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HomeMy WebLinkAboutBENCHMARK ELECTRICAL SOLUTIONS INC - INSURANCE CERTIFICATE (7)ACORO® �� CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 6/1/2018 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 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 Flood and Peterson PO Box 578 Greeley CO 80632 CONTACT R lie Care CISR, CIC NAME: y y• PHONE (970) 266-7148 FAX No): (970)506-6845 EMAIL ADDRESS: KCarey C4floodP eterson.com INSURERS AFFORDING COVERAGE NAIC N INSURERA:Kinsale Insurance Company 38920 INSURED Benchmark Electrical Solutions, Inc. 3665 Canal Drive, Unit A Fort Collins CO 80524 INSURERB:Acadia Insurance Company 31325 INSURERC:Travelers Excess and Surplus Lines 29696 INSURERD:National American Insurance Company 23663 INSURER E:TravelersPro ert Casualt Co.OfAmer. 25674 INSURERF: COVERAGES CERTIFICATE NUMBER:CL186123570 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 ADDL SUBR POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE 1XI OCCUR A AG TO ITEI PREM SES Ea occur ence $ 100,000 MED EXP (Any one person) $ Excluded 01000392992 6/1/2018 6/1/2019 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 I LOC POLICY JEC PRODUCTS - COMP/OPAGG $ 2,000,000 Pollution Liability $ $lM/$2M OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ B X ANY AUTO ALL OSCHEDULED AUTOS AUTOS CPA3063807 6/1/2018 6/l/2019 BODILY INJURY (Per accident) $ PRORTY Per PEaccident)DAMAGE $ X HIRED AUTOS X NON-OWNED Medical payments $ 5,000 X UMBRELLA LIAB X OCCUR 01000393042 6/1/2018 6/1/2019 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 A EXCESS LIAB CLAIMS -MADE DED I X I RETENTION $ 10,000 $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? a N / A OW32770005 All States Coverage 6/1/2018 6/1/2019 PER TH- X STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below Excludin OH, ND, caA, vrr g E.L. DISEASE - POLICY LIMIT $ 1,000,000 C Excess Liability ZUP81M5951918NF 6/l/2018 6/1/2019 $5,000,000/$5,000,000 E Leased/Rented Equipment 6J7766737 6/1/2018 6/1/2019 $250,000 Limit $1, 000 Ded. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) l";gCgIIaL•fG\Ia:Lai IR•lA: A' • City of Fort Collins, CO P.O. 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 K Carey, CISR, CIC/KC'f� ACORD 25 (2014/01) INS025 (201401) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD