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HomeMy WebLinkAbout104571 GREGORY ELECTRIC INC - INSURANCE CERTIFICATE (13)A`o " CERTIFICATE OF LIABILITY INSURANCE DATE /01/20/18 06/01l2018 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 Flood and Peterson PO Box 578 Greeley CO 80632 CONTACT Dana Stewart, CIC, CISR PHONE (970) 266-7149 A/C, No (970) 506-6845 AfC No Ext E-MAILADDRESS: DStewart@floodpeterson.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Charter Oak Fire Insurance Company 25615 INSURED Gregory Electric, Inc. 3317 N. Lincoln Ave. Loveland CO 80539 INSURER B : Travelers Property Casualty Company of America 25674 INSURER C : Plnnacol Assurance. INSURER D : INSURER E : INSURER F COVERAGES CERTIFICATE NUMBER' CL186123581 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 INSD WVD POLICY NUMBER POLICY EFF MM/DD/1^/W POLICY EXP MM1DOlYYYY LIMITS X COMMERCIALGENERALLIABILITY CLAIMS -MADE I -XI OCCUR EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 300,000 MED EXP (Any one person) $ 10,000 A DT-CO-5D974152-COF-17 10/01/2017 10/01/2018 PERSONAL& ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER. PRO POLICY JECT LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER. AUTOMOBILE LIABILITY EOa accident SINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO BODILY INJURY (Per accident) $ B OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED X AUTOS ONLY X AUTOS ONLY DT-810-5D974152-TIL-17 10/01/2017 10/01/2018 PROPERTY DAMAGE Per accident $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 B EXCESSLIIAB CLAIMS -MADE CUP-BJ590281-17-26 10/01/2017 10/01/2018 AGGREGATE $ 5,000,000 X DED RETENTION $ 10,000 $ WORKERS COMPENSATION 1 PER H X STATUTE ER C AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE [y] OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 4210272 07/01/2018 07/01/2019 E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYEE 1,000,000 $ E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if moms pace is required) REExhibit Lighting for Fort Collins Museum of Discovery The City of Fort Collins, its officers, agents and employees are included as Additional Insured for General Liability and Auto Liability as required by written contract with respects to liability arising out of work performed by the named insured. GtK I II-IL:AI t KULUtK SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins Purchasing Dept ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 AUTHORIZED REPRESENTATIVE Fort Coilins CO 80522-0000 ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD