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Home My WebLink AboutFISKE INC DBA FISKE ELECTRIC - INSURANCE CERTIFICATE (9)ACOROr CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 2/18/2016 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 CONTNAME: Kylie Miller, CISR Flood and Peterson PO Box 578 PHONE , (970)266-7148 FAX /C o A/C No:(970)506-6845 E-MAIL DD Ss:KRiller@floodpeterson.com INSURERS AFFORDING COVERAGE NAIC If INSURER A :Cincinnati Insurance Cc 10677 Greeley _ _ CO 80632 INSURED INSURERB:Pinnacol Assurance 41190 INSURERC: Fiske, Inc. Dba Fiske Electric 6766 E . County Road 18 INSURER D : INSURER E : Johnstown CO 80534 INSURER F: COVERAGES CERTIFICATE NUMBER:CL1621809132 RFVICICIN NI IMRFR- 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. ILTR TYPE OF INSURANCE INSD V POLICY NUMBER MWDDY/YYYY EFF MM/DDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE [XI OCCUR EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 500,000 MED EXP (Any one person) $ 10,000 EPP0168559 11/15/2015 11/15/2016 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO - POLICY JECT LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OPAGG $ 2,000,000 BLWOS $ OTHER. AUTOMOBILE LIABILITY CO aBBIINEDtSINGLE LIMIT (EaA $ 1,000,000 X ANY AUTO ALL OS SCHEDULED AUTOS AUTOS EPP0168559 11/15/2015 11/15/2016 BODILY INJURY (Per person) $ BODILY INJURY (Per ( ) $ X HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ Uninsured motorist combined $ 1,000,000 X X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3, 000,000 AGGREGATE A EXCESS LIAR CLAIMS -MADE $ 3,000,000 DED X RETENTION$ 0 $ IEPP0168559 11/15/2015 11/15/2016 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N❑ B (Mandatory in NH) If yes, describe under NIA 4066524 3/1/2016 3/1/2017 PER OTH- X STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below A Leased/Rented Equipment EPP0168559 11/15/2015 11/15/2016 $50,000Limit/$1,000Ded. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) ^ rv�✓�� I.ANt r_LLA I IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P.O. BOX 580 ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE K Miller, CISR/KMILLE (V19BB-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD