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HomeMy WebLinkAboutEATON SALES AND SERVICE LLC - INSURANCE CERTIFICATEACOR" CERTIFICATE OF LIABILITY INSURANCE DATE (MMlDD/YYYY) 03/31 /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 CONTACT Colin Donovan NAME: STICO Mutual Insurance Company, RRG _ IPVHc°NN Ext1: 847-253 5761 FAX Na: 847-253-5905 171 W. Wing Street #208 E-MAIL ADDRESS: PRODUCER -- Arlington Heights IL 60005 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: STICO MUTUAL INSURANCE CO, RRG 10476 EATON SALES & SERVICE LLC INSURER B : 4800 YORK ST. INSURER C : INSURER D : DENVER CO 80216 INSURER E : INSURER F : 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 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 ADDLISUBR. TYPE OF INSURANCE I POLICY NUMBER POLICY EFF POLICY EXP MM/DD/YYYY MMIDD/YYYY LIMITS A GENERAL LIABILITY 1-GLR000141-16 Q5/01/2016 05/O1/2017 EACH OCCURRENCE $ 2M DAMAGE TO RENTED PREMISES (Ea occurrence) $ 50000 X COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $ 5000 CLAIMS -MADE X❑OCCUR PERSONAL & ADV INJURY $ 2M GENERAL AGGREGATE $ 2M GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2M X POLICY PRO- T LOC $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS PROPERTY DAMAGE (Per accident) $ $ NON -OWNED AUTOS $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE EXCESS LIAB CLAIMS -MADE r $ DEDUCTIBLE $ RETENTION S $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N I WC STATU- OTH- ORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N / A $ E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYE (Mandatory in NH) If yes, describe under $ - E.L. DISEASE - POLICY LIMIT 1 $ r i r 3 i DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Proof of Coverage Only. - 11-M I " n%JLIJGfR k ANttLLA I IU N City of Fort Collins 281 North College Avenue, P.O. 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 © 1988- 2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD Clear All