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Home My WebLink AboutBRIAN'S ELECTRIC CO LLC - INSURANCE CERTIFICATE (2)02/18/2016 THU 17:02 FAX ID002/004 Fax:(970)221-6270 ACORa#7® CERTIFICATE OF LIABILITY INSURANCE DATE(MWDDNYYY) 02/18/2016 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 CONTACT NAME: Tad Borrett Security Insurance Group, LLC PHONE 97D-3784818 FRIC No) AX 970-378-4820 8219 W 20th St, Ste A ED IL s: si security nsurance rou .net INSURE S AFFORDING COVERAGE NAIC I Greeley, CO 80634 INSURER A: Auto OwnersInsurance 32700 INSURED INSURERS: Owners Insurance Company 18988 INSURER C: Brian's Electric CO, LLC INSURER D: 1410 Webster Ave INSURER E: Fort Collins, CO 80524-4718 INSURER F: COVERAGES CFRTIFICATF NIIMRFR• nnnnnnnn-n 0PIASI(1M ul111111 G• Al 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TOALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE ADOL SUB POLICY NUMBER MIDDNYYF PMIDDIYYYY LIMITS A X COMMERCIAL GENERAL UABILITY CLAIMS -MADE 1XI OCCUR Y Y 74103606 03/03/2016 03/03120W EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENT PREMISES Ea occurrence $ 300,000 GEN'L MED FXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 AGGREGATE LIMIT APPLIESPER: POLICY FX� JPER0. LOC OTHER: GENERAL AGGREGATE $ 2000000 PRODUCTS-COMPIOP AGG $ 2,000,000 $ A AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS Y Y 4941848602 03/0312016 03/0312017 COMBINED MBIN DSINGLELIMIT Be $ 1 000 000 BODILYINJURY (Perperson) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE I I 494184WUU-i ujiuxetnr "CR - ,iiuv,v6a�' AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS'LIA BILITY YIN ANY PROPR ETOR/PARTNER(EXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA PER OR TH- ' E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ EI. DISEASE -POLICY UMIT $ A Rented Equipment 74103606 03/03/2016 03/03/'2017 50,000 DESCRIPTION OF OPERATIONS LOCATIONS (VEHICLES (ACORD 101,Addidonal Remarks Schedule, maybe attached If more space is required) City of Fort Collins Streets Department 625 9th St. Fort Collins, CO 80524 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD Printed by TCB on February 18, 2016 at 03:56PM