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HomeMy WebLinkAboutSTANMARK ELECTRIC COMPANY - INSURANCE CERTIFICATE (11)" AC � ® DATE (MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 7/24/2017 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 endorsements . PRODUCER CONTACT NAME: Daniel Jobs AssuredPartners Colorado PHONE 720-726-3226 tg . 303-861-7502 4582 S. Ulster St., Suite 600 WC, No, ExU- Denver CO 80237 E-MAIL SS: djobs@assuredptrcO.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: PINNACOL ASSURANCE 41190 INSURED STANM-1 INSURER B : Stanmark Electric Companyy INSURERC: 14 Inverness Drive E Ste 7128 Englewood CO 80112 INSURERD: INSURER E : (:M/FDAr_FC r:FDTIGICATV 11111M[2GD• 16nRn7A2s1 DF\/ICtr)lU rdilunrD• 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 TYPE OF INSURANCE N WVD POLICY NUMBER POLICY EFF M1DDhrYYY POLICY EXP MMIDDIYY LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE $ $ $ FTo RENTED------ PREMISES Ea occurrence GEN'L MED EXP (Any one person) PERSONAL & ADV INJURY $ AGGREGATE LIMIT APPLIES PER: POLICY PRO ❑ JECT LOC OTHER: GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ E AUTOMOBILE LIABILITY ANY AUTO AUTOS NED SCHEDULED UTOS NON -OWNED HIRED AUTOS AUTOS Ea accidenn $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ Per accident) $ S UMBRELLA LAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ E A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY OFFICER/MEMBER EXCLUDED? ECUTIVE (Mandatory in NH) If es, describe under DSCRI PTION OF OPERATIONS below NIA 4184653 8/1/2017 8/1/2018 X I STATUTE I I ER E.L. EACH ACCIDENT $500,000 E.L. DISEASE - EA EMPLOYEE1 $500,000 E.L. DISEASE - POLICY LIMIT —' 1 $500,000 I I DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION 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 AUTHOR14ED REPRESENTATIVE © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD