• COVERAGES CERTIFICATE NUMBER: 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. TYPE OF INSURANCE INS POLICY NUMBER BKS (14) 556254490 61"WyWrI drum—WyWn LIMITS A GENERAL LIABILITY ©COMMERCIAL GENERAL LIABILITY ❑ ❑ CLAIMS -MADE ❑d OCCUR ❑ ❑ 10/01/2015 10/012016 EACH OCCURRENCE $ 1,000,000.00 DAMAGE TO RENTED PREMI ES Ea occurrence E 100,000.00 MED EXP (Any one person) $ 5,000.00 PERSONAL & ADV INJURY $ 1,000,000.00 I GENERAL AGGREGATE $ 2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: ❑ POLICY ❑ PRO- R LOC JECT PRODUCTS - COMP/OP AGG $ 2,000,000.00 $ AUTOMOBILE LIABILITY ❑ ANY AUTO ALL ❑ AUTOS OWNED ❑ SCHEDULED AUTOS ❑ HIRED AUTOS ❑ NON -OWNED AUTOS ❑ O COMBINED SINGLE LIMIT Es accident BODILY INJURY (Per person) $ BODILY INJURY (Per accident) PROPERTY DAMAGE Per accident $ $ $ ❑ UMBRELLA LIAR ❑ OCCUR ❑ EXCESS LIAB ❑ CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNERIEXECUTIVE 4184754 B OFFICERIMEMBER EXCLUDED? ❑ US N I A an (Mydatory in NH) DES, d scribe under CRIPTION OF OPERATIONS below 07/162015 07/162016 E.L. EACH ACCIDENT I $ 100,000.00 E.L DISEASE- EA EMPLOYEE $ 100,000.00 E.L. DISEASE - POLICY LIMIT I $ 500,000.00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Rernarks Schedule, tf mom space is required) CERTIFICATE HOLDER City of Fort Collins PO Box 580 Fort Collins, CO 80522 ACORD 25 (2010/05) QF CANCELLATION 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 Debbie Kiisch ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD