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Home My WebLink AboutAXIS ELECTRIAL SERVICES LLC - INSURANCE CERTIFICATEACCOR" CERTIFICATE OF LIABILITY INSURANCE DATE (MM/D DlYYYY) �i 12/15/2016 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 endorsements . CONTPRODUCER NAME: Welona Souza _ Commercial Risk Solutions PHONE . 303-996-7828 FAX . 303-996-7851 6600 E Hampden Ave Ste 200 E-MAIL Denver CO Anci_souza@crsdenver.com INSURER(S) AFFORDING COVERAGE NAIC / INSURER A:Pinnacol Assurance 41190 INSURED AXISE-1 INSURERB:Westfleld Insurance 24112 Axis Electrical Services, LLC INSURER C : 8101 W. 1-25 Frontage Rd., #2 -- Frederick CO 80516 INSURER D : INSURER E CnVFRArFS r'FRTIFIrATF NIIMRFR• 594641152 RFVISInN NIIMRFR- 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 AIJULaUCIM INSD 1 POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS B X COMMERCIAL GENERAL LIABILITY CVVP4462197 4/1/2016 4/1/2017 EACH OCCURRENCE $1,000,000 CLAIMS -MADE � OCCUR - - $500,000 DPREAMAGE To RENTED MISES Ea occurrence MED EXP (Any one person) - $5,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $2,000,000 POLICY PELT LOC $2,000,000 _ PRODUCTS - COMP/OP AGG $ OTHER: B AUTOMOBILE LIABILITY CWP4462197 4/1/2016 4/1/2017 MBIN D SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS X NON -OWNED AUTOS X PROPERTY DAMAGE Per accident $ B X UMBRELLA LAB OCCUR CWP4462197 4/l/2016 4/1/2017 EACH OCCURRENCE $5,000,000 AGGREGATE $5,000,000 EXCESS LIAB CLAIMS -MADE. DED X I RETENTION $0 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROP RIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? NIA '4144873 1/1/2017 1/1/2018 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE — --- $1,000,000 (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 B Lease/Rented Equip CWP4462197 4/1/2016 4/1/2017 Limit $50,000 Special Form/ACV Ded $500 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) All policy terms, conditions and exclusions apply. GEht I IFIGA I L HUL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P.O. Box 580 ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins CO 80526 AUTHORIZED REPRESENTATIVE @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD