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Home My WebLink AboutEGGERS ELECTRIC INC - INSURANCE CERTIFICATE (4)OP ID: CT ACORO DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 12/14/2017 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 Phone: 970-223-1804 NAMEACT Front Range Insurance Group PHONE FAX 2002 Caribou Drive, Ste. 101 Fax: A/c No Ext: _ ac No Fort Collins, CO 80525 E-MAIL Steven G. Smith ADDRESS: INSURED Keith and Dawn Eggers 3520 W. Eisenhower Blvd. Loveland, CO 80537 EGGER-1 INSURERIS) AFFORDING COVERAGE INSURER A: Travelers INSURER B : Pinnacol Assurance INSURER C : INSURER D : INSURER E : INSURER F rnVFRAnI=Q rI=RTIFIr:ATF NIIMRFR• REVISION NUMBER: NAIL A 188 190 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 DDL U R POLICY NUMBER MM/DDfYYYY MM DD/YYYY LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY 003F873072 01/01/2018 01/01/2019 -DAMAGE TO RENTED PREMISES Ea occurrence) $ 100,000 CLAIMS -MADE OCCUR MED EXP (Any one person) $ 5,000 PERSONAL 8 ADV INJURY $ 1,000,000 ' GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 $ POLICY X PRO LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ ALL OWNED AUTOS PROPERTY DAMAGE (Per accident) $ SCHEDULED AUTOS HIRED AUTOS $ NON -OWNED AUTOS $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,00 AGGREGATE $ 2,000,000 A EXCESS LIAB CLAIMS -MADE 004FO79685 01/01/2018 01/01/2019 DEDUCTIBLE $ $ X RETENTION $ 10,000 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N 07679.3 06/01/2017 06/01/2018 WC STATLI OTH- X T RY IMIT R E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYE $ 1,000,000 OFFICER/MEMBEREXCLUDED? (Mandatory in NH) NIA E.L. DISEASE - POLICY LIMIT I $ 1,000,000 If yes. describe under DESCRIPTION OF OPERATIONS below A Equipment Floater 003F873072 01/01/2018 01/01/2019 Leased & Rented 25,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) !`COTICl/`ATc UnI ncn RAN('FI I ATWIN FORTC-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins Attn: Delynn AUTHORIZED REPRESENTATIVE P.O. BOX 580 Fort Collins, CO 80522-0580CC (V 1988-ZUU9 AUUFiU cUKI'UKA I IUN. All rlgnts reservea. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD