Loading...
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