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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
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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 •
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