Loading...
HomeMy WebLinkAboutT'S ELECTRICAL LTS - INSURANCE CERTIFICATE7 ® ACORO CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 03/27/2018 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 endorsement(s). PRODUCER fCcf#7T RONNY BUSH/STATE FARM INSURANCE 40 1090 E ELIZABETH ST FORT COLLINS, CO 80524 CONTACT RONNY BUSH NAME: PHO(AICNE t- 970-484-3993 FAX 970-484-4011 (A/C, No E-MAIL ADORES$: INSURERS AFFORDING COVERAGE NAIC # INSURER A : State Farm Fire and Casualty Company 25143 INSURED T'S ELECTRIC LTS 1420 BLUE SPRUCE DR STE I FORT COLLINS, CO 80524 INSURER 8 : INSURER C : INSURER D : INSURER E : INSURER F : UUVtKAtatJ ..cr%r rrl— r 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. ILNSR TR TYPE OF INSURANCE COMMERCIAL GENERAL LIABILITY ADD DL SUBR POLICY NUMBER P_0 CY EFF MM/DDlYYYY POLICY EXP MMIDDIYYVY LIMITS EACH OCCURRENCE $ 1,000,000 DAMAGE PREMISES Ea occurrence $ CLAIMS -MADE u OCCUR MED EXP (Any one person) S 5,000 96-CG-N932-9 03/28/2018 06/28/2019 PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ POLICY ❑ PRO-LOC JECT $ OTHER: AUTOMOBILE LIABILITY EeDSINGLE LIMIT . ideI $ BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ $ B OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ETENTION �EXCESS $ WORKERS COMPENSATION PER OTH- ATJER E.L. EACH ACCIDENT $ AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. DISEASE - EA EMPLOYE $ OFFICER/MSMRER EXCLUDED? ❑ (Mandatory in NH) N 1 A E.L. DISEASE -POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER cANGtLLA I IUIN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CITY OF FORT COLLINS ACCORDANCE WITH THE POLICY PROVISIONS. PO BOX 580 AUTHORIZED REPRESENTATIVE FORT COLLINS, COO 85022 ©1988- ORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of AC D 1001486 132849.12 03-16-2016