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Home My WebLink AboutAXIS ELECTRICAL SERVICES LLC - INSURANCE CERTIFICATE (3)ACOR& CERTIFICATE OF LIABILITY INSURANCE FDATE(MWDD/YYYY) 3/30/2018 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 endorsements . PRODUCER Commercial Risk Solutions C ACT NAMESabflna Rahe F4 c a c"Vo 6600 E Hampden Ave Ste 200 Est : 303 996-7834 No : 303-996-7851 EL -MAIESS; srah@crsdenver.com Denver CO 80224 INSURER S AFFORDING COVERAGE NAIC p INSURER A: Pinnacol Assurance 41190 INSURED AXISE-1 Axis Electrical Services, LLC INSURER B: Westfield Insurance 24112 8101 W. 1-25 Frontage Rd., #2 INSURERC: INSURERD: Frederick CO 80516 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 125120530 REVISION NIIMRER- ---------- 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. ASR LTR TYPE OF INSURANCE POLICY NUMBER ` POLICY EFF MMIDD/YYYY POLICY EXP MM/DD/YYYY LIMITS B X COMMERCIAL GENERAL LIABILITY Fyl CLAIMS -MADE OCCUR CWP4462197 4/l/2018 4/1/2019 EACH OCCURRENCE $1,000.000 DAMAGE TO RENTED PREMISES Ea occurrence $ 500,000 MED EXP (Any one arson) $ 5,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO - POLICY ZJECT 7 LOC OTHER: GENERAL AGGREGATE $ 2.000,000 PRODUCTS - COMP,'OP AGG $ 2,000,00D $ B AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY CWP4462197 4/1/2018 4i1/2019 COMBINED SINGLE LIMIT Ea accident $ 0.000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident ) y $ X PROPERTYDAMAGE Per accident $ B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE CWP4462197 4/1/2018 4/l/2019 EACH OCCURRENCE $5,D00,000 _ AGGREGATE $ 500,000 DED I X I RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETORiPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? a (Mandatory In NH) ibe under If ESCRIPTIes, descrON OPERATIONS below D NIA 4144873 4/1/2018 4/1/2019 X PER OTH- STATUTE_ I ER .__ E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE POLICY LIMIT $ 1,oco,000 B Lease/Rented Equip Special Form/ACV CWP4462197 4/1/2018 4/1/2019 Limit Ded $50,000 $500 DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) All policy terms, conditions and exclusions apply. a.cnI1r-rVMrc rIVLUCn LANt,LLLAIIUN City of Fort Collins P.O. Box 580 Fort Collins CO 80526 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 A� C 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD