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HomeMy WebLinkAboutINNOVATIVE ELECTRICAL SYSTEMS - INSURANCE CERTIFICATE (5)Client#: 1084545 INNOVELEI DATE (MM,IDD'YYYY) ACORD. CERTIFICATE OF LIABILITY INSURANCE 1 1/29/2016 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 CONT C NAME: USI Colorado, LLC Prof Liab PHONE P.O. Box 7050 E-MAIL Ext:800 873-8500 A/c No; Englewood, CO 80155 ADDRESS: _ _ 800 873-8500 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Hartford Casualty Insurance Com 29424 INSURED Hartford Ins Co of the Midwest 37478 Innovative Electrical Systems 7550 W Yale Ave., Suite B130 Denver, CO 80227 INSURER B . INSURER c: XL Specialty Insurance Company 37885 INSURER D : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 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. �TpR TYPE OF INSURANCE NSR WVDADDLISUBR POLICY NUMBER MM/DDNYFF MM/DDNYYY LIMITS A X COMMERCIAL GENERAL LIABILITY X X 34SBWLN3274 1/22/2016 01/22/2017 EEACH�OECCrURRENCE $11000,000 CLAIMS -MADE � OCCUR PREMISES Ea occurrence $300 000 MED EXP (Any one person) $1 O 000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY II ECOT 171 LOC GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG $2,000 OOO $ OTHER: A AUTOMOBILE LIABILITY X X 34SBWLN3274 1/22/2016 01/22/201 COMBINED SINGLE LIMIT Ea accldem 1,000,000 BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE _ $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/ N OFFICER, 'MEMBER NIA X 34WEGKE5825 1/2W2016 01/22/2017 X PER OTH- E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1 000 000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS_ below DPS9801523 E.L. DISEASE - POLICY LIMIT $1,000,000 C Professional 1/22/2016 01/22t2017 $1,000,000 per claim Liability $1,000,000 annl aggr. Claims Made DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) As required by written contract or written agreement, the following provisions apply subject to the policy terms, conditions, limitations and exclusions: The Certificate Holder and owner are included as Automatic Additional Insured's for ongoing and completed operations under General Liability and Designated Insured under Automobile Liability, but only with respect to liability arising out of the Named Insured work performed on behalf of the certificate holder and owner. The General Liability and Automobile Liability (See Attached Descriptions) GtH 1 IFIGA I t HULUtH GANGELLA 1 ION The City of Fort Collins c/o Aller-Lingle-Massey Architects PC PO Box 580 Fort Collins, CO 80522 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 ACORD 25 (2014/01) 1 of 2 #S17166859/M17160907 ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD BVSZP DESCRIPTIONS (Continued from Page 1) insurance applies on a primary and non-contributory basis. A Blanket Waiver of Subrogation applies for General Liability, Automobile Liability and Workers Compensation. Please note that Additional Insured status does not apply to Professional Liability or Workers' Compensation. RE: Project: South Transit Center Additional Insured: The City of Fort Collins SAGITTA 25.3 (2014/01) 2 of 2 #S17166859/M17160907