HomeMy WebLinkAboutACTION ELECTRIC LLC - INSURANCE CERTIFICATE (2)Q Allstate.
You're In good hands. CERTIFICATE OF INSURANCE - COMMERCIAL
ALLSTATE INSURANCE COMPANY - NORTHBROOK, IL
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS
CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Description of Operation:
CERTIFICATE HOLDER
NAMED INSURED
Name and Address of Party to Whom this Certificate is Issued
Name and Address of Insured
CITY OF FORT COLLINS
PO BOX 508
FORT COLLINS, CO 80522-0508
ACTION ELECTRIC, LLC
20192 LEOLA WAY
EATON, CO 80615-9145
Location Address (if different than above)
This is to certify that policies of insurance listed below havebeen issued to the insured named above subject to the expiration date indicated below,
notwithstanding any requirement, term or cond ition of any contractor 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.
TYPE OF INSURANCE AND LIMITS
Policy Number: 648278590 Effective Date: 04-06-2018 Expiration Date: 04-06-2019
COVERAGE SUMMARY
BUSINESS LIABILITY
AMOUNT
COMPREHENSIVE LIABILITY
$ 1, 000, 000 Per Occurrence
DAMAGE TO PREMISES RENTED TO YOU
$ 50, 000.00 Any One Premises
MEDICAL PAYMENTS
$ 5, 000 Per Person
OTHER THAN PRODUCTS / COMPLETED OPERATIONS AGGREGATE
$ 2, 000, 000.00
PRODUCTS / COMPLETED OPERATION AGGREGATE
$ 2, 000, 000.00
PROPERTY INSURANCE
POLICY TYPE
SPECIAL FORM BROAD FORM BASIC FORM BUILDERS RISK SPECIAL FORM
BUILDING ❑ Replacement Cost ❑ Actual Cash Value Blanket Limit
x❑ CONTENTS $ 1, 000 X1 Replacement Cost ❑ Actual Cash Value Blanket Limit
Deductible $ 2, 500 Wind Deductible % 0 Exclude Wind11 YES Ifl NO
ADDITIONAL COVERAGE'S:
EQUIPMENT BREAKDOWN,CONTRACTORS' INSTALLATION, TOOLS AND EQUIPMENT COVERAGE,BLANKET
ADDITIONAL INSURED,BLANKET WAIVER OF SUBROGATION,ADDITIONAL INSURED
MORTGAGE CLAUSE — The policy contains a Mortgage Clause in favor of:
Mortgagee
Address
CERTIFICATE PERIOD
THIS CERTIFICATE WILL REMAIN IN FORCE FROM THE INCEPTION OF THE POLICY UNTIL THE POLICY IS CANCELLED OR EXPIRES.
POLICY INCEPTION DATE: 04-06-2018 ® 12:01 AM 12:00 NOON Standard Time at the location of the Insured Premises.
PROVISIONS
This form is not the contract of insurance, but attests that a policy as identified above has been issued. The provisions of the policy shall prevail
in all respects.
SHOULD THE ABOVE DESCRIBED POLICY BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
LFAI LLC 04-11-18
Authorized Representative Date
BU114R-3
Cl CW 01 Ot 14
Certificate Copy