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HomeMy WebLinkAboutMCBRIDE LIGHTING INC - INSURANCE CERTIFICATE (3)MCBRLIG-01 MARS ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 03/27/2017 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 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 J E:TACT Shaleen Martin Six 8: Geving Insurance, Inc. PHONE FAx 225 Union Blvd. c, No, Ext : (720) 962-0930 (A/C, No):(720) 962-0942 Suite 575 . smartin@Six-goving.com Lakewood, CO 80228 , -„� ......., INSURED McBride Lighting Inc Gaylene 16026 W. 5th Ave Golden, CO 80401 F: United Fire & Casualty Con COVERAGES CERTIFICATE NUMBER: 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 TYPE OF INSURANCE ADDL SUBR AM WVD. POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR 60474508 04/01/2017 04/01/2018 EACH OCCURRENCE 11000,000 PAMMGETORENTED ISESE. 300,000 MED EXP one n 10,000 PERSONAL & ADV INJURY 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑X J 9C D LOC OTHER: GENERAL AGGREGATE 2,000,000 PRODUCTS-COMP/OPAGG 2,000,000 B AUTOMOBILE LIABILITY K ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED AUTOS NEp AUTOS ONLY AUTOS ONLY 60474508 04/01/2017 04/01/2018 COMBINED SINGLE LIMIT -(Ea--accident) 1,000,000 BODILY INJURY Perperson) BODILY INJURY Per accident P OPERTY AMAGE era�d�t B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 60474508 04/01/2017 0410112018 EACH OCCURRENCE 4,000,000 AGGREGATE 4,000,000 DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE Mandatory in ER EXCLUDED? _ Mandatory m NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA PER OTH- E.L. EACH ACCIDENT E.L. DISEASE -EA EMPLOYEE E.L. DISEASE -POLICY LIMIT A Equipment Floater 60474508 W0112017 04/01/2018 Rented Eq 100,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) [yR3llaLey-II;Ai19JA1Ja:1 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 ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD