HomeMy WebLinkAboutCVK ELECTRIC LLC - INSURANCE CERTIFICATE (4)rvKFI Fr-n1
IHAYFS
ACORO
CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
01/22/2018
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 Jonna Hayes
a✓co,Nt o, Ext: (719) 867-4506 NC, No :(719) 590-9992
Six & Geving Insurance, Inc.
3630 Sinton Rd.
Suite 200
EMAIL
-. jhayes@six-geving.com
INSURERS AFFORDING COVERAGE
NAIC q
Colorado Springs, CO 80907
INSURER A: Cincinnati Insurance Company
10677
INSURED
INSURER B:PInnacol Assurance
41190
INSURER C :
CVK Electric LLC
INSURER D :
2201 Bott Ave
Colorado Springs, CO 80904
INSURER E
INSURER F :
rnvcoec=c rFRTICIrATF NI IMRFR• RFVISIAN NIIMRFR-
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
LIR
TYPE OF INSURANCE
ADDL
1
SUBR
POLICY NUMBER
POLICY EFF
MM D
POLICY EXP
MM A YYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE ❑X OCCUR
EPP0355862
11/01/2015
11/01/2018
EACH OCCURRENCE
11000,000
DAMAGE TISESO R(EaENTED
$ 500,000
MED EXP (Any oneperson)
$ 10,000
PERSONAL & ADV INJURY
1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY ❑X JE � LOC
OTHER:
GENERAL AGGREGATE
2,000,000
PRODUCTS - COMPIOP AGG
2,000,000
A
AUTOMOBILE LIABILITY
X ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
EBA0355862
11/01/2017
11/01/2018
COMBINED SINGLE LIMIT
1,000,000
BODILY INJURY Perperson)
BODILY INJURY Per accident
PROPERTY DAMAGE
Per accident
A
X
UMBRELLA LIAB
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
EPP0355862
11/01/2015
11/01/2018
EACH OCCURRENCE
21000,000
AGGREGATE
2,000,000
riDED
I X I RETENTION $
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE
gFCEBEREXCLUDED?
(ManFIP?vEMdatory in NH) LJ
If yes, describe under
DESCRIPTION OF OPERATIONS below
N/A
4108090
02/01/2018
02/01/2019
X PER OTH-
ER
E.L. EACH ACCIDENT
1,000,000
E.L. DISEASE - EA EMPLOYEE
$ i ,000,000
E.L. DISEASE - POLICY LIMIT
1,000,000
$
A
Equipment Floater
EPP0355862
11/01/2015
11101/2018
Leased/Rented
50,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required)
City of Fort Collins
215 N Mason St
Fort Collins, CO 80524
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