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Home My WebLink AboutACTION ELECTRIC LLC - INSURANCE CERTIFICATEAllstate. You're in good hands. CERTIFICATE OF INSURANCE - COMMERCIAL ALLSTATE INSURANCE COMPANY - NORTHBROOK, IL THIS CERTIRCATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NOR] GHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOTAMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Description of Operation: CERTIFICATE HOLDER NAMED INSURED Name and Address of Party to Whom this Certificate is Issued Name and Address of Insured CITY OF FORT COLLINS PO BOX 508 FORT COLLINS, CO 80522-0508 ACTION ELECTRIC, LLC PO BOX 356 SEVERANCE, CO 80546-0356 Location Address (if different than above) This is to certify that policies of insurance listed below havebeen issued to the insured named above subjectto the expiration date indicated below, notwithstanding any requirement, term or cond ition of any contractor 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. TYPE OF INSURANCE AND LIMITS ---------------------------------------- ------------------------------------------------------------------------------ PolicyNumber. 6482785e0 Effective Date: 04-06-2015 Expiration Date: 04-06-2016 COVERAGE SUMMARY BUSINESS LIABILITY AMOUNT COMPREHENSIVE LIABILITY $ 1,000, 000 Per Occurrence DAMAGE TO PREMISES RENTED TO YOU $ 50, 000.00 Any One Premises MEDICAL PAYMENTS $ 5,000 Per Person OTHER THAN PRODUCTS / COMPLETED OPERATIONS AGGREGATE $ 2, 000, 000. 00 PRODUCTS / COMPLETED OPERATION AGGREGATE $ 2, 000, 000.00 PROPERTY INSURANCE POLICY TYPE X❑ SPECIAL FORM ❑ BROAD FORM ❑ BASIC FORM BUILDERS RISK SPECIAL FORM ❑ BUILDING ❑ Replacement Cost Actual Cash Value Blanket Limit 0 CONTENTS $ 1,000 © Replacement Cost ❑ Actual Cash Value Blanket Limit Deductible $ 2,500 Wind Deductible % 0 Exclude Wind11 YES � NO ADDITIONAL COVERAGE'S: EQUIPMENT BREAKDOWN,CONTRACTORS' INSTALLATION, TOOLS AND EQUIPMENT COVERAGE MORTGAGE CLAUSE — The policy contains a Mortgage Clause in favor of: Mortgagee Address CERTIFICATE PERIOD THIS CERTIFICATE WILL REMAIN IN FORCE FROM THE INCEPTION OF THE POLICY UNTIL THE POLICY IS CANCELLED OR EXPIRES. POLICY INCEPTION DATE: 04-06-2015 ® 12:01 AM ❑ 12:00 NOON Standard Time at the location of the Insured Premises. PROVISIONS This form is not the contract of insurance, but attests that a policy as identified above has been issued. The provisions of the policy shall prevail in all respects. SHOULD THE ABOVE DESCRIBED POLICY BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOT10E WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. LFAI LLC 10-22-15 Authorized Representative Date BU114R-3 CICW010114 certificate Copy BU114R-3 CICW010114 certificate Copy