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HomeMy WebLinkAboutDURO ELECTRIC - INSURANCE CERTIFICATE (2)A` ® DATE (YYYY) CERTIFICATE OF LIABILITY INSURANCE o2 `..� nz0/zo16ls 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). rEpolis, CONTACT E. USA Inc. PHONPHONEuth 7th Street, Suite 1400 Extl� MN 55402-2400 E-MAIL E-MAIL !AnnDrQQ. INSURER(S) AFFORDING COVERAGE NAIC # J43750-DURO-GAWX-16-17 INSURER A: Liberty Mutual Fire Ins Co 23035 INSURED INSURER B : Associated Electric & Gas Ins Services Ltd 3190004 Duro Electric Company — — -- _--- -_ 2271 VVest Yale Avenue INSURER C : Liberty Mutual Insurance Company 23043 Englewood, CO 80110 INSURER D : INSURER E : CnVFRAP,FS rFRTIGIr_ATF NI IMRFR- CHI-006534592-03 RF1flS!r)N NIIMPFR•I 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 ADDL R sUBPOLICY EFF I POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY TB2-641-005097-046 01i01/2016 LACH OCCURRENCE $ 2,000,000 CLAIMS -MADE FXI OCCUR �11101/2017 DAMAGE TO RENTED PREMISES Ea occurrence) $ 500.000 X MED EXP (Any one person) $ 10.000 PER PROJECT AGGREGATE PERSONAL & ADV INJURY $ 2,000.000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 4,000,000 POLICY PRO JECT ❑ LOC - PCOMP/OP AGG_ $ 4,000.000 _RODUCTS ___ $ OTHER A AUTOMOBILE LIABILITY Al2-G41-005097-056 01/01!2016 i01/0112017 COMBINED SINGLE LIMIT Ea accident` $ 2,000,000 BODILY INJURY (Per person) $ ANY AUTO $ ALL OWNED SCHEDULED AUTOS AUTOS jx� BODILY INJURY (Peraccident) PROPERTYDAM Per accident $AGEHIRED NON -OWNED AUTOS AUTOS B UMBRELLA L!AB OCCUR XL5063405P 01/01/2016 01/01,'2017 EACH OCCURRENCE $ 5,000,000 X HCLAIMS-MADE AGGREGATE $ 5,000,000 EXCESS LIAR DIEDRETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y� OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A WA7-64D-005097-016(AOS) °INCLUDES "STOP GAP 01/01/2016 01/01/2017 X IPER • STATUTE ORH - L.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE ----- $ 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000DESCRIPTION $ If yes, describe under OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may he attached if more space is required) Excess liability applies to general liability, products and completed operations, automobile liability, and employers liability. CFRTlF:lrATF 14r11 r1FR (:QM[:FI I ATION City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 281 N. College Ave. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERS& IN Fort Collins, CO 80522-0580 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukherjee[�uati U 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: J43_750 LOC #: Minneapolis ,a�oRo ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY Marsh USA Inc. NAMED INSURED Duro Electric Company 2271 West Yale Avenue Englewood, CO 80110 POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM 1 ITLE: Certificate of Liability Insurance Coverage for Duro Electric Company effective 2/1/2016. ACORD 101 (2008/01) Oc 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD