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HomeMy WebLinkAboutT & T ELECTRIC COMPANY INC - INSURANCE CERTIFICATE (3)ACORa►` PRODUCER Western Group Inc. -Pueblo 511 W 10th St Ste A P.O. Box 1958 Pueblo, CO 81002 George C. Shineovich T&TEL-1 OP ID: SV YY CERTIFICATE OF LIABILITY INSURANCE 7TE(0112MM/DY6Y) /01/2016 Phone: 719-543-3604 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURED T & T Electric Co Inc Tim & Katherine Miller 1824 Aspen Circle Pueblo, CO 81006-1489 rnVFRArFC INSURERS AFFORDING COVERAGE NAIC # INSURER COLORADO CASUALTY INS.CO. 41785 INSURER B INSURER C: INSURER D INSURER E. 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD' POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YYYY POLICY EXPIRATION DATE MM/DD/YYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE " OCCUR BKW55359252 11l08/2016 11/08/2017 I EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurence $ 100,00 MED EXP (Any one person) $ 15,00 PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PRO LOC PRODUCTS - COMP/OP AGG $ 2,000,00 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNEDAUTOS BAS55359252 11 /08/2016 11/08/2017 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 X BODILY INJURY (PER PERSON) $ BODILY INJURY (PER ACCIDENT) $ PROPERTY DAMAGE (PER ACCIDENT) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY AGG $ $ A EXCESS / UMBRELLA LIABILITY X OCCUR CLAIMS MADE DEDUCTIBLE X RETENTION $ 10,000 US055359252 11/08/2016 11/08/2017 EACH OCCURRENCE $ 6,000,00 AGGREGATE $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under SPECIAL PROVISIONS below WC STATU- OTH- E.L EACH ACCIDENT $ - E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ A A OTHER Commercial Applica BKW55359252 11/08/2016 11/08/2017 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS ELECTRICAL WORK WITHIN BUILDINGS fax 970-224-6134 LyaCaIIalhd\1;4;Lai A9j;1 l CITYFTC SHOULD ANY OF THEABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN CITY OF FT. COLLINS NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 330 S. COLLEGE AVE. IMPOSE O IGATION OR LIABILITY ANY KIND UPON THE INSURER, ITS AGENTS OR P.O. BOX 580 REPR NT IVES. Ad FT COLLINS, CO 80522-0580 AUTH ;PEP s G. a C. Shineovich i • ACORD 25 (2009/01) CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD