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HomeMy WebLinkAboutPROSYSTEMS PROFESSIONAL ELECTRICAL SYSTEMS INC - INSURANCE CERTIFICATE (2)PROSY-1 OP ID: JA ACORN E (MIDDIYYYY) PM ATCERTIFICATE OF LIABILITY INSURANCE05/10/18 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 303-691-9100 CONTACT NAME: _ Manor Insurance Agency, Inc PHONE FAX 1325 S Colorado Blvd Ste 210 303-691-2565 (A/C, No, Ext): (A/C. No): Denver, CO 80222 EMAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC N INSURER A: Owners Insurance Company 32700 INSURED ProSystems Professional INSURER B: Auto -Owners Insurance Company 18988 Electrical Systems Inc 20100 E.32nd Parkway Unit 120 INSURERC: Aurora, CO 80011-8184 INSURER0: INSURER E : INSURER F : CCIVFRAnPA CFRTIFICATF NIIMRFR- 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 WH!CH 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 TYPE OF INSURANCE ADDL SU POLICY NUMBER MMIDDPOLICY EFF PICMMLDDY EXP LIMITS LTRINSFI A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 41OCCUR X 74026717 06/03/18 06/03/19 EACH OCCURRENCE PREMISES SES (RENTE Ea occurrence $ 1,000,000 300 000 $ r MED EXP (Any one person) $ 10,00 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 7 PROECT LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE LIIAABILITY X ANY AUTO ALL OWNED SCHEDULED X AUTOS X AUTOS X HIRED AUTOS X NON -OWNED AUTOS 4699482404 06/03/18 06/03/19 COMBINED SINGLE LIMIT Ea accidentr r 1 000 00 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ B X UMBRELLA LIAB I EXCESS LIAB X 1OCCUR CLAIMS -MADE 4699482402 06/03/18 06/03/19 EACH OCCURRENCE $ 3,000,000 AGGREGATE $ 3,000,00 DED X RETENTION $ 10000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVEYa OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If ves, describe under DESCRIPTION ^F OPERATIONS below N/A 74007249 06/03/18 OW03/19 X WC STATU- OTH- TRY IMIT R E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) City of Fort Collins is hereby added as a additional insured with respects to the general liability policy. LN_111:8:[el141114V CITYFOR City of Fort Collins PO Box 580 Fort Collins, CO 80522 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 'arot 191��410# ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD