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Home My WebLink About104571 GREGORY ELECTRIC INC - INSURANCE CERTIFICATE (14)® DATE (MM/DD/YYYY) AC� AC� CERTIFICATE OF LIABILITY INSURANCE 6/16/2017 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 NAME: Dana Stewart, CIC CISR Flood and Peterson PHCN o Ert: (970)266-7149 A/C No: (970)506-6845 PO Box 578 E-MAIL ss:DStewart@floodpeterson. com ADDREINSURER(SI AFFORDING COVERAGE NAIC # Greeley CO 80632 INSURERACharter Oak Fire Insurance Co=anv 25615 INSURED INSURERB:Travelers Property Casualty Company 25674 Gregory Electric, Inc. INSURERC:Travelers Indemnity Company 25658 3317 N. Lincoln Ave. INSURER D .Travelers Indemnity Company o_f 25666 PO Box 2373 INSURERE: Loveland CO 80539 INSURER F: r.n%1CoAr_CC r`CDTICIrATC All IMRGR•7n1 7 CT./AT7/XS/WC/Inst RFVICIT)N NIIMRF=P- 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. EXP INSR TYPE OF INSURANCE IIADDLS INSO I�BR EFF POLICY NUMBER MM/DD MPOLICY DDYYYY LIMITS LTR X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE � X _ OCCUR _ PREMIDAMAGE TO RENTED PREMISES Ea occurrence $ 300,000 MED EXP (Any one person) $ 10,000 DTCOBD974152COF16 10/1/2016 10/1/2017 PERSONAL & ADV INJURY $ 1,000,000 GEN1 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OPAGG $ 2,000,000 POLICY I PEC LOC $ OTHER: AUTOMOBILE LIABILITY COEa aMBINED SINGLE LIMITccident $ 1,000,000 BODILY INJURY (Per person) $ B X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED X HIRED AUTOS X AUTOS DT8105D974152TIL16 10/1/2016 10/1/2017 BODILYINJURY(Peraccident) $ PROPERTY DAMAGE Per accident $ $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 B EXCESS LIAB CLAIMS -MADE DIED I X I RETENTION$ 10,000 $ DTSMCUP5D974152TIL16 10/1/2016 10/l/2017 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? N❑ (Mandatory in NH) N / A UB11171119961626G 7/1/2016 7/l/2017 TH X I STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE- EA EMPLOYE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 If Eyes describe under DESCRIPTION OF OPERATIONS below D Installation Floater QT660367M1606TIA16 10/1/2016 10/l/2017 Limit $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) RE: Exhibit Lighting for Fort Collins Museum of Discovery. The City of Fort Collins, its officers, agents and employees are included as Additional Insured as required by written contract with respects to liability arising out of work performed by the named insured. CERTIFICATE H City of Fort Collins Purchasing Dept PO Box 580 Fort Collins, CO 80522-0000 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 D Stewart, CIC, CISR/ (0 19U73-ZU14 AUL)RU L:UKF L)KA I IIJN. All rlgnts reserVeU. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 ooi4nT1 DATE (MWDD/YYYY) A�� ® CERTIFICATE OF LIABILITY INSURANCE F6/22/2017 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 Dana Stewart, CIC, CISR NAME: Flood and Peterson PHONE Ext: (970) 266-7149 FaAXC No: (970) 506-6845 PO Box 578 ADDRESS.DStewart@floodpeterson.com INSURER(S) AFFORDING COVERAGE NAIC S Greeley CO 80632 INSURERA:Charter Oak Fire Insurance Company 25615 INSURED INSURERB:Travelers Property Casualty Company 25674 Gregory Electric, Inc. INSURERC:Travelers Insurance Co 3317 N. Lincoln Ave. INSURERD:Travelers Indemnity Company 25658 PO Box 2373 INSURERE:Travelers Indemnity Company of 25666 Loveland CO 80539 INSURER F: COVERAGES CERTIFICATE NUMBER:CL1762218362 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. IPOLICY EFF POLICY EXP LT R TYPE OF INSURANCE ADDL'SUBR POLICY NUMBER MMlDD YYY MM/DD/YYY LIMITS LTR X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A _' CLAIMS -MADE X I. OCCUR DAMAGE TO R PREMISES EaEoccurrence) $ 300,000 MED EXP (Any one person) $ 10,000 DTC05D974152COF16 10/1/2016 10/1/2017 PERSONAL & ADV INJURY $ 1,000,000 GENII GENERAL AGGREGATE $ 2,000,000 AGGREGATE LIMIT APPLIES PER: POLICY ECT El LOC PRODUCTS - COMP/OPAGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 11000,000 BODILY INJURY (Per person) $ B X ANY AUTO ALL OS SCHEDULED AUTOS AUTOS DT8105D974152TIL16 10/1/2016 10/1/2017 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ NON -OWNED X HIRED AUTOS X AUTOS Uninsured motorist combined $ 11000,000 UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 51000,000 AGGREGATE $ 51000,000 C EXCESS LIAB CLAIMS -MADE DED I X RETENTION$ 10,000 $ DTSMCUP5D974152TIL16 10/1/2016 1 10/1/2017 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N PER X STATUTE I I ERH_ D ANY PROPRIETOR/PARTNER/EXECUTIVE � OFFICER/MEMBER EXCLUDED? '• (Mandatory in NH) NSA UB-lH781996-17-26 7/1/2017 7/1/2018 EL EACH ACCIDENT $ 1, 000, 000 E.L. DISEASE - EA EMPLOYEO $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT I $ 1,000,000 E Installation Floater QT660367M1606TIA16 10/1/2016 10/1/2017 Limit $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Exhibit Lighting for Fort Collins Museum of Discovery. The City of Fort Collins, its officers, agents and employees are included as Additional Insured as required by written contract with respects to liability arising out of work performed by the named insured. CtH I WICA I t HULUtH GAIVUtLLA I IUIV City of Fort Collins Purchasing Dept PO Box 580 Fort Collins, CO 80522-0000 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 P Stehle, CISR/PSTEHL P.451;1 5 © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401)