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Home My WebLink AboutTEAM ELECTRIC - INSURANCE CERTIFICATE (2)DATE (MMIDD/YYYY( ACORa CERTIFICATE OF LIABILITY INSURANCE 16 . F02/28/2018 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). ONTACT PRODUCER NAME: _ Teresa Campa _ Advantage i Insurance PHONNo.E 320-252-6650 a No: 320-252-7536 3801 N 3rd St AD IESS: @advantageoneins.com St Cloud, MN 56303 INSURERS AFFORDING COVERAGE I NAIC If INSURER A: Midwest Familv Mutual 123574 INSURED INSURER B: Pinnacol Assurance 41190 TEAM ELECTRIC INSURER C 1158 S LIPAN ST INSURERD: DENVER, CO 80223 INSURERE: INSURER F : !`(11rCon r CC IrOTIPirATF NIIMRGR• r1r1R!1f rnn_'ZAA1d14 RIFVISICIN NIIMRFIZ' 1f1Q 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 ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MMIDDIYYYY MWDD/YYYV A X COMMERCIAL GENERAL LIABILITY N N ACCO0560105445 03/01/2018 03/01/2019 EACH OCCURRENCE $ 11000,000 CLAIMS -MADE X] OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 50,000 MED EXP (Any one person) $ 5 000 PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGATE $_ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 2, 00,000 POLICY JE T L LOC $ OTHER: A AUTOMOBILE LIABILITY N N CAC00560105446 03/01/2018 03/01/2019(CEO, MBINED accd.n') SINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED X AUTOS ONLY X AUTOS HIRED NON -OWNED X AUTOS ONLY X AUTOS ONLY BODILY INJURY (Per accident) $ PerOPER accidentDAMAGE $ A X UMBRELLA LIAB X OCCUR N N CUC00560105448 03/01/2018 03/01/2019 EACH OCCURRENCE $ 5,000,000 AGGREGATE EXCESS LIAB CLAIMS_ -MADE $ 5,000,000 DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE Y❑ N 4181576 o3ro1/zols 03/01/2019 X STATUTE ERH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE- Fes, EMPLOYE $ 1,000,000 OFFICERWEMBER EXCLUDED? (Mandatory in NH) NIA E.L. DISEASE - POLICY LIMIT $ 1,000,000 If yes, descnbe under DESCRIPTION OF OPERATIONS below A RENTED/LEASED EQUIPM I ACCO0560105445 03/0112018 I 03/01/2019 50,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule. may be attached if more space is required) VtK I If-lk A I t MULLJCK liM 1\IiCLLM I IVI\ 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 FORT COLLINS, CO 80522 AUTHORIZED REPRESENTATIVE t I nflU) ACORD CORPORATION. All riohts reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Printed by TMC on February 28, 2018 at 09 10AM