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HomeMy WebLinkAboutFISKE INC DBA FISKE ELECTRIC C K TRANSPORTATION - INSURANCE CERTIFICATE� A� " CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 2/5/2018 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 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 CONTACT K lie Care CISR y y _NAME: PH(AJONE (970) 266-7148 FA No: (970)506-6845 Flood and Peterson PO Box 578 E-MAIL ADDRESS: P y KCare @flood eterson.com INSURERS AFFORDING COVERAGE NAIC p INSURERA:Cincinnati Insurance Co 10677 Greeley CO 80632 INSURED INSURER B :Pinnacol Assurance 41190 INSURER C: Fiske, Inc., DBA: Fiske Electric INSURER D : C K Transportation, Inc. INSURER E : 6766 E . County Road 18 INSURERF: Johnstown CO 80534 COVERAGES CERTIFICATE NUMBER:CL182521863 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 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 LTR TYPE OF INSURANCE IN L B POLICY NUMBER MM/DDNYYY MM/DD/YYYICY Y LIMITS ][ COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE � OCCUR DAMAGE ( RENTED PREMISESS Ea occurrence $ 500,000 MED EXP (Any one person) $ 10,000 EPP0168559 11/15/2017 11/15/2018 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY II PE� a LOC BLWOS $ OTHER: AUTOMOBILE LIABILITY COEa aMBINED SINGLE LIMITccident $ 1,000,000 BODILY INJURY (Per person) $ A X ANY AUTO ALL OWNED X SCHEDULED AUTOS AUTOS NON -OWNED X HIRED AUTOS X AUTOS EPP0168559 11/15/2017 11/15/2018 BODILY INJURY (Per accident) $ PROPER- DAMAGE Per accident $ Uninsured motorist combined $ 1, 000 , 000 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,000 AGGREGATE $ 3,000,000 A EXCESS LIAR CLAIMS -MADE DED I X I RETENTION$ 0 $ EPP0168559 11/15/2017 11/15/2018 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? a (Mandatory in NH) N/A 4066524 3/1/2018 3/1/2019 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 11000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 If yes. describe under DESCRIPTION OF OPERATIONS below A Leased/Rented Equipment EPP0168559 11/15/2017 ' 11/15/2018 $50,000 Limit/$1,000 Ded. A Limited Liability Pollution EPP0168559 11/15/2017 11/15/2018 $300,000/$300,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) GERTIFIGAiE HULUtR t AIVIaLLAIIUIV City of Fort Collins P.O. 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 K Carey, CISR/KCAREYdnor ACORD 25 (2014/01) INS025 onl4nn ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD