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HomeMy WebLinkAboutDME ELECTRIC LLC - INSURANCE CERTIFICATE (5)ACOR" CERTIFICATE OF LIABILITY INSURANCE �./ DATE(MM/DDYIYY) 1 /31 /2018 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 have ADDITIONAL INSURED provisions or 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 Commercial Risk Solutions 6600 E. Hampden Ave., Ste. 200(A/C, Denver CO CONTACT NAME: Shana Tama 0 PHONE FAX A/c N Ex : 303-996-7801 ac No: 303-757-7719 nnnPEss: Stamayo@crsdenver.com INSURERS AFFORDING COVERAGE NAIC Y INSURER A: United Fire Group 13021 INSURED DMEEL-1 DME Electric, LLC 2635 W. 8th Ave. INSURER B: Pinnacol Assurance 41190 INSURER C : Denver CO 80204 INSURER D: INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: 1561795986 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 TYPE OF INSURANCE DDL s BR POLICY NUMBER POLIC MM/ DY EFF POLICY EXP MW /YY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I - - OCCUR 6D472202 211/2018 2/1/2019 ENCE EACH OCCURR-DAMAGE S 1,000,000 - TO PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PE LOC El OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS NON -OWNED HIRED EX AUTOS ONLY AUTOS ONLY e0472202 2/1/2018 2/1/2019 COMBINED SINGLE LIMIT$ Ea accident 1 0 X BODILY INJURY (Per parson) $ BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident) $ $ A UMBRELLA LIAB EXCESS LIAR X OCCUR CLAIMS -MADE 6D472202 2/1/2018 2/1/2019 EACH OCCURRENCE S 5,000,OD0 X AGGREGATE $ 5,000,000 DE D X RETENTIONS $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A 4189181 211/2018 211/2019 X STATUTE I ER E.L. EACH ACCIDENT $ 500.000 E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE - POLICY LIMIT $ 500,000 A Equipment Floater OD472202 2/1/2018 I 2/1/2019 Ise/Rent Equip Dad. 100,000 500 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) All policy terms, conditions and exclusions apply. UtF<IIf-IUAIL HOLULK UANUELLAIIUN CITY OF FORT COLLINS 300 LAPORTE AVE Fort Collins CO 80521 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 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD