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Home My WebLink About114215 MERIT ELECTRIC INC - INSURANCE CERTIFICATE (15)ACORO� CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 06/25/2018 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 CONTACT Jennifer Winter, CISR NAME: Flood and Peterson PHONE (g70) 506-3206 FAX (970) 506-6846 C No Ext : A/C, No): (AC, E-MAIL JWinter@floodpeterson.com ADDRESS: PO Box 578 INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: Westfield Insurance Company 24112 Greeley CO 80632 INSURED INSURER B : Pinnacol Assurance 41190 INSURER C : Merit Electric, Inc. INSURER D : 2590 Midpoint Drive INSURER E : INSURER F : Fort Collins CO 80525 COVERAGES CERTIFICATE NUMBER: CL1862523991 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 INSURANCEADDLSUBR INSD WVD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE a OCCUR PREMISES Ea occurrence $ 500,000 X MED EXP (Any one person) $ 10,000 PD Dedi5,000 PERSONAL & ADV INJURY $ 1,000,000 A CMM4691001 07/01/2018 07/01/2019 GEN'LAGGREGATELIMIT APPLIES PER GENERAL AGGREGATE g 2,000,000 PRO- POLICY X PRO X LOC JECT PRODUCTS-COMP/OPAGG $ 2,000,000 $ OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ ANY AUTO A OWNED SCHEDULED ONLY AUTOS CMM4691001 07/01/2018 07/01/2019 BODILY INJURY (Per accident) IIIAUTOS X PROPERTY DAMAGE 'Per accident $ HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY X $ DOC X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 A EXCESS LIAB CLAIMS -MADE CMM4691001 07/01/2018 07/01/2019 DED I X1 RETENTION $ 0 $ B WOPER RKERS COMPENSATION AND EMPLOYERS' LIABILITY y I N ANY PROPRIRIPARTNER/EXECUTIVE F OFFICER/MEMBMB ER EXCLUDED? (Mandatory in NH) NIA 4070414 07/01/2018 07/01/2019 X STATUTE EERH _ E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes. describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) I-Allil.CLLIAI IUIY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Fort Collins Light & Power ACCORDANCE WITH THE POLICY PROVISIONS. 700 Wood Street AUTHORIZED REPRESENTATIVE Fort Collins CO 80525 @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD