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HomeMy WebLinkAboutHANNA ELECTRICAL CONTRACTING INC - INSURANCE CERTIFICATE (7)A`oR" CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 10/31/2017 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 CONTANAME: CT Brianne Danielson, CISR Flood and Peterson PHONE � t . (970) 266-7118 aC No : (970) 506-6846 Corporate Mailing Address: ADDRESS:BDanielson@F1oodPeterson.com P.O. BOX 578 INSURER(S) AFFORDING COVERAGE NAIC # Greeley CO 80632 _ INSURER A:Tri-State Insurance Company of lei 31003 INSURED INSURERB:Continental Western Insurance Co. 10804 Hanna Electrical Contracting, Inc. INSURERC:Pinnacol Assurance 41190 1614 Harris Drive INSURERD: INSURER E : Fort Collins CO 80524 INSURERF: CnVERAGES CERTIFICATE NLIMBER-CL17103120383 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 ADDL�$UBR POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MMIDD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE LX J OCCUR PREMISES Ea occurrence) $ 300,000 MED EXP (Any one person) $ 10,000 ADV318330210 11/01/2017 11/01/2018 PERSONAL BADVINJURY $ 1,000,000 GENI AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2 , 000 , 000 POLICY JECOT- LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER. AUTOMOBILE LIABILITY (CEO accidentMBINED SINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ B X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS CPA318330311 11/01/2017 11/01/2018 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per acc dent $ X NON -OWNED HIRED AUTOS X AUTOS Uninsured Motorist Liability $ 1,000,000 X UMBRELLA LIAB R OCCUR EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000 000 B EXCESS LIAB CLAIMS -MADE DED I X I RETENTION$ 0 $ CPA318330311 11/01/2017 11/01/2018 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE [:- OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA 4205,58 11/01/2017 11/01/2018 X STATUTE ERH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 f yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate holder is included as Additional Insured as required by written contract with respects to liability arising out of work performed by the named insured. I_tK I It-IL.A I t MULUtK 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 B Danielson, CISR/BDA'L`4^"` '�2"`eLro"'• ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 onlvmi