HomeMy WebLinkAboutDIVERSIFIED ELECTRIC & CONTROLS LLC - INSURANCE CERTIFICATE (4)A64 R_ CERTIFICATE OF LIABILITY INSURANCE
DATE02/26/D/YYYY)
02/262016
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
CONTACT
NAME: CLIENT CONTACT CENTER
PHONE FAX
A/C No Ext : 888-333-4949 A/c No): 507-446-4664
E-MAIL
ADDRESS: CLIENTCONTACTCENTER FEDINS.COM
OWATONNA, MN 55060
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURER A: FEDERATED MUTUAL INSURANCE COMPANY
13935
INSURED 348-383-1
INSURER B:
DIVERSIFIED ELECTRIC & CONTROLS LLC
INSURER C:
4191 INCA ST
INSURER D:
DENVER, CO 80211
INSURER E:
INSURER F:
COVERAGES CERTiFICATE NUMBER: 13 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
ADDL
INSR
SUBR
WVD
POLICY NUMBER
POLICY EFF
MMIODIYYVV
POLICY EXP
MM/DDIYYVY
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$1,000,000
DE ToRENTED
PREMISES Ea occurrence)
$100,000
X COMMERCIAL GENERAL LIABILITY
MED EXP (Any one person)
EXCLUDED
CLAIMS -MADE X OCCUR
PERSONAL & ADV INJURY
$1,000,000
A
N
N
9061600
04/13/2016
04/13/2017
GENERAL AGGREGATE
$2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMPIOP AGO
$2,000,000
X POLICY PRO-
JECT LOC
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
Ea acciden
$1,000,000
BODILY INJURY (Per person)
X
ANY AUTO
A
ALL OWNED SCHEDULED
AUTOS AUTOS
N
N
9061600
04/13/2016
04/13/2017
BODILY INJURY (Per accident)
NON -OWNED
HIRED AUTOS AUTOS
PROPERTY DAMAGE
Per. accident
X
UMBRELLA LIAB
X
OCCUR
EACH OCCURRENCE
$2,000,000
A
EXCESS LIAB
CLAIMS -MADE
N
N
9061601
04/13/2016
04/13/2017
AGGREGATE
$2,000,000
DED RETENTION
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
X
WC STATU-
TORY LIMITS
OTH-
ER
E.L. EACH ACCIDENT
$500,000
ANY PROPRIETORIPARTNERIEXECUTIVE
A
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
NIA
N
9910328
04/13/2016
04/13/2017
E.L. DISEASE - EA EMPLOYEE
$500,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L DISEASE -POLICY LIMIT
$500,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
CERTIFICATE HOLDER CANCELLATION
348-383-1
CITY OF FORT COLLINS
PO BOX 580
FORT COLLINS, CO 80522-0580
130
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
(a 1988-2010 ACORD CORPORATION_ All rights reserved
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD